Unplanned out‐of‐hospital deliveries in Finland: A national register study on incidence, characteristics and maternal and infant outcomes
| Autor: | Mika Gissler, Riitta Ojala, Kati Tihtonen, Tiina Luukkaala, Outi Tammela, Katja Ovaskainen |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Birth Setting Infant outcomes 03 medical and health sciences 0302 clinical medicine Pregnancy Risk Factors Birth Injuries Humans Medicine 030212 general & internal medicine Risk factor Finland Perinatal Mortality Register study Out of hospital 030219 obstetrics & reproductive medicine business.industry Perinatal mortality Obstetrics Incidence Incidence (epidemiology) Infant Newborn Pregnancy Outcome Infant Obstetrics and Gynecology Prenatal Care General Medicine Stillbirth medicine.disease Causality Perinatal morbidity Substance abuse Premature Birth Female business |
| Zdroj: | Acta Obstetricia et Gynecologica Scandinavica. 99:1691-1699 |
| ISSN: | 1600-0412 0001-6349 |
| DOI: | 10.1111/aogs.13947 |
| Popis: | INTRODUCTION Unplanned out-of-hospital deliveries (UOHDs) have earlier been related to higher perinatal mortality and morbidity, but recent research has not paid much attention to them. Our aim was to evaluate the incidence, characteristics, risk factors, and maternal and perinatal mortality and morbidity in UOHDs in Finland. MATERIAL AND METHODS We conducted a national register study on births, causes of death and congenital anomalies for all live and stillbirths during 1996-2013. The study group included 1420 infants delivered by mothers with UOHDs. The 1 051 139 infants born in hospitals during the study period were the reference group. Data on maternal and delivery characteristics, obstetric procedures, infants' characteristics, neonatal care unit admissions, diagnoses, congenital anomalies and causes of death were collected. RESULTS The annual rate of UOHDs increased in 1996-2013 from 46 to 260 per 100 000 deliveries, whereas the number of delivery units decreased from 44 to 29. UOHD infants had five times higher perinatal mortality rates than those delivered in hospitals. The perinatal mortality rate did not change by time in the UOHDs, whereas it diminished among in-hospital deliveries. Maternal morbidity in UOHDs was low. The predictors for UOHDs were delivery after the year 2001, delivery in sparsely populated areas, alcohol, drug abuse and/or smoking during pregnancy, being single, fewer prenatal visits, having delivered earlier and birthweight |
| Databáze: | OpenAIRE |
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