Further studies are needed in order to clarify whether home births are as safe as hospital births.īirth setting Home births Hospitalization Low risk pregnancy Maternal outcomes Neonatal outcomes.Ĭopyright © 2018 Elsevier B.V. Births assisted at hospital are more likely to receive medical interventions, fetal monitoring and prompt delivery in case of obstetrical complications. The two groups were similar with regard to neonatal morbidity and mortality. The risk of post-partum hemorrhage was lower in PHB than PHos group (OR:0.692 95% CI.0.634-0.755). The risk of fetal dystocia was lower in PHB than PHos group (OR:0.287 95%CI:0.133-0.618). PHB group was less likely to receive medical interventions than PHos group. Women in PHB group were less likely to undergo cesarean section compared with women in PHos (OR:0.607 95%CI:0.553-0.667) group. Spontaneous delivery was significantly higher in PHB than PHos group (OR: 2.075 95%CI:1.654-2.063) group. We included 8 studies of the 4294 records identified, consisting in 14,637 (32.6%) in PHB and 30,177 (67.4%) in PHos group. The study protocol is registered with PROSPERO, protocol number CRD42017058016.
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We pooled estimates of the association between outcomes and planning place of birth using meta-analyses. IF you have an ad blocker for your browser, and anti-virus, anti-spyware and anti-malware software installed on your computer, then you should be fine. Outcomes of interest were: maternal and neonatal morbidity/mortality, medical interventions, and delivery mode.
We excluded studies in which high-risk pregnancy and composite morbidity were included. Since the first report came out, the vaccination schedule evolved to include newly approved vaccines and changes to several existing vaccines. We included prospective, retrospective, cohort and case-control studies of low risk pregnancy outcomes according to planning place of birth, identified from January 2000 to June 2017. In 2014, AHRQ developed a report based on a systematic review of vaccine safety that builds upon the 2011 Institute of Medicine (IOM) report: Adverse Effects of Vaccines: Evidence and Causality. We did a systematic review of maternal and neonatal morbidity following planned home (PHB) versus planned hospital birth (PHos). We aimed to quantify pregnancy outcomes following planned home (PHB) versus planned hospital birth (PHos). Maternal and neonatal morbidity of women planning delivery at home has yet to be comprehensively quantified.
New interest in home birth have recently arisen in women at low risk pregnancy. Review Next Scheduled Review Date (mo-yr) Confidentiality Review Period 1.1 Work Health and Safety Policy Mar-13 New form Sep-17 Sep-18 No 1 Year 2.1 Safety Planning Procedure Oct-12 1.3 Mar-17 Mar-19 No 2 Year 2.
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