Planned
out-of-hospital births had a slight increase in perinatal mortality in a large
Oregon study, but the risk was very low in both groups.
As expected the use of assisted delivery
methods such as induction of labor and C-sections was much lower in home births.
Studies in Europe have shown that planned out-of-hospital
births for low-risk patients can be a safe option.
Mothers and fathers often report a favorable
birth experience.
The authors stress the
importance of skilled midwives and careful backup coverage from obstetricians.
See the 12/30/15 issue of the NEJM.
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