Document Detail


Accidental out-of-hospital delivery as an independent risk factor for perinatal mortality.
MedLine Citation:
PMID:  12216428     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine maternal characteristics and perinatal outcomes of unattended out-of-hospital deliveries. STUDY DESIGN: A population-based study including all singleton deliveries between 1988 and 1999. Maternal characteristics and pregnancy outcomes of accidental out-of-hospital births were compared with those of women who delivered in the hospital. Multiple logistic regression analysis was performed to investigate independent risk factors for out-of-hospital deliveries. Another model was constructed to assess the independent risk of out-of-hospital delivery for perinatal mortality. RESULTS: The incidence of unattended, out-of-hospital deliveries was 2% (2,328/114,938). Multiparity, Bedouin ethnicity and lack of prenatal care were independently associated with out-of-hospital deliveries. Parturients who delivered out of hospital had a significantly lower rate of previous cesarean deliveries. Perinatal mortality was significantly higher among out-of-hospital deliveries, and those newborns were significantly more likely to be small for gestational age as compared to newborns with in-hospital births. In a multivariable model investigating risk factors for perinatal mortality, out-of-hospital delivery was an independent risk factor for perinatal mortality. Other significant risk factors were Bedouin ethnicity and lack of prenatal care. CONCLUSION: Accidental out-of-hospital birth, associated with multiparity, Bedouin ethnicity and lack of prenatal care, is an independent risk factor for perinatal mortality.
Authors:
Eyal Sheiner; Ilana Shoham-Vardi; Amnon Hadar; Reli Hershkovitz; Einat K Sheiner; Moshe Mazor
Related Documents :
16738158 - Hospitalizations with respiratory illness among pregnant women during influenza season.
21682698 - Beyond maternal mortality: obstetric hemorrhage in a malawian district.
7731278 - The effect of physician factors on the cesarean section decision.
7876758 - Elective hysterectomy--trends at angthong hospital.
1172988 - Feasibility of open heart surgery in a community hospital.
24480688 - Cat bite infections of the hand: assessment of morbidity and predictors of severe infec...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  47     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  2002 Aug 
Date Detail:
Created Date:  2002-09-09     Completed Date:  2003-01-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  625-30     Citation Subset:  IM    
Affiliation:
Departments of Obstetrics and Gynecology, Epidemiology and Health Services Evaluation, Faculty of Health Sciences, Soroka University Medical Center, Ben Gurion University of the Negev, Beer-Sheva, Israel. sheiner@bgumail.bgu.ac.il
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Accidents / mortality,  statistics & numerical data*
Adult
Arabs / statistics & numerical data*
Female
Home Childbirth / adverse effects*,  mortality,  statistics & numerical data*
Humans
Incidence
Infant Mortality*
Infant, Newborn
Israel / epidemiology
Jews / statistics & numerical data*
Maternal Welfare / ethnology,  statistics & numerical data
Pregnancy
Pregnancy Outcome / epidemiology,  ethnology*
Prenatal Care / statistics & numerical data
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Normal ultrasonic evaluation of amniotic fluid in low-risk patients at term.
Next Document:  Cost-effectiveness analyses in obstetrics & gynecology. Evaluation of methodologic quality and t...