Planned out-of-hospital births increase, despite link with perinatal death

Although they make up a small portion of the total births in the United States, deliveries that take place out of the hospital are on the rise. A recent study published in the New England Journal of Medicine has found planned out-of-hospital births are associated with a higher risk of perinatal death than planned in-hospital births.

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The population-based, retrospective cohort study included all births that occurred in Oregon during 2012 and 2013. The study revealed 39 out of every 10,000 deliveries conducted at home or at a freestanding birth center resulted in perinatal death, compared to 18 per 10,000 conducted at a hospital.

Additionally, the risk of neonatal seizure was higher with out-of-hospital delivery than in-hospital delivery.

Ultimately, the absolute risk of perinatal death was low in both settings.

 

 

More articles on perinatal care:
100 hospitals and health systems with great women’s health programs | 2015 
Infographic: Georgetown School of Nursing illustrates maternal health in US, the world 
Using exercise balls during delivery decreases labor time, C-sections 

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