Planned Home Birth
| Autor: | Kristi L. Watterberg |
|---|---|
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Pediatrics In Review. 42:526-528 |
| ISSN: | 1526-3347 0191-9601 |
| DOI: | 10.1542/pir.2020-000364 |
| Popis: | 1. Kristi Watterberg, MD* 1. *University of New Mexico School of Medicine, Albuquerque, NM The percentage of women planning to give birth at home varies greatly by country. In the United States the percentage is quite low (∼1%) but increasing, primarily among white, non-Hispanic women. In this population, the rate of planned home birth has exceeded 2% in recent years. In 2020, the coronavirus pandemic brought a new surge of interest in giving birth at home. The incidence also varies by state, with rates greater than 2% in some states and well under 1% in others. Laws regarding the practice of midwifery also differ greatly among states, leading to a patchwork of regulations and practices across the country. Finally, the number of women planning a home birth remains approximate because most US birth certificates include the place of birth but not the planned place of birth. Rates of transfer from home to hospital are reported to be between 10% and 40% in various studies, which can skew the apparent rate of planned and unplanned home births as well as the outcome statistics for mothers and their infants born at home. In 2012, Oregon began recording both the planned and actual places of birth on birth certificates, permitting a more accurate evaluation of the effects of planned birthplace on outcomes. A study based on these data, including both homes and birthing centers, confirmed that planned out-of-hospital births were associated with both fewer obstetric interventions and an increase in perinatal death. Importantly, when those infants who were planned to be born outside of the hospital but were transferred to the hospital before birth were included in the in-hospital birth group, there was no significant difference in neonatal mortality. However, when the transfers were included in the planned out-of-hospital birth group, the neonatal mortality rate was more than double that of the planned in-hospital birth group … |
| Databáze: | OpenAIRE |
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