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[quote=Anonymous][quote=Anonymous][quote=Anonymous]"Planned out-of-hospital birth was associated with a higher rate of perinatal death than was planned in-hospital birth (3.9 vs. 1.8 deaths per 1000 deliveries, P=0.003; odds ratio after adjustment for maternal characteristics and medical conditions, 2.43; 95% confidence interval [CI], 1.37 to 4.30; adjusted risk difference, 1.52 deaths per 1000 births; 95% CI, 0.51 to 2.54). The odds for neonatal seizure were higher and the odds for admission to a neonatal intensive care unit lower with planned out-of-hospital births than with planned in-hospital birth"

https://www.nejm.org/doi/full/10.1056/NEJMsa1501738?query=featured_home[/quote]

NP. Very helpful article -- thanks for posting. Effectively says overall risk of complications is low, and absolute difference between home and hospital births is small; but likelihood of obstetric procedures is higher in hospital. They also briefly discuss ways to improve midwifery system in the US.

Seems like US has chosen to involve more obstetric interventions across the board to achieve a small improvement in outcomes. [/quote]

NP
Of course, the fact that only low-risk births are accepted by midwives for planned out-of-hospital births, and high-risk births are overrepresented in planned in-hospital births, is going to skew greatly which group would have more actual medical need for interventions, too. But I'm sure we are all in agreement on that.  [/quote]

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