Outcomes of planned home birth with registered midwife
vs. planned hospital birth with midwife or physician.
Maternal and newborn outcomes in planned home birth
vs. planned hospital births: a metaanalysis.Am J Obstet Gynecol, 203 (3): 243.
Not exact matches
More
planned home
births had 5 - minute Apgar score < 4 (0.37 %) compared to
hospital births (0.24 %; aOR 1.87; 95 % CI 1.36 - 2.58) and neonatal seizure (0.06 %
vs. 0.02 % respectively; aOR 3.08; 95 % CI 1.44 - 6.58).
Outcomes for
Hospital vs. Out - of -
Hospital Births, with and without Reclassifying Transfers as
Planned Out - ofHospital
Births.
Planned out - of - hospital birth was also strongly associated with unassisted vaginal delivery (93.8 %, vs. 71.9 % with planned in - hospital births; P < 0.001) and with decreased odds for obstetrical proc
Planned out - of -
hospital birth was also strongly associated with unassisted vaginal delivery (93.8 %,
vs. 71.9 % with
planned in - hospital births; P < 0.001) and with decreased odds for obstetrical proc
planned in -
hospital births; P < 0.001) and with decreased odds for obstetrical procedures.
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).
We assessed perinatal morbidity and mortality, maternal morbidity, and obstetrical procedures according to the
planned birth setting (out of
hospital vs. hospital).
Similarly, rates of perinatal and neonatal death did not differ significantly before transfers were reclassified (P > 0.1 for all comparisons) but were higher in the case of
planned out - of -
hospital births than in the case of
planned in -
hospital births after reclassification (perinatal death, 3.9
vs. 1.8 deaths per 1000 deliveries, P = 0.003; neonatal death, 1.6
vs. 0.6 deaths per 1000 deliveries, P = 0.02).
Planned out - of - hospital birth was associated with a higher rate of perinatal death than was planned in - hospital birth (3.9 vs. 1.8 deaths per 1000 deliveries, P = 0.003; odds ratio after adjustment for maternal characteristics and medical conditions, 2.43; 95 % confidence interval [CI], 1.37 to 4.30; adjusted risk difference, 1.52 deaths per 1000 births; 95 % CI, 0.51 to
Planned out - of -
hospital birth was associated with a higher rate of perinatal death than was
planned in - hospital birth (3.9 vs. 1.8 deaths per 1000 deliveries, P = 0.003; odds ratio after adjustment for maternal characteristics and medical conditions, 2.43; 95 % confidence interval [CI], 1.37 to 4.30; adjusted risk difference, 1.52 deaths per 1000 births; 95 % CI, 0.51 to
planned in -
hospital birth (3.9
vs. 1.8 deaths per 1000 deliveries, P = 0.003; odds ratio after adjustment for maternal characteristics and medical conditions, 2.43; 95 % confidence interval [CI], 1.37 to 4.30; adjusted risk difference, 1.52 deaths per 1000
births; 95 % CI, 0.51 to 2.54).
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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.
What I
plan to cover in this category: why I chose a home
birth, benefits of a natural
birth, finding a midwife, my experience of having a home
birth, vitamins / supplements I took while pregnant, and
hospital birth vs. home
birth.