Abstract:
BACKGROUND:To compare the mode of delivery between planned home versus planned hospital births and to determine if differences in intervention rates could be interpreted as over- or undertreatment. METHODS:Intervention and perinatal mortality rates were obtained for 679,952 low-risk women from the Dutch Perinatal Registry (2000-2007). Intervention was defined as operative vaginal delivery and/or caesarean section. Perinatal mortality was defined as the intrapartum and early neonatal mortality rate up to 7 days postpartum. Besides adjustment for maternal and care factors, we included for additional casemix adjustment: presence of congenital abnormality, small for gestational age, preterm birth, or low Apgar score. The techniques used were nested multiple stepwise logistic regression, and stratified analysis for separate risk groups. An intention-to-treat like analysis was performed. RESULTS:The intervention rate was lower in planned home compared to planned hospital births (10.9% 95% CI 10.8-11.0 vs. 13.8% 95% CI 13.6-13.9). Intended place of birth had significant impact on the likelihood to intervene after adjustment (planned homebirth (OR 0.77 95% CI. 0.75-0.78)). The mortality rate was lower in planned home births (0.15% vs. 0.18%). After adjustment, the interaction term home- intervention was significant (OR1.51 95% CI 1.25-1.84). In risk groups, a higher perinatal mortality rate was observed in planned home births. CONCLUSIONS:The potential presence of over- or under treatment as expressed by adjusted perinatal mortality differs per risk group. In planned home births especially multiparous women showed universally lower intervention rates. However, the benefit of substantially fewer interventions in the planned home group seems to be counterbalanced by substantially increased mortality if intervention occurs.
journal_name
BMC Pregnancy Childbirthjournal_title
BMC pregnancy and childbirthauthors
van der Kooy J,Birnie E,Denktas S,Steegers EAP,Bonsel GJdoi
10.1186/s12884-017-1348-ysubject
Has Abstractpub_date
2017-06-08 00:00:00pages
177issue
1issn
1471-2393pii
10.1186/s12884-017-1348-yjournal_volume
17pub_type
杂志文章abstract:BACKGROUND:Paucity of data on state-wide maternal mortality in Nigeria hampers planning, monitoring and evaluation of the impact of interventions. The Confidential Enquiry into Maternal Deaths in Ondo State was initiated to overcome this problem. This study aimed to compare trends of maternal mortality ratios, causes o...
journal_title:BMC pregnancy and childbirth
pub_type: 杂志文章
doi:10.1186/s12884-019-2659-y
更新日期:2019-12-21 00:00:00
abstract:BACKGROUND:Kenya has a maternal mortality ratio of 488 per 100,000 live births. Preventing maternal deaths depends significantly on the presence of a skilled birth attendant at delivery. Kenyan national statistics estimate that the proportion of births attended by a skilled health professional have remained below 50% f...
journal_title:BMC pregnancy and childbirth
pub_type: 杂志文章
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abstract::Following publication of the original article [1], we have been notified that the name of the author two was spelled incorrectly as Oladimeji Olarewaju, when the correct spelling is Oladimeji, Olanrewaju. ...
journal_title:BMC pregnancy and childbirth
pub_type: 已发布勘误
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journal_title:BMC pregnancy and childbirth
pub_type: 杂志文章
doi:10.1186/s12884-020-03123-3
更新日期:2020-07-28 00:00:00
abstract::BACKGROUND: Some currently available birth weight for gestational age standards are customized but others are not. We carried out a study to provide empirical justification for customizing such standards by sex and for whites and blacks in the United States. METHODS: We studied all male and female singleton live birth...
journal_title:BMC pregnancy and childbirth
pub_type: 杂志文章
doi:10.1186/1471-2393-5-3
更新日期:2005-02-20 00:00:00
abstract:BACKGROUND:Adverse pregnancy outcomes remain a prevalent health problem in Ethiopia. Mothers' use of preconception care service has the potential to avert many of the adverse outcomes. However, the use of this service and its determinants is not well investigated. Therefore, this study was conducted to assess the utili...
