Outcome of Planned Home and Hospital Births among Low‐Risk Women in Iceland in 2005–2009: A Retrospective Cohort Study
Abstract Background At 2.2 percent in 2012, the home birth rate in Iceland is the highest in the Nordic countries and has been rising rapidly in the new millennium. The objective of this study was to compare the outcomes of planned home births and planned hospital births in comparable low‐risk group...
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crwiley:10.1111/birt.12150 2024-09-15T18:13:17+00:00 Outcome of Planned Home and Hospital Births among Low‐Risk Women in Iceland in 2005–2009: A Retrospective Cohort Study Halfdansdottir, Berglind Smarason, Alexander Kr. Olafsdottir, Olof A. Hildingsson, Ingegerd Sveinsdottir, Herdis Icelandic Midwives’ Association’s Research Fund Memorial Fund for Midwife Bjorg Magnusdottir, and Farmer Magnus Jonasson The Icelandic Research Fund for Graduate Students 2015 http://dx.doi.org/10.1111/birt.12150 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fbirt.12150 https://onlinelibrary.wiley.com/doi/pdf/10.1111/birt.12150 en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Birth volume 42, issue 1, page 16-26 ISSN 0730-7659 1523-536X journal-article 2015 crwiley https://doi.org/10.1111/birt.12150 2024-08-20T04:13:23Z Abstract Background At 2.2 percent in 2012, the home birth rate in Iceland is the highest in the Nordic countries and has been rising rapidly in the new millennium. The objective of this study was to compare the outcomes of planned home births and planned hospital births in comparable low‐risk groups in Iceland. Methods The study is a retrospective cohort study comparing the total population of 307 planned home births in Iceland in 2005–2009 to a matched 1:3 sample of 921 planned hospital births. Regression analysis, adjusted for confounding variables, was performed for the primary outcome variables. Results The rate of oxytocin augmentation, epidural analgesia, and postpartum hemorrhage was significantly lower when labor started as a planned home birth. Differences in the rates of other primary outcome variables were not significant. The home birth group had lower rates of operative birth and obstetric anal sphincter injury. The rate of 5‐minute Apgar score < 7 was the same in the home and hospital birth groups, but the home birth group had a higher rate of neonatal intensive care unit admission. Intervention and adverse outcome rates in both study groups, including transfer rates, were higher among primiparas than multiparas. Oxytocin augmentation, epidural analgesia, and postpartum hemorrhage rates were significantly interrelated. Conclusions This study adds to the growing body of evidence that suggests that planned home birth for low‐risk women is as safe as planned hospital birth. Article in Journal/Newspaper Iceland Wiley Online Library Birth 42 1 16 26 |
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Abstract Background At 2.2 percent in 2012, the home birth rate in Iceland is the highest in the Nordic countries and has been rising rapidly in the new millennium. The objective of this study was to compare the outcomes of planned home births and planned hospital births in comparable low‐risk groups in Iceland. Methods The study is a retrospective cohort study comparing the total population of 307 planned home births in Iceland in 2005–2009 to a matched 1:3 sample of 921 planned hospital births. Regression analysis, adjusted for confounding variables, was performed for the primary outcome variables. Results The rate of oxytocin augmentation, epidural analgesia, and postpartum hemorrhage was significantly lower when labor started as a planned home birth. Differences in the rates of other primary outcome variables were not significant. The home birth group had lower rates of operative birth and obstetric anal sphincter injury. The rate of 5‐minute Apgar score < 7 was the same in the home and hospital birth groups, but the home birth group had a higher rate of neonatal intensive care unit admission. Intervention and adverse outcome rates in both study groups, including transfer rates, were higher among primiparas than multiparas. Oxytocin augmentation, epidural analgesia, and postpartum hemorrhage rates were significantly interrelated. Conclusions This study adds to the growing body of evidence that suggests that planned home birth for low‐risk women is as safe as planned hospital birth. |
author2 |
Icelandic Midwives’ Association’s Research Fund Memorial Fund for Midwife Bjorg Magnusdottir, and Farmer Magnus Jonasson The Icelandic Research Fund for Graduate Students |
format |
Article in Journal/Newspaper |
author |
Halfdansdottir, Berglind Smarason, Alexander Kr. Olafsdottir, Olof A. Hildingsson, Ingegerd Sveinsdottir, Herdis |
spellingShingle |
Halfdansdottir, Berglind Smarason, Alexander Kr. Olafsdottir, Olof A. Hildingsson, Ingegerd Sveinsdottir, Herdis Outcome of Planned Home and Hospital Births among Low‐Risk Women in Iceland in 2005–2009: A Retrospective Cohort Study |
author_facet |
Halfdansdottir, Berglind Smarason, Alexander Kr. Olafsdottir, Olof A. Hildingsson, Ingegerd Sveinsdottir, Herdis |
author_sort |
Halfdansdottir, Berglind |
title |
Outcome of Planned Home and Hospital Births among Low‐Risk Women in Iceland in 2005–2009: A Retrospective Cohort Study |
title_short |
Outcome of Planned Home and Hospital Births among Low‐Risk Women in Iceland in 2005–2009: A Retrospective Cohort Study |
title_full |
Outcome of Planned Home and Hospital Births among Low‐Risk Women in Iceland in 2005–2009: A Retrospective Cohort Study |
title_fullStr |
Outcome of Planned Home and Hospital Births among Low‐Risk Women in Iceland in 2005–2009: A Retrospective Cohort Study |
title_full_unstemmed |
Outcome of Planned Home and Hospital Births among Low‐Risk Women in Iceland in 2005–2009: A Retrospective Cohort Study |
title_sort |
outcome of planned home and hospital births among low‐risk women in iceland in 2005–2009: a retrospective cohort study |
publisher |
Wiley |
publishDate |
2015 |
url |
http://dx.doi.org/10.1111/birt.12150 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fbirt.12150 https://onlinelibrary.wiley.com/doi/pdf/10.1111/birt.12150 |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
Birth volume 42, issue 1, page 16-26 ISSN 0730-7659 1523-536X |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1111/birt.12150 |
container_title |
Birth |
container_volume |
42 |
container_issue |
1 |
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16 |
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26 |
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1810450935668801536 |