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Outcomes of Planned Home Births with CPMs in North America |
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A 2005 article from the British Medical Journal. Kenneth C Johnson, Betty-Anne Daviss Planned home birth for low risk women in North America using certified professional midwives was associated with lower rates of medical intervention but similar intrapartum and neonatal mortality to that of low risk hospital births in the United States. Read More |
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The safety of home birth: the farm study |
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By A M Duran Pregnancy outcomes of 1707 women, who enrolled for care between 1971 and 1989 with a home birth service run by lay midwives in rural Tennessee, were compared with outcomes from 14,033 physician-attended hospital deliveries derived from the 1980 US National Natality/National Fetal Mortality Survey. Based on rates of perinatal death, of low 5-minute Apgar scores, of a composite index of labor complications, and of use of assisted delivery, the results suggest that, under certain circumstances, home births attended by lay midwives can be accomplished as safely as, and with less intervention than, physician-attended hospital deliveries. Read More |
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Collaborative survey of perinatal loss in planned and unplanned home births |
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Northern Region Perinatal Mortality Survey Coordinating Group The perinatal hazard associated with planned home birth in the few women who exercised this option (<1%) was low and mostly unavoidable. Health authorities purchasing maternity care need to address the much greater hazard associated with unplanned delivery outside hospital. Read More |
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Perinatal death associated with planned home birth in Australia: population based study |
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Hilda Bastian, Marc J N C Keirse, Paul A L Lancaster Comparison of data on planned home births during 1985-90, notified to Homebirth Australia, with national data on perinatal deaths and outcomes of home births internationally. Australian home births carried a high death rate compared with both all Australian births and home births elsewhere. The two largest contributors to the excess mortality were underestimation of the risks associated with post-term birth, twin pregnancy and breech presentation, and a lack of response to fetal distress. Read More |
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Outcomes of planned home births versus planned hospital births after regulation of midwifery in British Columbia |
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Patricia A. Janssen, Shoo K. Lee, Elizabeth M. Ryan, Duncan J. Etches, Duncan F. Farquharson, Donlim Peacock, and Michael C. Klein Our findings from BC support those of previous reports that suggest that there are no indications of increased risk associated with planned home birth attended by regulated midwives, compared with those attended by either midwives or physicians in hospital. However, the consequences of some of the expected complications (thick meconium in the amniotic fluid and hemorrhage) may be more serious for women and their babies when women deliver at home than when they deliver in hospital. These comparisons are based on small numbers and warrant ongoing evaluation. Read More |
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Home Birth
