Evidence map›Paper›PMID 24886482›Full record

SynthesisBMC pregnancy and childbirth2014

Transfer to hospital in planned home births: a systematic review.

Ellen Blix, Merethe Kumle, Hanne Kjærgaard, Pål Øian, Helena E Lindgren

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
5.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 82 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Ten years of a publicly funded homebirth service in Victoria: Maternal and neonatal outcomes.The Australian & New Zealand journal of obstetrics & gynaecology · 2022
    Article
  6. Characteristics of Homebirth in Hungary: A Retrospective Cohort Study.International journal of environmental research and public health · 2022
    Article
  7. Article
  8. Planned Home Birth in Low-Risk Pregnancies in Spain: A Descriptive Study.International journal of environmental research and public health · 2021
    Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Planned Out-of-Hospital Birth and Birth Outcomes.The New England journal of medicine · 2015
    Article
  16. Observational
  17. Planned home birth: benefits, risks, and opportunities.International journal of women's health · 2015
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 3 countries.

Ellen BlixDepartment of Clinical Medicine, Women's Health and Perinatology Research Group, Faculty of Health Sciences, University of Tromsø, Tromsø, Norway. ellen.blix@unn.no.
Merethe Kumle
Hanne Kjærgaard
Pål Øian
Helena E Lindgren
University Hospital of North Norway · NOKarolinska Institutet · SEUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is concern about the safety of homebirths, especially in women transferred to hospital during or after labour. The scope of transfer in planned home births has not been assessed in a systematic review. This review aimed to describe the proportions and indications for transfer from home to hospital during or after labour in planned home births.

methodsThe databases Pubmed, Embase, Cinahl, Svemed+, and the Cochrane Library were searched using the MeSH term "home childbirth". Inclusion criteria were as follows: the study population was women who chose planned home birth at the onset of labour; the studies were from Western countries; the birth attendant was an authorised midwife or medical doctor; the studies were published in 1985 or later, with data not older than from 1980; and data on transfer from home to hospital were described. Of the 3366 titles identified, 83 full text articles were screened, and 15 met the inclusion criteria. Two of the authors independently extracted the data. Because of the heterogeneity and lack of robustness across the studies, there were considerable risks for bias if performing meta-analyses. A descriptive presentation of the findings was chosen.

resultsFifteen studies were eligible for inclusion, containing data from 215,257 women. The total proportion of transfer from home to hospital varied from 9.9% to 31.9% across the studies. The most common indication for transfer was labour dystocia, occurring in 5.1% to 9.8% of all women planning for home births. Transfer for indication for foetal distress varied from 1.0% to 3.6%, postpartum haemorrhage from 0% to 0.2% and respiratory problems in the infant from 0.3% to 1.4%. The proportion of emergency transfers varied from 0% to 5.4%.

conclusionFuture studies should report indications for transfer from home to hospital and provide clear definitions of emergency transfers.

Indexed as

EmergenciesFemaleHome ChildbirthHospitalizationHumansObstetric Labor ComplicationsPregnancy

Identifiers

PMID24886482
PMCPMC4069085
OpenAlexW2122513089

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.