Perinatal outcome index in planned home births and
planned hospital births controlled for background variables in low risk pregnancies
Not exact matches
until there are good, randomized
controlled trials out there comparing
planned home
birth,
planned birth center
birth, and
planned hospital birth, we are all going to continue to yell at one another.
In a randomised
controlled trial comparing community based care with standard
hospital care a significant difference in caesarean section rates was found (13.3 % v 17.8 % respectively).29
Planning a home
birth30 or booking for care at a midwife led
birth centre is also associated with lower operative delivery rates.
You should think about a
birth control plan before you go home from the
hospital.
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This is because these factors may act as mediators and may explain the difference between home and
hospital birth, and therefore holding them constant would have led to
controlling for the effect of
planned place of
birth on PPH.
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.
Nevertheless, despite the model
controlling for parity and many other known confounders, there remains a greatly elevated risk of PPH for women who have
planned hospital births in comparison to those who
plan a home
birth (odds ratio, 2.5, 95 % confidence interval, 1.7 to 3.8).
Randomised
controlled trials comparing
planned hospital birth with
planned home
birth in low - risk women as described in the objectives.
Using this tool we compared the outcomes of
planned home
births with those of
planned hospital births for primiparous and multiparous women after
controlling for the confounding effects of social, medical, and obstetric background.
This may be different in other countries, but it is not unexpected in the Netherlands, where home
birth has been an approved option for a long time.1 5 12 After background variables were
controlled for, the perinatal outcome for primiparous women with low risk pregnancies was similar for those who
planned home
births and those who
planned hospital births.
After
controlling for background, we found no difference in perinatal outcome between
planned home
birth and
planned hospital birth in primiparous women.
In multiparous women, perinatal outcome was significantly better for
planned home
births than for
planned hospital births, with or without
control for background variables.
Without
control for this background, the perinatal outcome in primiparous women was significantly better for
planned home
births than for
planned hospital births.
Just like
hospitals,
Planned Parenthood health centers get Medicaid reimbursements for critical services provided to low - income patients — services like
birth control, cancer screenings, and STD testing and treatment.