A Canadian study, women who do not have a complicated pregnancy show no more risk when they give birth at home with a midwife until they give birth in hospital.
A large study has just been published in the Canadian Medical Association Journal compared the planned home births and hospital births in Ontario of the Canadian state. In this state, 10% of births are attended by midwives, 20% at home. The researchers compared 11,493 and home births with 11,493 planned hospital births during 3 years in women with no complicated pregnancy.
No more risk of harm to the child
For 35% of women, it was a first birth.
75% of women who planned a home birth in the presence of a midwife had been able to do and 8% of them have resorted to emergency care.
97% of those who had planned a hospital birth were able to do, and 1.7% required emergency care.
"Compared with women who planned to give birth at the hospital, women with planned birth at home had fewer obstetric interventions, were more likely to have a spontaneous vaginal delivery with and were more likely further breastfeed within 3-10 days after delivery, "the researchers note.
They will also want reassurance about the risk of neonatal mortality (infant deaths in the first 27 days after birth) or stillbirth (birth of a stillborn child): the incidence was 1.15 per 1000 births in the group of home births compared to 0.95 per 1000 in the group of the birth of the hospital. "A low-risk differs little between the two delivery places. This shows that women with low pregnancy risk giving birth at home with the help of a midwife are not at risk increased harm to the child compared to hospital birth, "the researchers said.
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