• Y Miliani, S Deruddre, and D Benhamou.
• Département d'anesthésie-réanimation, hôpital Antoine-Béclère, 157, rue de la-Porte-de-Trivaux, BP 405, 92140 Clamart cedex, France.
• Ann Fr Anesth Reanim. 2005 Mar 1; 24 (3): 244-8.

ObjectiveEvaluation of anaesthetic workload associated with care of high-risk pregnant women (i.e. patients transferred to a referral perinatal center).Study DesignA case-control prospective study.MethodsDuring a three-month period, 63 women with in-utero transfer and their control counterparts (63 normal pregnancies) were prospectively followed until discharge.ResultsAt inclusion, high-risk patients (n = 63) were more frequently scored ASA 2 or more (21 vs 0%, p < 0.05). ASA score had increased at delivery in 8% of high-risk women and in none of controls. ICU admission (4 vs none), Caesarean delivery (57 vs 11%), preanaesthetic visit at night (41 vs 0%) and general anaesthesia (27 % versus none) were all more frequent in high-risk parturients (p < 0.05).ConclusionComparison of the workload associated with high-risk patients and normal pregnant women confirms the need for increased anaesthetic staffing in referral perinatal centers and provides a basis for better understanding the distribution of anaesthetic requirements in each perinatal network.

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