journal_title:BMC pregnancy and childbirth
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journal_title:BMC pregnancy and childbirth
pub_type: 杂志文章
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更新日期:2017-07-17 00:00:00
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journal_title:BMC pregnancy and childbirth
pub_type: 杂志文章
doi:10.1186/s12884-018-1925-8
更新日期:2018-07-04 00:00:00
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journal_title:BMC pregnancy and childbirth
pub_type: 杂志文章,meta分析
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journal_title:BMC pregnancy and childbirth
pub_type: 杂志文章
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journal_title:BMC pregnancy and childbirth
pub_type: 杂志文章
doi:10.1186/s12884-020-02918-8
更新日期:2020-04-15 00:00:00
abstract:BACKGROUND:Delayed access to antenatal care ('late booking') has been linked to increased maternal and fetal mortality and morbidity. The aim of this qualitative study was to understand why some women are late to access antenatal care. METHODS:27 women presenting after 19 completed weeks gestation for their first hosp...
journal_title:BMC pregnancy and childbirth
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doi:10.1186/1471-2393-14-207
更新日期:2014-06-16 00:00:00
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journal_title:BMC pregnancy and childbirth
pub_type: 杂志文章
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abstract:BACKGROUND:Spontaneous preterm birth is a complex syndrome with multiple pathways interactions determining its occurrence, including genetic, immunological, physiologic, biochemical and environmental factors. Despite great worldwide efforts in preterm birth prevention, there are no recent effective therapeutic strategi...
journal_title:BMC pregnancy and childbirth
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更新日期:2016-08-08 00:00:00
abstract:BACKGROUND:Posttraumatic stress symptoms (PTSS) after childbirth may affect mother-infant bonding. This study examined the relationship between aspects of PTSS after childbirth and bonding failure for mothers at 1 month and 4 months after delivery. METHODS:This longitudinal study surveyed 130 mothers at 1 month (T1) a...
journal_title:BMC pregnancy and childbirth
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更新日期:2020-07-29 00:00:00
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journal_title:BMC pregnancy and childbirth
pub_type: 杂志文章,多中心研究
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更新日期:2019-11-07 00:00:00
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journal_title:BMC pregnancy and childbirth
pub_type: 杂志文章
doi:10.1186/1471-2393-13-206
更新日期:2013-11-11 00:00:00
abstract:BACKGROUND:Universal access to health care services does not automatically guarantee equity in the health system. In the post Millennium Development Goals (MDGs) era, the progress towards universal access to maternal health care services in a developing country, like Bangladesh requires an evaluation in terms of equity...
journal_title:BMC pregnancy and childbirth
pub_type: 杂志文章
doi:10.1186/s12884-016-0970-4
更新日期:2016-07-29 00:00:00
abstract:BACKGROUND:Wound infection is a common complication following caesarean section. Factors influencing the risk of infection may include the suture material for skin closure, and closure of the subcutaneous fascia. We assessed the effect of skin closure with absorbable versus non-absorbable suture, and closure versus non...
journal_title:BMC pregnancy and childbirth
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更新日期:2020-10-08 00:00:00
abstract:BACKGROUND:Cultural practice have often overlooked when providing maternal and child health care services. Low birth weight is the second cause of neonatal mortality in the world but it is a major factor in a developing country such as Indonesia. The purpose of this study is to predict the neonatal mortality among low ...
journal_title:BMC pregnancy and childbirth
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更新日期:2014-09-30 00:00:00
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journal_title:BMC pregnancy and childbirth
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journal_title:BMC pregnancy and childbirth
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journal_title:BMC pregnancy and childbirth
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更新日期:2018-06-07 00:00:00
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journal_title:BMC pregnancy and childbirth
pub_type: 杂志文章
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更新日期:2016-01-12 00:00:00
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journal_title:BMC pregnancy and childbirth
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journal_title:BMC pregnancy and childbirth
pub_type: 杂志文章
doi:10.1186/1471-2393-14-190
更新日期:2014-06-04 00:00:00
abstract:BACKGROUND:In recent decades we have observed a remarkable increase in the rate of caesarean section (CS) in both developed and developing countries, especially in China. However, the real reasons for this phenomenon are uncertain. Notably, the number of women requesting elective CS without accepted valid medical indic...
journal_title:BMC pregnancy and childbirth
pub_type: 杂志文章,多中心研究
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更新日期:2014-12-12 00:00:00
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journal_title:BMC pregnancy and childbirth
pub_type: 杂志文章
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更新日期:2020-01-09 00:00:00
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journal_title:BMC pregnancy and childbirth
pub_type: 杂志文章
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更新日期:2018-06-15 00:00:00
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journal_title:BMC pregnancy and childbirth
pub_type: 杂志文章
doi:10.1186/s12884-020-2752-2
更新日期:2020-01-29 00:00:00