Pregnant women with PCOS experience a higher incidence
of perinatal morbidity from gestational diabetes, pregnancy induced hypertension and preeclampsia.
Home birth is also credited with the reduced use of medical interventions that are associated
with perinatal morbidity.»
An UpToDate review on «Planned home birth» (Declercq and Stotland, 2015) stated that «Large cohort studies using intent - to - treat analysis of midwife - attended, planned, out - of - hospital birth of low - risk women in developed countries have reported reduced rates of cesarean birth, perineal lacerations, and medical interventions, and similar rates of maternal and
early perinatal morbidity and mortality compared to planned hospital birth.
They
evaluated perinatal morbidity and mortality, maternal morbidity, and obstetrical procedures according to the planned birth setting (out of hospital versus hospital).
«Protein intakes above this [25 % of total calories] threshold may affect pregnancy outcome through decreased mass at birth and
increased perinatal morbidity and mortality.»
Possessing accurate data could help the United States to take its place as a leading nation on the World Health Organization's list of countries with a low incidence
of perinatal morbidity and mortality.
However, higher rates of a composite outcome of
perinatal morbidity and mortality were seen for nulliparous women having homebirths (adjusted odds ratio 1.75; 95 % CI, 1.07 — 2.86), with no differences for multiparous women.
The current cesarean epidemic has not lowered indices of maternal or
perinatal morbidity.
Although TOLAC is appropriate for many women with a history of a cesarean delivery, several factors increase the likelihood of a failed trial of labor, which compared with VBAC, is associated with increased maternal and
perinatal morbidity (3 — 5).
Roberto Romero, MD, DMedSci., Editor - in - Chief for Obstetrics of AJOG and Chief of the Perinatology Research Branch of NICHD / NIH, stated that preeclampsia is a leading cause of maternal death and
perinatal morbidity and mortality.
They conveniently ignored the large and growing body of literature that continues to show that planned home birth with qualified and experienced midwives holds no greater risk of perinatal mortality than birth in the hospital, and in fact results in far fewer interventions and lower risk of maternal and
perinatal morbidity.»
Conde - Agudelo A, Belizán JM and Lammers C, Maternal -
perinatal morbidity and mortality associated with adolescent pregnancy in Latin America: cross-sectional study, American Journal of Obstetrics & Gynecology, 2005, 192 (2): 342 — 349.