ArticleBMC pregnancy and childbirth2016
Effect of planned place of birth on obstetric interventions and maternal outcomes among low-risk women: a cohort study in the Netherlands.
Article in BMC pregnancy and childbirth, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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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.
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Who cites it
19 citing papers in PubMed, 65 citations in OpenAlex.
- Viability of Successful Vaginal Delivery in Triplet Pregnancies: A Retrospective Cohort Study Over 20 Years.Birth (Berkeley, Calif.) · 2026Article
- Effect of a multifaceted intervention with audit and feedback on low-risk childbirth practice: a multicentre prospective study.BMC pregnancy and childbirth · 2025Article
- Intrapartum Quality of Care among Healthy Women: A Population-Based Cohort Study in an Italian Region.International journal of environmental research and public health · 2024Article
- Do women living in a deprived neighborhood have higher maternity care costs and worse pregnancy outcomes? A retrospective population-based study.BMC health services research · 2024Article
- Cost analysis of planned out-of-hospital births in Italy.Acta bio-medica : Atenei Parmensis · 2022Article
- Characteristics of Homebirth in Hungary: A Retrospective Cohort Study.International journal of environmental research and public health · 2022Article
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- Model of care and chance of spontaneous vaginal birth: a prospective, multicenter matched-pair analysis from North Rhine-Westphalia.BMC pregnancy and childbirth · 2021Article
- Suspected Labour as a Reason for Emergency Medical Services Team Interventions in Poland-A Retrospective Analysis.Healthcare (Basel, Switzerland) · 2021Article
- Planned Home Birth in Low-Risk Pregnancies in Spain: A Descriptive Study.International journal of environmental research and public health · 2021Article
- Client-care provider interaction during labour and birth as experienced by women: Respect, communication, confidentiality and autonomy.PloS one · 2021Article
- Experiences of Dutch maternity care professionals during the first wave of COVID-19 in a community based maternity care system.PloS one · 2021Article
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- Methodology for sampling women at high maternal risk in administrative data.BMC pregnancy and childbirth · 2019Article
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- Article
- Planned home compared with planned hospital births: mode of delivery and Perinatal mortality rates, an observational study.BMC pregnancy and childbirth · 2017Observational
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- Pregnancy related anxiety and general anxious or depressed mood and the choice for birth setting: a secondary data-analysis of the DELIVER study.BMC pregnancy and childbirth · 2016Article
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe use of interventions in childbirth has increased the past decades. There is concern that some women might receive more interventions than they really need. For low-risk women, midwife-led birth settings may be of importance as a counterbalance towards the increasing rate of interventions. The effect of planned place of birth on interventions in the Netherlands is not yet clear. This study aims to give insight into differences in obstetric interventions and maternal outcomes for planned home versus planned hospital birth among women in midwife-led care.
methodsWomen from twenty practices across the Netherlands were included in 2009 and 2010. Of these, 3495 were low-risk and in midwife-led care at the onset of labour. Information about planned place of birth and outcomes, including instrumental birth (caesarean section, vacuum or forceps birth), labour augmentation, episiotomy, oxytocin in third stage, postpartum haemorrhage >1000 ml and perineal damage, came from the national midwife-led care perinatal database, and a postpartum questionnaire.
resultsWomen who planned home birth more often had spontaneous birth (nulliparous women aOR 1.38, 95 % CI 1.08-1.76, parous women aOR 2.29, 95 % CI 1.21-4.36) and less often episiotomy (nulliparous women aOR 0.73, 0.58-0.91, parous women aOR 0.47, 0.33-0.68) and use of oxytocin in the third stage (nulliparous women aOR 0.58, 0.42-0.80, parous women aOR 0.47, 0.37-0.60) compared to women who planned hospital birth. Nulliparous women more often had anal sphincter damage (aOR 1.75, 1.01-3.03), but the difference was not statistically significant if women who had caesarean sections were excluded. Parous women less often had labour augmentation (aOR 0.55, 0.36-0.82) and more often an intact perineum (aOR 1.65, 1.34-2.03). There were no differences in rates of vacuum/forceps birth, unplanned caesarean section and postpartum haemorrhage >1000 ml.
conclusionsWomen who planned home birth were more likely to give birth spontaneously and had fewer medical interventions.
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