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Created on : 07 Jan 2014
Modified on : 14 Jun 2018

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Bibliographical entry (without author) :

Outcomes of planned home births and planned hospital births in low-risk women in Norway between 1990 and 2007: A retrospective cohort study. Sexual & Reproductive Healthcare. Volume 3, Issue 4, December 2012, Pages 147–153

Author(s) :

Ellen Blixa, Anette Schaumburg Huitfeldtb, Pål Øiand, Bjørn Straumea, Merethe Kumle

Year of publication :

2012

URL(s) :

http://www.sciencedirect.com/science/article/pii/S…
https://doi.org/10.1016/j.srhc.2012.10.001

Résumé (français)  :

Abstract (English)  :

Background

The safety of planned home births remains controversial in Western countries. The aim of the present study was to compare outcomes in women who planned, and were selected to, home birth at the onset of labor with women who planned for a hospital birth.

Methods

Data from 1631 planned home births between 1990 and 2007 were compared with a random sample of 16,310 low-risk women with planned hospital births. The primary outcomes were intrapartum intervention rates and complications. Secondary outcomes were perinatal and neonatal death rates.

Results

Primiparas who planned home births had reduced risks for assisted vaginal delivery (OR 0.32; 95% CI 0.20–0.48), epidural analgesia (OR 0.21; CI 0.14–0.33) and dystocia (OR 0.40; CI 0.27–0.59). Multiparas who planned home births had reduced risks for operative vaginal delivery (OR 0.26; CI 0.12–0.56), epidural analgesia (OR 0.08; CI 0.04–0.16), episiotomy (OR 0.48; CI 0.31–0.75), anal sphincter tears (OR 0.29; CI 0.12–0.70), dystocia (OR 0.10; CI 0.06–0.17) and postpartum hemorrhage (OR 0.27; CI 0.17–0.41). We found no differences in cesarean section rate. Perinatal mortality rate was 0.6/1000 (CI 0–3.4) and neonatal mortality rate 0.6/1000 (CI 0–3.4) in the home birth cohort. In the hospital birth cohort, the rates were 0.6/1000 (CI 0.3–1.1) and 0.9/1000 (CI 0.5–1.5) respectively.

Conclusions

Planning for home births was associated with reduced risk of interventions and complications. The study is too small to make statistical comparisons of perinatal and neonatal mortality.

Sumário (português)  :

Resumen (español)  :

Full text (private) :

Comments :

Argument (français) :

La planification des naissances à domicile était associée à une réduction du risque d’interventions et de complications.

Argument (English):

Planning for home births was associated with reduced risk of interventions and complications.

Argumento (português):

O planejamento para partos domiciliares foi associado à redução do risco de intervenções e complicações.

Argumento (español):

Keywords :

➡ place of birth ; homebirth

Author of this record :

Bernard Bel — 07 Jan 2014
➡ latest update : Bernard Bel — 14 Jun 2018