Document Detail

Accidental out-of-hospital delivery as an independent risk factor for perinatal mortality.
MedLine Citation:
PMID:  12216428     Owner:  NLM     Status:  MEDLINE    
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.
Eyal Sheiner; Ilana Shoham-Vardi; Amnon Hadar; Reli Hershkovitz; Einat K Sheiner; Moshe Mazor
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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    
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.
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MeSH Terms
Accidents / mortality,  statistics & numerical data*
Arabs / statistics & numerical data*
Home Childbirth / adverse effects*,  mortality,  statistics & numerical data*
Infant Mortality*
Infant, Newborn
Israel / epidemiology
Jews / statistics & numerical data*
Maternal Welfare / ethnology,  statistics & numerical data
Pregnancy Outcome / epidemiology,  ethnology*
Prenatal Care / statistics & numerical data
Risk Factors

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