Planned home births: the need for additional contraindications

American Journal of Obstetrics and Gynecology
Amos GrünebaumFrank A Chervenak

Abstract

Planned home births in the United States are associated with fewer interventions but with increased adverse neonatal outcomes such as perinatal and neonatal deaths, neonatal seizures or serious neurologic dysfunction, and low 5-minute Apgar scores. The American College of Obstetricians and Gynecologists' Committee on Obstetric Practice states that, to reduce perinatal death and to improve outcomes at planned home births, strict criteria are necessary to guide the selection of appropriate candidates for planned home birth. The committee lists 3 absolute contraindications for a planned home birth: fetal malpresentation, multiple gestations, and a history of cesarean delivery. The aim of this study was to evaluate whether there are risk factors that should be considered contraindications to planned home births in addition to the 3 that are listed by the American College of Obstetricians and Gynecologists. We conducted a population-based, retrospective cohort study of all term (≥37 weeks gestation), normal weight (≥2500 grams), singleton, nonanomalous births from 2009-2013 using the Centers for Disease Control and Prevention's period-linked birth-infant death files that allowed for identification of intended and unintended home bir...Continue Reading

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Citations

Mar 9, 2018·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·José Morales-RosellóAlfredo Perales-Marín
Apr 13, 2018·Journal of Perinatal Medicine·Kelly B ZafmanStephanie H Factor
May 14, 2020·Journal of Perinatal Medicine·Amos GrünebaumFrank A Chervenak
Dec 29, 2020·Obstetrical & Gynecological Survey·Julie R WhittingtonBryan L Burke
Oct 13, 2021·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·José Morales-RosellóAlfredo Perales-Marín

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