2009 BJOG Study
Study published in An International Journal of Obstetrics and Gynaecology of over a half million births reaffirms safety of home birth.
View details here: BJOG_2009
"Perinatal mortality and morbidity in a nationwide cohort of 529,688 low-risk planned home and hospital births."
View details here: BJOG_2009
posted by Highland Midwife | 5:37 PM
2 Comments:
A more recent study about the Netherlands.
http://www.bmj.com/content/341/bmj.c5639
Conclusions Infants of pregnant women at low risk whose labour started in primary care under the supervision of a midwife in the Netherlands had a higher risk of delivery related perinatal death and the same risk of admission to the NICU compared with infants of pregnant women at high risk whose labour started in secondary care under the supervision of an obstetrician. An important limitation of the study is that aggregated data of a large birth registry database were used and adjustment for confounders and clustering was not possible. However, the findings are unexpected and the obstetric care system of the Netherlands needs further evaluation.
And an even more recent study, a huge nationwide one published June 2013, where home birth is proven to be safer again for low risk mothers vs hospital birth for low risk mothers (without the confounding factors from the other Netherlands study, which also has the problematic issue of comparing apples and oranges - low risk vs high risk):
http://www.bmj.com/highwire/filestream/649778/field_highwire_article_pdf/0/bmj.f3263
"Low risk women in primary care at the onset of labour with planned home birth had lower rates of severe acute maternal morbidity, postpartum haemorrhage, and manual removal of placenta than those with planned hospital birth."
This study correctly compares low risk mothers to low risk mothers, so that only the setting is changed. The home-birth-with-a-midwife group was safer.
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