Maternal and newborn morbidity by birth facility among selected United States 2006 low-risk births

Maternal and newborn morbidity by birth facility among selected United States 2006 low-risk births

Objective We sought to evaluate perinatal morbidity by delivery location (hospital, freestanding birth center, and home). Study Design Selected 2006 US birth certificate data were accessed online from the Centers for Disease Control and Prevention. Low-risk maternal and newborn outcomes were tabulat...

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Veröffentlicht in:American journal of obstetrics and gynecology 2010-02, Vol.202 (2), p.152.e1-152.e5
Hauptverfasser: Wax, Joseph R., MD, Pinette, Michael G., MD, Cartin, Angelina, Blackstone, Jacquelyn, DO
Format: Artikel
Sprache:eng
Schlagworte:
birthing center
Cohort Studies
Female
home birth
Home Childbirth - adverse effects
Humans
Infant Mortality
Infant, Newborn
Midwifery
Morbidity
Obstetrics and Gynecology
perinatal outcome
Pregnancy
Retrospective Studies
Time Factors
United States
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Zusammenfassung:Objective We sought to evaluate perinatal morbidity by delivery location (hospital, freestanding birth center, and home). Study Design Selected 2006 US birth certificate data were accessed online from the Centers for Disease Control and Prevention. Low-risk maternal and newborn outcomes were tabulated and compared by birth facility. Results A total of 745,690 deliveries were included, of which 733,143 (97.0%) occurred in hospital, 4661 (0.6%) at birth centers, and 7427 (0.9%) at home. Compared with hospital deliveries, home and birthing center deliveries were associated with more frequent prolonged and precipitous labors. Home births experienced more frequent 5-minute Apgar scores
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2009.09.037