Births outside obstetric institutions up mortality risk

August 8, 2017

(HealthDay)—Unplanned birth outside an obstetric institution is associated with increased peripartum mortality and long travel time to an institution, according to a study published in the August issue of the American Journal of Obstetrics & Gynecology.

Hilde M. Engjom, M.D., from the University of Bergen in Norway, and colleagues assessed all births in Norway from 1999 to 2009 (n = 648,555) using data from the Medical Birth Registry of Norway and Statistics Norway and including births from 22 gestational weeks or weight ≥500 g in order to assess peripartum mortality by place of birth and travel time to obstetric institutions.

The researchers identified 1,586 peripartum deaths (2.5 per 1,000 births). Compared with institutional births, unplanned birth outside an had a three-fold higher mortality (2.4 versus 8.4 per 1,000; relative risk, 3.5). The risk of unplanned birth outside an institution increased from 0.5 percent for less than one hour of to 3.3 percent for one to two hours and 4.5 percent for more than two hours. For comparison, at term in obstetric institutions ranged from 0.7 to 0.9 per 1,000.

"The results show the importance of skilled birth attendance and warrant attention from clinicians and policy makers to negative consequences of reduced access to institutions," the authors write.

Explore further: Unplanned births out-of-hospital increases risk of infant mortality

More information: Abstract
Full Text

Related Stories

Unplanned births out-of-hospital increases risk of infant mortality

September 3, 2014
New research reveals that unplanned births out-of-hospital in Norway are associated with higher infant mortality. The findings published in Acta Obstetricia et Gynecologica Scandinavica, a journal of the Nordic Federation ...

Intergenerational recurrence of retained placenta observed

July 27, 2017
(HealthDay)—Intergenerational recurrence of retained placenta is seen on the maternal and paternal side, according to a study published online July 21 in BJOG: An International Journal of Obstetrics and Gynaecology.

Trends in late preterm, early term birth rates and association with clinician-initiated obstetric interventions

July 26, 2016
Between 2006 and 2014, late preterm and early term birth rates decreased in the United States and an association was observed between early term birth rates and decreasing clinician-initiated obstetric interventions, according ...

CDC: US still faces too many repeat teen births

May 1, 2017
(HealthDay)—Although rates of repeat births among teens are on the decline, tens of thousands of American teens are still getting pregnant for a second time, according to research published in the April 28 issue of the ...

Rural Nepal: Despite evidence that hospital births are safer, poverty keeps women home

September 2, 2016
Encouraging hospital births are an important component of reducing maternal mortality in low-resource settings. Now, new research shows certain factors, including age and income, determine whether women living in rural Nepal ...

Eating disorders linked to adverse perinatal outcomes

October 22, 2014
(HealthDay)—Maternal eating disorders are associated with adverse pregnancy, obstetric, and perinatal health outcomes, according to a study published in the October issue of the American Journal of Obstetrics & Gynecology.

Recommended for you

Why mothers in mainland China, Hong Kong and Taiwan choose cesarean delivery

October 16, 2018
Pregnant women in mainland China, Hong Kong, and Taiwan are more likely to express preference for cesarean section (CS) as their mode of delivery later in pregnancy and postpartum, as compared to early in pregnancy, according ...

Importance of cell cycle and cellular senescence in the placenta discovered

October 15, 2018
Working with researchers from Stanford University and St. Anna Children's Cancer Research, researchers from Jürgen Pollheimer's laboratory at the Medical University of Vienna's Department of Obstetrics and Gynecology have ...

C-section rates have nearly doubled since 2000: study

October 12, 2018
(HealthDay)—The number of women delivering babies via cesarean section has nearly doubled worldwide since 2000, to about 21 percent, new research shows.

Study of nearly 41,000 women who almost died giving birth shows who's most at risk

October 10, 2018
Tens of thousands of American women each year need emergency treatment to save their lives while they deliver their babies, or immediately after. A new study shows how much their risk of a life-threatening birth depends on ...

In childbirth, when to begin pushing does not affect C-section rates

October 9, 2018
More than 3 million women in the United States give birth each year. But obstetricians have differing opinions about when women should begin pushing during labor and whether the timing of pushing increases the likelihood ...

Why single embryo transfer during IVF sometimes results in twins or triplets

October 8, 2018
It has been known for some time that it is better to transfer a single embryo to a woman's womb during assisted reproduction treatment (ART) rather than several embryos in order to avoid a multiple pregnancy and the risks ...

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.