September 2013. Volume 9. Number 3

Planned home births: safe for some mothers, not so safe for newborns?

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

de Jonge A, Mesman JA, Manniën J, Zwart JJ, van Dillen J, van Roosmalen J. Severe adverse maternal outcomes among low risk women with planned home versus hospital births in the Netherlands: nationwide cohort study. BMJ. 2013;346:f3263.
Reviewers: Balaguer Santamaría A1, González de Dios J2.
1H General Catalunya. Sant Cugat del Vallés. Barcelona. España.
2Departamento de Pediatría. Hospital General Universitario de Alicante. España.
Correspondence: Albert Balaguer Santamaría. Email: balaguer.albert@gmail.com
Reception date: 29/07/2013
Acceptance date: 02/08/2013
Publication date: 04/09/2013

Abstract

Authors' conclusions: low risk parous women in primary care at the onset of labour with planned home birth had lower rates of severe acute maternal morbidity, than those with planned hospital births, although in both cases morbidity is low.

Reviewers' commentary: in the context of a well-organized health system, with well-trained midwives and an effective transport system, in selected cases, homebirths may result in less maternal morbidity than hospital ones. However, this study does not address the safety of the neonate, which in other studies in less-controlled contexts, has shown an increase in morbidity and mortality.

How to cite this article

Balaguer Santamaría A, González de Dios J. Parto domiciliario: seguro para algunas madres pero, ¿también para los recién nacidos? Evid Pediatr. 2013;9:50.

AVC | Critically appraised articles

de Jonge A, Mesman JA, Manniën J, Zwart JJ, van Dillen J, van Roosmalen J. Severe adverse maternal outcomes among low risk women with planned home versus hospital births in the Netherlands: nationwide cohort study. BMJ. 2013;346:f3263.
Reviewers: Balaguer Santamaría A1, González de Dios J2.
1H General Catalunya. Sant Cugat del Vallés. Barcelona. España.
2Departamento de Pediatría. Hospital General Universitario de Alicante. España.
Correspondence: Albert Balaguer Santamaría. Email: balaguer.albert@gmail.com
Reception date: 29/07/2013
Acceptance date: 02/08/2013
Publication date: 04/09/2013

How to cite this article

Balaguer Santamaría A, González de Dios J. Parto domiciliario: seguro para algunas madres pero, ¿también para los recién nacidos? Evid Pediatr. 2013;9:50.

References

  1. Cheng YW, Snowden JM, King TL, Caughey AB. Selected perinatal outcomes associated with planned home births in the United States. Am J Obstet Gynecol. 2013. [Epub ahead of print].
  2. Birthplace in England Collaborative Group, Brocklehurst P, Hardy P, Hollowell J, Linsell L, Macfarlane A, McCourt C, et al. Perinatal and maternal outcomes by planned place of birth for healthy women with low risk pregnancies: the Birthplace in England national prospective cohort study. BMJ. 2011;343:d7400.
  3. Wax JR, Lucas FL, Lamont M, Pinette MG, Cartin A, Blackstone J. Maternal and newborn outcomes in planned home birth vs. planned hospital births: a metaanalysis. Am J Obstet Gynecol. 2010;203:e1-8.
  4. González de Dios J, Buñuel Álvarez JC. El parto domiciliario triplica la mortalidad neonatal respecto al parto hospitalario. Evid Pediatr. 2010;6:59.
04/09/2013

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