This decision uncertainty surrounding the most cost effective option was not found for place of birth in
multiparous low risk women, on whom planned home birth had a 100 % probability of being the most cost effective option across all cost effectiveness thresholds between # 0 and # 100000 (table 3).
This decision uncertainty surrounding the most cost effective option was not found for place of birth in
multiparous low risk women without complicating conditions, in whom planned home birth had a 100 % probability of being the most cost effective option across all thresholds of cost effectiveness (table 4).
Not exact matches
: «1.1.1 Explain to both
multiparous and nulliparous women who are at
low risk of complications that giving birth is generally very safe for both the woman and her baby.
1.1.2 Explain to both
multiparous and nulliparous women that they may choose any birth setting (home, freestanding midwifery unit, alongside midwifery unit or obstetric unit), and support them in their choice of setting wherever they choose to give birth: Advise
low ‑ risk
multiparous women that planning to give birth at home or in a midwifery ‑ led unit (freestanding or alongside) is particularly suitable for them because the rate of interventions is
lower and the outcome for the baby is no different compared with an obstetric unit.
Homebirth is recognised as safe for
low risk women, particularly if it is not the first time they are giving birth (i.e. slightly higher risk for primiparous women than
multiparous) as per «Birth Place Study» — British Medical Journal 2011 — amongst other studies.
Our results support a policy of offering healthy nulliparous and
multiparous women with
low risk pregnancies a choice of birth setting.
For healthy
multiparous women with a
low risk pregnancy, there are no differences in adverse perinatal outcomes between planned births at home or in a midwifery unit compared with planned births in an obstetric unit
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).
However, the
multiparous women in our study were at
low risk and their history would not have prompted referral to an obstetrician.
Exclusion criteria:
multiparous women, premature baby (born before the 37th week),
low birth weight baby (< 2500 g), admission to neonatal intensive care unit or transfer to another hospital, medical condition which could permanently or temporarily counter-indicate breastfeeding (e.g. acute tuberculosis, psychosis, acute phase hepatitis A or B, hepatitis C, HIV), women who did not speak Italian, and women who could not be contacted by telephone).