Transfers to hospital in planned home birth in four Nordic countries - a prospective cohort study

Acta Obstetricia Et Gynecologica Scandinavica
Ellen BlixHelena Lindgren

Abstract

Women planning a home birth are transferred to hospital in case of complications or elevated risk for adverse outcomes. The aim of the present study was to describe the indications for transfer to hospital in planned home births, and the proportion of cases in which this occurs. Women in Norway, Sweden, Denmark and Iceland who had opted for, and were accepted for, home birth at the onset of labor, were included in the study. Data from 3068 women, 572 nulliparas and 2446 multiparas, were analyzed for proportion of transfers during labor and within 72 h after birth, indications for transfer, how long before or after birth the transfer started, time from birth to start of transfer, duration and mode of transfer, and whether the transfer was classified as potentially urgent. Analyses were stratified for nulliparity and multiparity. One-third (186/572) of the nulliparas were transferred to hospital, 137 (24.0%) during labor and 49 (8.6%) after the birth. Of the multiparas, 195/2446 (8.0%) were transferred, 118 (4.8%) during labor and 77 (3.2%) after birth. The most common indication for transfers during labor was slow progress. In transfers after birth, postpartum hemorrhage, tears and neonatal respiratory problems were the most com...Continue Reading

References

Jun 18, 2005·BMJ : British Medical Journal·Kenneth C Johnson, Betty-Anne Daviss
Jul 9, 2008·Acta Obstetricia Et Gynecologica Scandinavica·Helena E LindgrenIngegerd M Hildingsson
Sep 2, 2009·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Patricia A JanssenShoo K Lee
Nov 28, 2012·Sexual & Reproductive Healthcare : Official Journal of the Swedish Association of Midwives·Ellen BlixMerethe Kumle
Jan 21, 2014·BMC Pregnancy and Childbirth·Caroline C GeertsAnk de Jonge
Jan 30, 2014·Sexual & Reproductive Healthcare : Official Journal of the Swedish Association of Midwives·Helena LindgrenEllen Blix
Mar 19, 2014·Birth·Pien M OfferhausAntoine L M Lagro-Janssen
Jun 3, 2014·BMC Pregnancy and Childbirth·Ellen BlixHelena E Lindgren

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Citations

Jul 31, 2016·BMC Pregnancy and Childbirth·Malin EdqvistHelena Lindgren
Oct 7, 2016·Women and Birth : Journal of the Australian College of Midwives·Mário J D S Santos
Oct 17, 2018·Journal of Midwifery & Women's Health·Elizabeth K DarlingIvy Lynn Bourgeault
Apr 26, 2019·Obstetrics and Gynecology·Aaron B Caughey, Melissa Cheyney
May 6, 2020·Acta Obstetricia Et Gynecologica Scandinavica·Susanne Bauer
Nov 30, 2018·Revista da Escola de Enfermagem da U S P·Joyce Green KoettkerRoberta Costa
Nov 15, 2018·Journal of Perinatology : Official Journal of the California Perinatal Association·Katja OvaskainenOuti Tammela
Jan 17, 2021·Women and Birth : Journal of the Australian College of Midwives·Rodion SharlovMiranda Davies-Tuck
Feb 15, 2020·Women and Birth : Journal of the Australian College of Midwives·Li Thies-LagergrenIngela Sjöblom
May 1, 2021·International Journal of Environmental Research and Public Health·Trinidad M Galera-Barbero, Gabriel Aguilera-Manrique
Aug 30, 2021·BMC Emergency Medicine·Ann-Chatrin Linqvist LeonardsenVigdis Abrahamsen Grøndahl
Oct 8, 2021·Obstetrics and Gynecology·Elizabeth NetheryWendy Gordon

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