Outcome of Planned Home and Hospital Births among Low‐Risk Women in Iceland in 2005–2009: A Retrospective Cohort Study

Hálfdánsdóttir, Berglind; Smárason, Alexander K.; Ólafsdóttir, Ólöf Ásta; Hildingsson, Ingegerd; Sveinsdóttir, Herdís

doi:10.1111/birt.12150

Cited by 32 publications

(34 citation statements)

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“…These figures are fairly similar to those previously reported in a national Swedish home birth study that showed 0.3 percent OASIS and in a study from Norway on planned home births who found 0.6 percent OASIS . Contrary to the above, an Icelandic study where data from 307 home births were collected during 2005–2009 and compared with 921 hospital births, the prevalence of OASIS was 2.6 percent and 2.9 percent, respectively . In the present study, no cases of OASIS were found in women giving birth in Iceland.…”

Section: Discussionsupporting

confidence: 90%

How Long Is a Normal Labor? Contemporary Patterns of Labor and Birth in a Low‐Risk Sample of 1,612 Women from Four Nordic Countries

Hildingsson

Blix

Hegaard

et al. 2015

Birth

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Section: Discussionsupporting

confidence: 90%

How Long Is a Normal Labor? Contemporary Patterns of Labor and Birth in a Low‐Risk Sample of 1,612 Women from Four Nordic Countries

Hildingsson

Blix

Hegaard

et al. 2015

Birth

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“…This is despite international evidence that for healthy normal pregnant women, home birth is not associated with an increased rate of adverse perinatal outcomes [1–7], or maternal morbidity [1, 3–8] compared to similar women having a planned hospital birth, particularly if they are multiparous [9]. Whether homebirth is safe for women at high risk of adverse pregnancy outcomes is less clear.…”

Section: Introductionmentioning

confidence: 99%

Planned private homebirth in Victoria 2000–2015: a retrospective cohort study of Victorian perinatal data

Davies‐Tuck

Wallace

Davey

et al. 2018

BMC Pregnancy Childbirth

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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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“…The majority of births are in obstetric units, with a smaller proportion in midwife‐led units and at home. Between 1 and 2% of all births are planned at home in Denmark , 2.2% in Iceland , 0.7/1000 in Sweden and 1.5/1000 in Norway . In Norway, Sweden and Iceland, women have to find a midwife willing to assist the birth and only low‐risk women are accepted for home birth.…”

Section: Introductionmentioning

confidence: 99%

Transfers to hospital in planned home birth in four Nordic countries – a prospective cohort study

Blix

Kumle

Ingversen

et al. 2016

Acta Obstet Gynecol Scand

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Outcome of Planned Home and Hospital Births among Low‐Risk Women in Iceland in 2005–2009: A Retrospective Cohort Study

Abstract: This study adds to the growing body of evidence that suggests that planned home birth for low-risk women is as safe as planned hospital birth.

Cited by 32 publications

References 34 publications

How Long Is a Normal Labor? Contemporary Patterns of Labor and Birth in a Low‐Risk Sample of 1,612 Women from Four Nordic Countries

How Long Is a Normal Labor? Contemporary Patterns of Labor and Birth in a Low‐Risk Sample of 1,612 Women from Four Nordic Countries

Planned private homebirth in Victoria 2000–2015: a retrospective cohort study of Victorian perinatal data

Transfers to hospital in planned home birth in four Nordic countries – a prospective cohort study

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