Advertisement
Advanced Search
Figures

FIGURE 1

MEDLINE search strategy

Wax. Outcomes in planned home birth vs planned hospital births. Am J Obstet Gynecol 2010.

FIGURE 2

Study selection process

Wax. Outcomes in planned home birth vs planned hospital births. Am J Obstet Gynecol 2010.

Objective

We sought to systematically review the medical literature on the maternal and newborn safety of planned home vs planned hospital birth.

Study Design

We included English-language peer-reviewed publications from developed Western nations reporting maternal and newborn outcomes by planned delivery location. Outcomes' summary odds ratios with 95% confidence intervals were calculated.

Results

Planned home births were associated with fewer maternal interventions including epidural analgesia, electronic fetal heart rate monitoring, episiotomy, and operative delivery. These women were less likely to experience lacerations, hemorrhage, and infections. Neonatal outcomes of planned home births revealed less frequent prematurity, low birthweight, and assisted newborn ventilation. Although planned home and hospital births exhibited similar perinatal mortality rates, planned home births were associated with significantly elevated neonatal mortality rates.

Conclusion

Less medical intervention during planned home birth is associated with a tripling of the neonatal mortality rate.

Reprints not available from the authors.

Cite this article as: Wax JR, Lucas FL, Lamont M, et al. Maternal and newborn outcomes in planned home birth vs planned hospital births: a metaanalysis. Am J Obstet Gynecol 2010;203:243.e1-8.

Related Articles

Searching for related articles..

Linked Articles

  • Time for improved standards for studies of home birth

    Online OnlyOnline-only ArticlesArticles in full
    Patricia Alice Janssen, Michael C. Klein
    DOI: http://dx.doi.org/10.1016/j.ajog.2010.04.042
    American Journal of Obstetrics & Gynecology, Vol. 203, Issue 5
  • Study validity questioned

    Online OnlyOnline-only Articles
    Noam Zohar, Raymond De Vries
    DOI: http://dx.doi.org/10.1016/j.ajog.2010.08.052
    American Journal of Obstetrics & Gynecology, Vol. 204, Issue 4
  • Home birth metaanalysis: does it meet AJOG's reporting requirements?

    Online OnlyOnline-only Articles
    Gillian M.L. Gyte, Miranda J. Dodwell, Alison J. Macfarlane
    DOI: http://dx.doi.org/10.1016/j.ajog.2011.01.035
    American Journal of Obstetrics & Gynecology, Vol. 204, Issue 4
  • International data demonstrate home birth safety

    Online OnlyOnline-only Articles
    Kenneth C. Johnson, Betty-Anne Daviss
    DOI: http://dx.doi.org/10.1016/j.ajog.2011.01.034
    American Journal of Obstetrics & Gynecology, Vol. 204, Issue 4
  • Maternal and newborn outcomes in planned home birth vs planned hospital births: a metaanalysis

    Online OnlyOnline-only Articles
    Russell S. Kirby, Jordana Frost
    DOI: http://dx.doi.org/10.1016/j.ajog.2011.01.031
    American Journal of Obstetrics & Gynecology, Vol. 204, Issue 4
  • “Home birth triples the neonatal death rate”: public communication of bad science?

    Online OnlyOnline-only Articles
    Jane Sandall, Susan Bewley, Mary Newburn
    DOI: http://dx.doi.org/10.1016/j.ajog.2011.01.036
    American Journal of Obstetrics & Gynecology, Vol. 204, Issue 4
  • Perinatal mortality and planned home birth

    Online OnlyOnline-only Articles
    Mary-Ann Davey, Margaret M. Flood
    DOI: http://dx.doi.org/10.1016/j.ajog.2011.01.037
    American Journal of Obstetrics & Gynecology, Vol. 204, Issue 4
  • Advertisement
    Download PDF