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Criado em : 03 Dec 2017
Alterado em : 09 Jul 2018

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Nota bibliográfica (sem autor) :

Transfer to hospital in planned home births: a systematic review, BMC Pregnancy and Childbirth. 14:179

Autores :

Ellen Blix, Merethe Kumle, Hanne Kjærgaard, Pål Øian and Helena E Lindgren

Ano de publicação :

2014

URL(s) :

https://bmcpregnancychildbirth.biomedcentral.com/a…
https://doi.org/10.1186/1471-2393-14-179

Résumé (français)  :

15 études étaient éligibles à l’inclusion, contenant les données de 215 257 femmes. La proportion totale de transfert du domicile à l’hôpital variait de 9,9% à 31,9% selon les études. L’indication la plus courante de transfert était la dystocie du travail, se produisant dans 5,1% à 9,8% de toutes les femmes planifiant un accouchement à domicile. Les transferts pour détresse foetale variaient de 1% à 3,6%, pour hémorragie du post partum de 0 à 0,2%. Le pourcentage de transfert urgent varie de 0 à 5,4%.

Abstract (English)  :

Background
There is concern about the safety of homebirths, especially in women transferred to hospital during or after labour. The scope of transfer in planned home births has not been assessed in a systematic review. This review aimed to describe the proportions and indications for transfer from home to hospital during or after labour in planned home births.

Methods
The databases Pubmed, Embase, Cinahl, Svemed+, and the Cochrane Library were searched using the MeSH term “home childbirth”. Inclusion criteria were as follows: the study population was women who chose planned home birth at the onset of labour; the studies were from Western countries; the birth attendant was an authorised midwife or medical doctor; the studies were published in 1985 or later, with data not older than from 1980; and data on transfer from home to hospital were described. Of the 3366 titles identified, 83 full text articles were screened, and 15 met the inclusion criteria. Two of the authors independently extracted the data. Because of the heterogeneity and lack of robustness across the studies, there were considerable risks for bias if performing meta-analyses. A descriptive presentation of the findings was chosen.

Results
Fifteen studies were eligible for inclusion, containing data from 215,257 women. The total proportion of transfer from home to hospital varied from 9.9% to 31.9% across the studies. The most common indication for transfer was labour dystocia, occurring in 5.1% to 9.8% of all women planning for home births. Transfer for indication for foetal distress varied from 1.0% to 3.6%, postpartum haemorrhage from 0% to 0.2% and respiratory problems in the infant from 0.3% to 1.4%. The proportion of emergency transfers varied from 0% to 5.4%.

Conclusion
Future studies should report indications for transfer from home to hospital and provide clear definitions of emergency transfers.

Sumário (português)  :

Resumen (español)  :

Texto completo (public) :

Comentários :

Argument (français) :

Cette revue visait à décrire les proportions et les indications pour le transfert de la maison à l’hôpital pendant ou après le travail dans les naissances planifiées à la maison. Les futures études devraient signaler les indications de transfert de la maison à l’hôpital et fournir des définitions claires des transferts d’urgence.

Argument (English):

This review aimed to describe the proportions and indications for transfer from home to hospital during or after labour in planned home births. Future studies should report indications for transfer from home to hospital and provide clear definitions of emergency transfers.

Argumento (português):

Esta revisão teve como objetivo descrever as proporções e indicações para a transferência de casa para o hospital durante ou após o parto em partos domiciliares planejados. Estudos futuros devem relatar indicações de transferência de casa para hospital e fornecer definições claras de transferências de emergência.

Argumento (español):

Palavras-chaves :

➡ lugar de nascimento ; parto domiciliar ; parto domiciliar planejado ; patologias do recem nascido ; saúde pública ; distocia ; hemorragia post-partum

Autor da esta ficha :

Alison Passieux — 03 Dec 2017
➡ última atualização : Bernard Bel — 09 Jul 2018