ACOG: Perinatal mortality higher in out-of-hospital births

May 8, 2012
ACOG: perinatal mortality higher in out-of-Hospital births

(HealthDay) -- The incidence of perinatal mortality appears to be higher in out-of-hospital births, according to a study conducted in Oregon and presented at the annual clinical meeting of the American College of Obstetricians and Gynecologists, held from May 5 to 9 in San Diego.

Lani Doser, M.N., from the Oregon Health & Science University in Portland, and colleagues conducted a five-year (2004 through 2008) retrospective study to investigate the maternal and neonatal outcomes of 229 cases transferred to an Oregon tertiary care referral center during planned home or birth-center births.

Of the 223 cases with recorded neonatal outcomes, the researchers noted eight deaths; seven of which met the perinatal definition 1 (PMD1) (death between 28 weeks of gestation and seven days of life) and one of which died after seven days of life. Among cases transferred to the study hospital, there was a PMD1 of 31 per 1,000 for planned out-of-hospital births. One of the eight infants who died had congenital anomalies not compatible with life. Breech presentation, pregnancy-induced hypertension or preeclampsia, and postdates gestation were high-risk conditions associated with the other seven deaths. A licensed direct entry midwife cared for seven of the cases, and an unlicensed midwife cared for the case with congenital anomalies.

"Our findings suggest that more research is needed to assess the maternal/fetal risk factors or provider-related factors that may have contributed to the higher incidence of perinatal mortality," the authors conclude.

Explore further: Study weighs risks and benefits of birthing facilities

More information: Abstract No. 51
More Information

Related Stories

Study weighs risks and benefits of birthing facilities

February 10, 2012
In a study to be presented today at the Society for Maternal-Fetal Medicine's annual meeting, The Pregnancy Meeting ™, in Dallas, Texas, researchers will report findings that indicate that the risk of obstetric intervention ...

Recommended for you

New study finds 'baby brain' is real, but the cause remains mysterious

January 15, 2018
So-called "baby brain" refers to increased forgetfulness, inattention, and mental "fogginess" reported by four out of five pregnant women. These changes in brain function during pregnancy have long been recognised in midwifery ...

Sleep quality improves with help of incontinence drug

January 12, 2018
A drug used to curtail episodes of urinary incontinence in women also improves quality of sleep, a researcher at the Stanford University School of Medicine reports.

Frozen embryos result in just as many live births in IVF

January 10, 2018
Freezing and subsequent transfer of embryos gives infertile couples just as much of a chance of having a child as using fresh embryos for in vitro fertilization (IVF), research from Ho Chi Minh City, Vietnam, and Adelaide, ...

Study suggests air pollution breathed in the months before and after conception increases chance of birth defects

January 8, 2018
A team of researchers with the University of Cincinnati and Cincinnati Children's Hospital has found evidence that indicates that pre-and post-pregnant women living in an area with air pollution are at an increased risk of ...

Taking paracetamol during pregnancy may reduce fertility of daughters

January 5, 2018
Taking paracetamol during pregnancy may impair the future fertility of female offspring, according to a review published in Endocrine Connections. The article reviews three separate rodent studies that all report altered ...

Advanced MRI can detect placental perfusion abnormalities in pregnancies complicated by fetal CHD

January 5, 2018
In pregnancies complicated by fetal congenital heart disease (CHD), global placental perfusion was significantly decreased and regional variation of placental perfusion significantly increased as pregnancies progressed, findings ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.