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Created on : 20 Dec 2004
Modified on : 17 Jan 2018

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Bibliographical entry (without author) :

Home and hospital confinement in Newcastle upon Tyne 1960-69. Br J Obstet Gynaecol 1977;84:401-11.

Author(s) :

Barron SL, Thomson AM, Philips PR.

Year of publication :

1977

URL(s) :

https://www.ncbi.nlm.nih.gov/pubmed/889735?dopt=Ab…

Résumé (français)  :

Abstract (English)  :

During the decade 1960 to 1969, perinatal mortality rates in Newcastle upon Tyne fell in parallel with national trends, in association with a marked reduction of domiciliary midwifery. Analysis of the records of women booked for confinement at home or in specialist hospitals showed that the reduction of mortality occurred with unexpected uniformity in both categories, in low risk as well as high risk patients, and in all causes of mortality except congenital malformations. It could not be attributed to improvements in maternal characteristics nor to increased size of babies at birth. The most probably explanation seems to be a combination of many improvements in the quality of care, with increased awareness of risks, better selection of high-risk groups, and improved supervision and management throughout. There is no indication that single factor in obstetric management, such as more intervention during labour, had a dominant effect.

Sumário (português)  :

Resumen (español)  :

Comments :

This study in the United States matched 1046 women who, immediately before the
onset of labour, intended to give birth at home, with a similar group of
women intending to give birth in hospital. The women were matched for
age, education, socioeconomic status and obstetric risk factors. Although
the incidence of episiotomy was nine times higher among hospital
deliveries, there was a statistically significant excess in the number of
second, third, and fourth degree lacerations in women delivered in hospital
compared with those who gave birth at home.
A significantly greater proportion of babies born in hospital had birth injuries, neonatal infections, respiratory distress lasting 12 hours or more and non-congenital neonatal complications. There were, however, no statistically significant differences in mortality or neurological impairment.

Argument (français) :

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ place of birth ; homebirth ; episiotomy ; perinatal death rates

Author of this record :

Bernard Bel — 20 Dec 2004
➡ latest update : Bernard Bel — 17 Jan 2018