Birth outcomes of planned home births in Missouri: A population-based study

Jen Jen Chang, George A. MacOnes

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

We evaluated the birth outcomes of planned home births. We conducted a retrospective cohort study using Missouri vital records from 1989 to 2005 to compare the risk of newborn seizure and intrapartum fetal death in planned home births attended by physicians/certified nurse midwives (CNMs) or non-CNMs with hospitals/birthing center births. The study sample included singleton pregnancies between 36 and 44 weeks of gestation without major congenital anomalies or breech presentation (n=859,873). The adjusted odds ratio (aOR) of newborn seizures in planned home births attended by non-CNMs was 5.11 (95% confidence interval [CI]: 2.52, 10.37) compared with deliveries by physicians/CNMs in hospitals/birthing centers. For intrapartum fetal death, aORs were 11.24 (95% CI: 1.43, 88.29), and 20.33 (95% CI: 4.98, 83.07) in planned home births attended by non-CNMs and by physicians/CNMs, respectively, compared with births in hospitals/birthing centers. Planned home births are associated with increased likelihood of adverse birth outcomes.

Original languageEnglish
Pages (from-to)529-536
Number of pages8
JournalAmerican journal of perinatology
Volume28
Issue number7
DOIs
StatePublished - Mar 7 2011

Keywords

  • Midwife
  • fetal death
  • home births
  • newborn seizures

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