Sentences with phrase «among planned hospital births»

But the overall risks to the baby remained small regardless of the birth plan — there were about two deaths per 1,000 births among planned hospital births, vs. four deaths per 1,000 births planned at home or in birthing centers.

Previous research from the UK and Canada has identified a lower risk of PPH among planned home births than among planned hospital births [4, 11], but the UK study did not attempt to control for confounding variables.

The most recent large scale study comparing outcomes for mother and baby reported in the British Medical Journal last month showed that for women who had previously given birth, adverse outcomes were less common among planned home births (1 per 1,000) than among planned hospital births (2.3 per 1,000).

Future research should focus on possible explanations for the significantly higher risk of PPH among those planning a hospital birth, and address the possibility that procedures such as augmentation, emergency Caesarean section and episiotomy are over-used in the hospital setting.

Not exact matches

What the authors should have told us was that there were two neonatal deaths (0.11 %) among women planning a home birth and four (0.03 %) from women planning to give birth in the hospital.

In the latest paper discussed in that post, Severe adverse maternal outcomes among low risk women with planned home versus hospital births in the Netherlands: nationwide cohort study, de Jonge concluded:

Study results provide evidence that mortality outcomes in planned home birth are not significantly different compared to planned hospital birth, among 693,592 women with singleton births in the Netherlands.

Her latest effort is Severe adverse maternal outcomes among low risk women with planned home versus hospital births in the Netherlands: nationwide cohort study.

We categorized out - of - hospital and in - hospital births in Oregon according to the intended place of delivery and in comparing outcomes found that the risks for some adverse neonatal outcomes were increased among planned out - of - hospital births.

The odds of cesarean section among women planning out - of - hospital birth were lower among multiparous women than among nulliparous women and among women with 12 years of education or less than among women with more than 12 years of education (Figure 1).

In many previous U.S. studies, it was not possible to disaggregate planned in - hospital births from planned out - of - hospital births that took place in the hospital after a woman's intrapartum transfer to the hospital.3, 9,10 The latter births represent 16.5 % of planned out - of - hospital births in our population, and misclassification of these births as in - hospital births caused rates of adverse outcomes among planned out - of - hospital births to be underestimated (in some cases, substantially).

Obstetrical procedures were more common among women who had planned in - hospital births than among women who delivered out of the hospital (30.4 % vs. 1.5 % for induction of labor and 26.4 % vs. 1.1 % for augmentation of labor, P < 0.001 for both comparisons)(Table 3).

After hospital transfers were reclassified as belonging to the planned out - of - hospital birth category, the rate of fetal death was higher (though not quite reaching the level of significance) among out - of - hospital births than among in - hospital births (2.4 vs. 1.2 deaths per 1000 deliveries, P = 0.05)(Table 3).

The proportions of women who were white, had private insurance or paid out of pocket, or were of advanced maternal age were higher among women who planned out - of - hospital birth than among those who planned in - hospital birth (Table 1).

de Jonge A, Mesman JA, Manniën J, Zwart JJ, van Dillen J, van Roosmalen J. Severe adverse maternal outcomes among low risk women with planned home versus hospital births in the Netherlands: nationwide cohort study.

We observed higher rates of perinatal deaths, depressed 5 - minute Apgar scores, neonatal seizures, and maternal blood transfusions among planned out - of - hospital births; these persisted after multivariable and propensity - score adjustment.

But a comparison of «low - risk» women who planned to give birth at home with those who planned to give birth in hospital with a midwife found no difference in death or serious illness among either baby or mother.

Perinatal mortality and morbidity up to 28 days after birth among 743,070 low - risk planned home and hospital births: A cohort study based on three merged national perinatal databases.

Women and their partners should be advised that the risk of PPH is higher among births planned to take place in hospital compared to births planned to take place at home, but that further research is needed to understand (a) whether the same pattern applies to the more life - threatening categories of PPH, and (b) why hospital birth is associated with increased odds of PPH.

These findings follow earlier research by Janssen that demonstrated that planned home births resulted in fewer interventions and similar rates of adverse newborn outcomes compared to planned hospital births among women who met the criteria for home births.

The relative safety of planned home births is a topic of continuous debate, but studies have so far been too small to compare severe maternal complications between planned home and planned hospital birth among low risk women.

The aim of this study is to compare the odds of postpartum haemorrhage among women who opt for home birth against the odds of postpartum haemorrhage for those who plan a hospital birth.

A quarter of women who planned hospital births had C - sections that can add serious complications to future pregnancies — five times the rate of C - section among those who planned to give birth outside the hospital.

The risk of all adverse maternal outcomes assessed was significantly lower among the women who planned a home birth than among those who planned a physician - attended hospital birth (Table 3).

23 Therefore, the higher rate of admission (or readmission if a hospital birth) among newborns in the planned home - birth group than of readmission in the planned hospital - birth group may have been linked to the need for treatment of hyper - bilirubinemia, which, among babies born in hospital, may require a longer stay in hospital rather than readmission.

The following study was the largest home birth study done in the U.S. Among 16,924 women who planned home births at onset of labor 89 % gave birth at home, 11 % transferred to the hospital, 5.2 % had a c - section.

Results: The rate of perinatal death per 1000 births was 0.35 (95 % confidence interval [CI] 0.00 — 1.03) in the group of planned home births; the rate in the group of planned hospital births was 0.57 (95 % CI 0.00 — 1.43) among women attended by a midwife and 0.64 (95 % CI 0.00 — 1.56) among those attended by a physician.

The rate of perinatal death per 1000 births was 0.35 (95 % confidence interval [CI] 0.00 - 1.03) in the group of planned home births; the rate in the group of planned hospital births was 0.57 (95 % CI 0.00 - 1.43) among women attended by a midwife and 0.64 (95 % CI 0.00 - 1.56) among those attended by a physician.

RESULTS: The rate of perinatal death per 1000 births was 0.35 (95 % confidence interval [CI] 0.00 - 1.03) in the group of planned home births; the rate in the group of planned hospital births was 0.57 (95 % CI 0.00 - 1.43) among women attended by a midwife and 0.64 (95 % CI 0.00 - 1.56) among those attended by a physician.

The intrapartum and neonatal mortality among women considered at low risk at start of labour, excluding deaths concerning life threatening congenital anomalies, was 1.7 deaths per 1000 planned home births, similar to risks in other studies of low risk home and hospital births in North America.

Unfortunately, there is no way to discern from these data which obstetrical interventions — if any — that were significantly more common among women with planned hospital births contributed to their reduced rates of perinatal complications and which were «unnecessary.»

Including these women among hospital births would bias the results of planned hospital births negatively and home births positively.

Percentage non-optimal characteristics in the perinatal background index among planned home and planned hospital births in primiparous and multiparous women