Table 1 [see also table 2 and
table 3]
Tableau 1 [voir
aussi le tableau 2 et le tableau
3]
Non-optimal outcome |
% (No) of primiparous women
|
% (No) of multiparous women
| ||
Home birth
|
Hospital birth
|
Home birth
|
Hospital birth
| |
(n = 471) |
(n = 369) |
(n = 669) |
(n = 327) | |
Labour and delivery |
||||
Medication in first stage labour |
21.2 (100) |
23.6 (87) |
6.1 (41) |
8.9 (29) |
Ruptured membranes for > 12 hours |
13.4 (63) |
19.0 (70)* |
6.4 (43) |
7.3 (24) |
Amniotic fluid not clear |
14.2 (67) |
16.5 (61) |
12.7 (85) |
14.1 (46) |
Duration first stage > 10 hours |
24.6 (116) |
22.8 (84) |
3.7 (25) |
6.4 (21) |
Duration second stage > 60 minutes |
28.9 (136) |
28.7 (106) |
1.3 (9) |
1.8 (6) |
Non-cephalic presentation at birth |
3.2 (15) |
5.1 (19) |
1.9 (13) |
1.8 (6) |
Assisted delivery |
29.5 (139) |
29.8 (110) |
4.3 (29) |
6.1 (20) |
Perineal laceration |
78.3 (369) |
74.8 (276) |
52.0 (348) |
63.0 (206)** |
Episiotomy |
52.4 (247) |
52.8 (195) |
15.8 (106) |
25.1 (82)*** |
Referral to specialist care in labour |
36.7 (173) |
40.7 (150) |
8.7 (58) |
12.8 (42)*** |
Insufficient cervical dilatation |
8.9 (42) |
9.2 (34) |
0.9 (6) |
2.8 (9)* |
Inadequate progress in second stage |
12.1 (57) |
9.5 (35) |
0.4 (3) |
1.2 (4) |
Fetal distress |
4.5 (21) |
4.9 (18) |
0.6 (4) |
0.9 (3) |
Induction or augmentation of labour |
3.6 (17) |
5.1 (19) |
1.9 (13) |
2.1 (7) |
Instrumental vaginal delivery |
13.8 (65) |
15.7 (58) |
1.2 (8) |
1.2 (4) |
Caesarean section |
3.0 (14) |
4.1 (15) |
0.1 (1) |
0.6 (2) |
Suturing third degree perineal tear |
1.5 (7) |
1.4 (5) |
0.6 (4) |
0.6 (2) |
Medication in third stage labour |
60.5 (285) |
65.9 (243) |
37.2 (259) |
59.3 (194)*** |
Placental retention |
0.4 (2) |
0.8 (3) |
0.7 (5) |
2.8 (9)* |
Blood loss >/= 1000 ml |
1.9 (9) |
4.1 (15) |
0.6 (4) |
3.7 (12)*** |
Blood transfusion |
0.8 (4) |
1.1 (4) |
0 |
1.8 (16)** |
Other problems (including need for sedation) |
10.4 (49) |
19.0 (70)*** |
5.2 (35) |
9.8 (32)* |
Neonatal condition |
||||
Non-optimal birth weight |
17.4 (82) |
17.3 (64) |
16.6 (111) |
19.0 (62) |
< 10th centile |
4.9 (23) |
8.9 (33) |
6.1 (41) |
5.2 (17) |
> 90th centile |
12.5 (59) |
8.4 (31) |
10.5 (70) |
13.8 (45) |
Apgar score < 9 at 5 minutes |
7.0 (33) |
9.2 (34) |
4.5 (30) |
3.7 (12) |
Perinatal death |
0 |
0.5 (2) |
0.6 (4) |
0 |
Transfer to neonatal ward |
11.7 (55) |
16.5 (61) |
4.5 (30) |
7.0 (23) |
Congenital anomalies |
1.5 (7) |
2.4 (9) |
1.3 (9) |
3.1 (10) |
Birth trauma |
0.6 (3) |
0.5 (2) |
0.6 (4) |
0.9 (3) |
Problems in first 24 hours |
16.6 (78) |
25.7 (95)** |
4.5 (30) |
11.0 (36)*** |
Problems in first week |
7.0 (23) |
6.8 (25) |
2.7 (18) |
3.1 (10) |
Non-optimal gestational age |
4.9 (23) |
5.1 (19) |
5.0 (33) |
2.8 (9) |
< 37 weeks |
2.1 (10) |
2.7 (10) |
1.1 (7) |
1.3 (4) |
>/= 42 weeks |
2.8 (13) |
2.4 (9) |
3.9 (26) |
15. (5) |
Condition of the mother after birth |
||||
Mastitis |
0 |
0 |
0 |
0.3 (1) |
Endometritis |
0 |
0.5 (2) |
0.1 (1) |
0 |
Cystitis |
0 |
0 |
0.1 (1) |
0.3 (1) |
Medication in puerperium |
0 |
0 |
0.3 (2) |
0.3 (1) |
Other problems |
0.4 (2) |
0.3 (1) |
0 |
0.6 (2) |
* P < 0.05; ** P < 0.01; *** P < 0.001
Source:
Outcome of planned home and planned hospital births in low
risk pregnancies: prospective study in midwifery practices in the Netherlands
Résultats comparés de naissances planifiées
à domicile et à l'hôpital pour des grossesses à
risque faible: étude prospective des pratiques des sages-femmes aux
Pays-Bas. [Voir extraits]
(T A Wiegers,
M J N C Keirse, J van der Zee, & G A H Berghs)
British Medical Journal,
1996; 313: 1309-1313.
<http://www.bmj.com/cgi/content/full/313/7068/1309>