The Lancet’s risky ideas? Rights, interests and home-birth

Kingma, EM Elselijn

doi:10.1111/j.1742-1241.2011.02733.x

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…Perhaps, therefore, it is time for the safety of the mother to play a more central role in the debate. Indeed, it has been argued that, even if there was a small additional risk for the baby, the right of the mother to choose home birth on the grounds of her own safety could outweigh other considerations [9]. …”

Section: Introductionmentioning

confidence: 99%

Comparing the odds of postpartum haemorrhage in planned home birth against planned hospital birth: results of an observational study of over 500,000 maternities in the UK

Nove

Berrington

Matthews

2012

BMC Pregnancy Childbirth

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BackgroundThe aim of this study is to compare the odds of postpartum haemorrhage among women who opt for home birth against the odds of postpartum haemorrhage for those who plan a hospital birth. It is an observational study involving secondary analysis of maternity records, using binary logistic regression modelling. The data relate to pregnancies that received maternity care from one of fifteen hospitals in the former North West Thames Regional Health Authority Area in England, and which resulted in a live or stillbirth in the years 1988–2000 inclusive, excluding ‘high-risk’ pregnancies, unplanned home births, pre-term births, elective Caesareans and medical inductions.ResultsEven after adjustment for known confounders such as parity, the odds of postpartum haemorrhage (≥1000ml of blood lost) are significantly higher if a hospital birth is intended than if a home birth is intended (odds ratio 2.5, 95% confidence interval 1.7 to 3.8). The ‘home birth’ group included women who were transferred to hospital during labour or shortly after birth.ConclusionsWomen and their partners should be advised that the risk of PPH is higher among births planned to take place in hospital compared to births planned to take place at home, but that further research is needed to understand (a) whether the same pattern applies to the more life-threatening categories of PPH, and (b) why hospital birth is associated with increased odds of PPH. If it is due to the way in which labour is managed in hospital, changes should be made to practices which compromise the safety of labouring women.

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Section: Introductionmentioning

confidence: 99%

Comparing the odds of postpartum haemorrhage in planned home birth against planned hospital birth: results of an observational study of over 500,000 maternities in the UK

Nove

Berrington

Matthews

2012

BMC Pregnancy Childbirth

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“…At the heart of discussions over how best to improve maternal and infant health in the United States stands the place-of-birth debate (Sandall, McCandish, & Brick, 2012)—a series of highly contentious discourses about the relative safety of home, birth center, and hospital delivery; the efficacy of obstetricians and midwives as primary maternity providers; and the ethics of a woman’s right to choose where and with whom she gives birth (Bogdan-Lovis, de Vries, & de Vries, 2013; Kingma, 2011). Although several high-income nations, including the Netherlands, Great Britain, New Zealand, Australia, and Canada (Malott, Murray Davis, McDonald, & Hutton, 2009), have embraced home and birth center delivery with midwives as a strategy for increasing access to care, improving outcomes, and reducing costs, clinicians and researchers in the United States remain divided, and particularly so around birth at home.…”

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confidence: 99%

Homebirth Transfers in the United States

2014

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The purpose of this study was to explore the contested space of home-to-hospital transfers that occur during labor or in the immediate postpartum period, as a means of identifying the mechanisms that maintain philosophical and practice divides between homebirth midwives and hospital-based clinicians in the United States. Using data collected from open-ended, semistructured interviews, participant observation, and reciprocal ethnography, we identified six key themes-three from each provider type. Collectively, providers' narratives illuminate the central stressors that characterize home-to-hospital transfers, and from these, we identify three larger sociopolitical mechanisms that we argue are functioning to maintain fractured articulations at the time of transfer. These mechanisms impede efficient and mutually respectful interactions and can result in costly delays. However, they also contain the seeds of possible solutions, and thus are important starting points for developing an integrated maternity system premised on mutual accommodation and seamless articulations across all delivery locations.

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“…The objective of this critical review was to assess the strengths and limitations of 15 cohort studies that compared home births with hospital births on selected infant outcomes. This is one of multiple reviews and commentaries that has been written to examine the safety of planned home birth (Chervenak et al ., ; Fullerton, Navarro, & Young, ; Kingma, ; Olsen & Clausen, ; Wax et al ., ,). Previous articles typically focus on mortality, but some address other outcomes such as transfers and study methods (Blix et al ., ; Nove, Berrington, & Matthews, ; Wax et al ., ).…”

Section: Discussionmentioning

confidence: 99%

Investigating the debate of home birth safety: A critical review of cohort studies focusing on selected infant outcomes

Elder

Alio

Fisher

2016

Japan Journal Nursing Sci

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Many methodological challenges were identified among these studies. This review contributes to the home birth published work by identifying key strengths and limitations that need to be accounted for in the interpretation of study findings and the development of future studies. Based on this review, the key variables that would strengthen future studies are birth attendant identification, documented planned birth location, and specification of the birth risk level. Uniformity of data collection and minimizing missing data are also critical.

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The Lancet’s risky ideas? Rights, interests and home-birth

Cited by 4 publications

References 7 publications

Comparing the odds of postpartum haemorrhage in planned home birth against planned hospital birth: results of an observational study of over 500,000 maternities in the UK

Comparing the odds of postpartum haemorrhage in planned home birth against planned hospital birth: results of an observational study of over 500,000 maternities in the UK

Homebirth Transfers in the United States

Investigating the debate of home birth safety: A critical review of cohort studies focusing on selected infant outcomes

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