Document Detail

Maternal and newborn outcomes in planned home birth vs planned hospital births: a metaanalysis.
MedLine Citation:
PMID:  20598284     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: We sought to systematically review the medical literature on the maternal and newborn safety of planned home vs planned hospital birth.
STUDY DESIGN: We included English-language peer-reviewed publications from developed Western nations reporting maternal and newborn outcomes by planned delivery location. Outcomes' summary odds ratios with 95% confidence intervals were calculated.
RESULTS: Planned home births were associated with fewer maternal interventions including epidural analgesia, electronic fetal heart rate monitoring, episiotomy, and operative delivery. These women were less likely to experience lacerations, hemorrhage, and infections. Neonatal outcomes of planned home births revealed less frequent prematurity, low birthweight, and assisted newborn ventilation. Although planned home and hospital births exhibited similar perinatal mortality rates, planned home births were associated with significantly elevated neonatal mortality rates.
CONCLUSION: Less medical intervention during planned home birth is associated with a tripling of the neonatal mortality rate.
Joseph R Wax; F Lee Lucas; Maryanne Lamont; Michael G Pinette; Angelina Cartin; Jacquelyn Blackstone
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Publication Detail:
Type:  Journal Article; Meta-Analysis; Review     Date:  2010-07-02
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  203     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-06     Completed Date:  2010-09-30     Revised Date:  2014-06-04    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  243.e1-8     Citation Subset:  AIM; IM    
Copyright Information:
Copyright 2010 Mosby, Inc. All rights reserved.
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MeSH Terms
Analgesia, Epidural / utilization
Analgesia, Obstetrical / utilization
Birth Weight
Cardiotocography / utilization
Delivery, Obstetric*
Episiotomy / statistics & numerical data
Home Childbirth*
Infant Mortality
Infant, Newborn
Perinatal Mortality
Perineum / injuries
Placenta, Retained / epidemiology
Pregnancy Complications, Infectious / epidemiology
Pregnancy, Prolonged / epidemiology
Premature Birth / epidemiology
Respiration, Artificial / utilization
Uterine Hemorrhage / epidemiology
Comment In:
Midwives. 2010 Sep;:15   [PMID:  24888166 ]
Am J Obstet Gynecol. 2011 Apr;204(4):e16; author reply e18-20, discussion e20   [PMID:  21458613 ]
Birth. 2010 Dec;37(4):341-6   [PMID:  21083728 ]
Am J Obstet Gynecol. 2011 Apr;204(4):e14; author reply e14-5   [PMID:  21458612 ]
Am J Obstet Gynecol. 2011 Apr;204(4):e15; author reply e18-20, discussion e20   [PMID:  21345416 ]
Am J Obstet Gynecol. 2011 Apr;204(4):e16-7; author reply e18-20, discussion e20   [PMID:  21458614 ]
Am J Obstet Gynecol. 2011 Apr;204(4):e17-8; author reply e18-20, discussion e20   [PMID:  21458615 ]
Am J Obstet Gynecol. 2011 Apr;204(4):e18; author reply e18-20, discussion e20   [PMID:  21458616 ]
Erratum In:
Am J Obstet Gynecol. 2011 Apr;204(4):e7-13

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