ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2016
Outcomes associated with planned place of birth among women with low-risk pregnancies.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.
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Who cites it
37 citing papers in PubMed, 105 citations in OpenAlex.
- Planned Community Birth and Birth Outcomes.JAMA pediatrics · 2026Article
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- Developing a Canadian midwifery research priority framework: a Delphi consensus study.Health research policy and systems · 2025Article
- How has the integration of midwives into primary healthcare settings impacted access to care? A qualitative descriptive study from Ontario, Canada.BMC health services research · 2025Article
- Exploring the landscape of Canadian midwifery research: strengths, gaps and priorities - results of a scoping review.BMJ open · 2024Article
- Postpartum Emergency Department Use Following Midwifery-Model vs Obstetrics-Model Care.JAMA network open · 2024Article
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- Planned hospital birth compared with planned home birth for pregnant women at low risk of complications.The Cochrane database of systematic reviews · 2023Review
- Effect of Flexible Sacrum Position on Maternal and Neonatal Outcomes in Public Health Facilities, Amhara Regional State, Ethiopia: A Quasi-Experimental Study.International journal of environmental research and public health · 2022Article
- Determinants of Place of Delivery during the COVID-19 Pandemic-Internet Survey in Polish Pregnant Women.Medicina (Kaunas, Lithuania) · 2022Article
- Obstetrical and Perinatal Outcomes in Female Survivors of Childhood and Adolescent Cancer: A Population-Based Cohort Study.Journal of the National Cancer Institute · 2022Article
- Planned Home Birth in Low-Risk Pregnancies in Spain: A Descriptive Study.International journal of environmental research and public health · 2021Article
- Maternity Care Preferences for Future Pregnancies Among United States Childbearers: The Impacts of COVID-19.Frontiers in sociology · 2021Article
- Article
- Is birth out-of-hospital associated with mortality and morbidity by seven years of age?PloS one · 2021Article
- A critical interpretive synthesis of the roles of midwives in health systems.Health research policy and systems · 2020Article
- Low-Risk Planned Out-of-Hospital Births: Characteristics and Perinatal Outcomes in Different Italian Birth Settings.International journal of environmental research and public health · 2020Observational
- Article
- Understanding the conditions that influence the roles of midwives in Ontario, Canada's health system: an embedded single-case study.BMC health services research · 2020Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrevious studies have shown that planned home birth is associated with a decreased likelihood of intrapartum intervention with no difference in neonatal outcomes compared with planned hospital birth. The purpose of our study was to evaluate different birth settings by comparing neonatal mortality, morbidity and rates of birth interventions between planned home and planned hospital births in Ontario, Canada.
methodsWe used a provincial database of all midwifery-booked pregnancies between 2006 and 2009 to compare women who planned home birth at the onset of labour to a matched cohort of women with low-risk pregnancies who had planned hospital births attended by midwives. We conducted subgroup analyses by parity. Our primary outcome was stillbirth, neonatal death (< 28 d) or serious morbidity (Apgar score < 4 at 5 min or resuscitation with positive pressure ventilation and cardiac compressions).
resultsWe compared 11 493 planned home births and 11 493 planned hospital births. The risk of our primary outcome did not differ significantly by planned place of birth (relative risk [RR] 1.03, 95% confidence interval [CI] 0.68-1.55). These findings held true for both nulliparous (RR 1.04, 95% CI 0.62-1.73) and multiparous women (RR 1.00, 95% CI 0.49-2.05). All intrapartum interventions were lower among planned home births.
interpretationCompared with planned hospital birth, planned home birth attended by midwives in a jurisdiction where home birth is well-integrated into the health care system was not associated with a difference in serious adverse neonatal outcomes but was associated with fewer intrapartum interventions.
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