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Created on : 28 Nov 2017
Modified on : 11 Jan 2018

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Bibliographical entry (without author) :

Outcomes of Care for 16,924 Planned Home Births in the United States: The Midwives Alliance of North America Statistics Project, 2004 to 2009

Author(s) :

Melissa Cheyney,Marit Bovbjerg, Courtney Everson, Wendy Gordon, Darcy Hannibal, Saraswathi Vedam

Year of publication :

2014

URL(s) :

http://onlinelibrary.wiley.com/doi/10.1111/jmwh.12…
https://doi.org/10.1111/jmwh.12172

Résumé (français)  :

Abstract (English)  :

Between 2004 and 2010, the number of home births in the United States rose by 41%, increasing the need for accurate assessment of the safety of planned home birth. This study examines outcomes of planned home births in the United States between 2004 and 2009.

Among 16,924 women who planned home births at the onset of labor, 89.1% gave birth at home. The majority of intrapartum transfers were for failure to progress, and only 4.5% of the total sample required oxytocin augmentation and/or epidural analgesia. The rates of spontaneous vaginal birth, assisted vaginal birth, and cesarean were 93.6%, 1.2%, and 5.2%, respectively. Of the 1054 women who attempted a vaginal birth after cesarean, 87% were successful. Low Apgar scores ( 7) occurred in 1.5% of newborns. Postpartum maternal (1.5%) and neonatal (0.9%) transfers were infrequent. The majority (86%) of newborns were exclusively breastfeeding at 6 weeks of age. Excluding lethal anomalies, the intrapartum, early neonatal, and late neonatal mortality rates were 1.30, 0.41, and 0.35 per 1000, respectively.

Sumário (português)  :

Resumen (español)  :

Comments :

Argument (français) :

Argument (English):

This study examines outcomes of planned home births in the United States between 2004 and 2009.

Argumento (português):

Argumento (español):

Keywords :

➡ survey ; place of birth ; homebirth

Author of this record :

Alison Passieux — 28 Nov 2017
➡ latest update : Bernard Bel — 11 Jan 2018