ArticleBMC pregnancy and childbirth2018
Planned private homebirth in Victoria 2000-2015: a retrospective cohort study of Victorian perinatal data.
Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Outcomes by birth setting and caregiver for low risk women in Indonesia: a systematic literature review.Reproductive health · 2019Pooled it
- Implications of maternal-fetal health on perinatal stem cell banking.Gene therapy · 2024Review
- Ten years of a publicly funded homebirth service in Victoria: Maternal and neonatal outcomes.The Australian & New Zealand journal of obstetrics & gynaecology · 2022Article
- The opportunity costs of birth in Australia: Hospital resource savings for a post-COVID-19 era.Birth (Berkeley, Calif.) · 2021Article
- Planned Home Birth in Low-Risk Pregnancies in Spain: A Descriptive Study.International journal of environmental research and public health · 2021Article
- Assessment of rewarming methods in unplanned out-of-hospital births from a prospective cohort.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020Article
- Article
- Article
- Mapping the trajectories for women and their babies from births planned at home, in a birth centre or in a hospital in New South Wales, Australia, between 2000 and 2012.BMC pregnancy and childbirth · 2019Article
- Unplanned out-of-hospital birth and risk factors of adverse perinatal outcome: findings from a prospective cohort.Scandinavian journal of trauma, resuscitation and emergency medicine · 2019Article
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5 authors.
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Abstract
backgroundThe outcomes for planned homebirth in Victoria are unknown. We aimed to compare the rates of outcomes for high risk and low risk women who planned to birth at home compared to those who planned to birth in hospital.
methodsWe undertook a population based cohort study of all births in Victoria, Australia 2000-2015. Women were defined as being of low or high risk of adverse pregnancy outcomes according to the eligibility criteria for homebirth and either planning to birth at home or in a hospital setting at the at the onset of labour. Rates of perinatal and maternal mortality and morbidity as well as obstetric interventions were compared.
resultsThree thousand nine hundred forty-five women planned to give birth at home with a privately practising midwife and 829,286 women planned to give birth in a hospital setting. Regardless of risk status, planned homebirth was associated with significantly lower rates of all obstetric interventions and higher rates of spontaneous vaginal birth (p ≤ 0.0001 for all). For low risk women the rates of perinatal mortality were similar (1.6 per 1000 v's 1.7 per 1000; p = 0.90) and overall composite perinatal (3.6% v's 13.4%; p ≤ 0.001) and maternal morbidities (10.7% v's 17.3%; p ≤ 0.001) were significantly lower for those planning a homebirth. Planned homebirth among high risk women was associated with significantly higher rates of perinatal mortality (9.3 per 1000 v's 3.5 per 1000; p = 0.009) but an overall significant decrease in composite perinatal (7.8% v's 16.9%; p ≤ 0.001) and maternal morbidities (16.7% v's 24.6%; p ≤ 0.001).
conclusionRegardless of risk status, planned homebirth was associated with significantly lower rates of obstetric interventions and combined overall maternal and perinatal morbidities. For low risk women, planned homebirth was also associated with similar risks of perinatal mortality, however for women with recognized risk factors, planned homebirth was associated with significantly higher rates of perinatal mortality.
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