ArticleBMJ open2018
Born before arrival in NSW, Australia (2000-2011): a linked population data study of incidence, location, associated factors and maternal and neonatal outcomes.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 43 citations in OpenAlex.
- Disparities in Access to the Northwest Ambulance Service during pregnancy, birth and postpartum period and its association with neonatal and maternal outcomes [DiAAS]: a retrospective cohort study and qualitative framework analysis.BMC pregnancy and childbirth · 2025Article
- Out-of-hospital births and the experiences of emergency ambulance clinicians and birthing parents: a scoping review of the literature.BMJ open · 2025Article
- Early antenatal risk factors for births before arrival: An unmatched case-control study.Acta obstetricia et gynecologica Scandinavica · 2024Article
- Cohort profile: Born in Wales-a birth cohort with maternity, parental and child data linkage for life course research in Wales, UK.BMJ open · 2024Article
- Epidemiology of Emergency Medical Services-Attended out-of-Hospital Deliveries and Complications in the United States.Prehospital emergency care · 2024Article
- [Involvement and Handling of Paramedics in Unplanned Out-of-Hospital Births: An Online Survey].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2024Article
- Prevalence of birth before arrival and associated factors among postpartum women in southern Ethiopia: a community-based cross-sectional study.Frontiers in medicine · 2024Article
- Displaced risk. Keeping mothers and babies safe: a UK ambulance service lens.British paramedic journal · 2023Article
- Midwives' experiences with accompaniment service work in Norway: A qualitative study.European journal of midwifery · 2023Article
- Suspected Labour as a Reason for Emergency Medical Services Team Interventions in Poland-A Retrospective Analysis.Healthcare (Basel, Switzerland) · 2021Article
- Exploring the conceptualisation and study of freebirthing as a historical and social phenomenon: a meta-narrative review of diverse research traditions.Medical humanities · 2020Review
- Cohort profile: the eLIXIR Partnership-a maternity-child data linkage for life course research in South London, UK.BMJ open · 2020Article
- Birthing outside the system: the motivation behind the choice to freebirth or have a homebirth with risk factors in Australia.BMC pregnancy and childbirth · 2020Article
- Article
- Listening to women's voices: the experience of giving birth with paramedic care in Queensland, Australia.BMC pregnancy and childbirth · 2019Article
- Babies born in the pre-hospital setting attended by ambulance clinicians in the north east of England.British paramedic journal · 2019Article
- Women's experience of unplanned out-of-hospital birth in paramedic care.BMC emergency medicine · 2019Article
- Emergency medical technicians' experiences with unplanned births outside institutions: A qualitative interview study.Nursing open · 2019Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine incidence, associated factors, outcomes and geographical occurrence of born before arrival (BBA) in New South Wales, Australia.
designA linked population data study involving population-based surveillance systems was undertaken for the years 2000-2011.
settingNew South Wales, Australia.
participantsAll women who underwent BBA compared with women who birthed in hospital/birth centre settings.
resultsDuring the time period, there were 1 097 653 births and a BBA rate of 4.6 per 1000 births. The BBA rate changed from 4.2 to 4.8 per 1000 births over time (p=0.06). Neonates BBA were more likely to be premature (12.5% compared with 7.3%), of lower birth weight (209.8 g mean difference) and/or be admitted to a special care nursery or neonatal intensive care unit (20.6% compared with 15.6%). The perinatal mortality rate was significantly higher in the BBA cohort (34.6 compared with 9.3 per 1000 births). Women in the BBA cohort were more likely to be in the lowest socioeconomic decile, multiparous, have higher rates of smoking (30.5% compared with 13.8%) and more likely to suffer a postpartum haemorrhage requiring transfusion than the non-BBA cohort (1.5% compared with 0.7%). The most commonly occurring complications for neonates were suspected infection (6.9%), hypothermia (6.9%), respiratory distress (5.4%), congenital abnormality (4.0%) and neonatal withdrawal symptoms (2.4%). BBA more commonly occurred in geographical areas where the distance to a maternity unit is >2 hours drive and in coastal regions where there is also a high rate of homebirth.
conclusionBBA occurs more frequently in multiparous women of lower socioeconomic status. There potentially is an effect of geography on the occurrence of BBA, as geographical area of high homebirth and BBA coexists, indicating that freebirth followed by an unplanned transfer to hospital may be occurring.
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