[Home care in high-risk pregnancies: 10 years' experience]

To describe high-risk pregnancies with home care.

Observational, descriptive and retrospective study. All women with high-risk pregnancies and home care management in a French type III perinatal center, between 1st January 2012 and 1st January 2023 were included. The year of admission, the indication, the period of hospitalisation (ante- or postnatal), the gestational age at admission and final discharge, and the duration of hospitalisation were collected for each woman.

Were included 2434 stays, of which 1831 (75.2%) were antenatal and 603 (24.8%) postnatal. In antenatal care, the most frequent indication for hospitalisation were intrauterine growth restriction (551 stays, 30%) and premature rupture of membranes (347 stays, 19%). The mean gestational age of admission was 30.8±5.0 weeks of gestation, after a median of 3 days of hospitalisation in the conventional sector. The mean gestational age at final discharge was 35.3±4.3 weeks of gestation. The median length of stay was 24 days. In the postnatal care, management of gestational hypertension or preeclampsia was the most common indication in 47% of cases (284 stays).

This study highlighted the different indications for home care in high-risk pregnancies and the evolution of practices over time.