Planned hospital birth compared with planned home birth for pregnant women at low risk of complications

Olsen, Ole; Clausen, Jette Aaroe

doi:10.1002/14651858.cd000352.pub3

Cited by 4 publications

(6 citation statements)

References 79 publications

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“…Freebirthing occurs when women intentionally give birth without health care professionals present (McKenzie et al, 2020:512). This is different to homebirths, in which HCPs such as midwives attend a woman's place of residence to support her during labour and birth (see Olsen and Clausen (2023)). As all medical and therefore maternity care in the UK is voluntary (see the case of Re: MB (Caesarean Section) [1997] EWCA Civ 1361), freebirth is legal and women are entitled to make such a birthing decision.…”

Section: Reaffirming and Challenging Current Understanding Of Abuse D...mentioning

confidence: 99%

Learning from obstetric violence in UK births at home: reaffirming and challenging current understanding of abuse during the maternity period

McKenzie

2024

Journal of Gender-Based Violence

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Current understanding and conceptualisations of obstetric violence typically focus on abuse carried out on pregnant women during births in medical facilities. However, data from an empirical study of freebirthing in the UK (intentionally giving birth without health care professionals present) inadvertently exposed examples of obstetric violence during births at home. This is an under-researched area and such empirical examples are rare. The article introduces the literature on obstetric violence, highlighting some of its limitations with regards to understanding the phenomenon within the home setting. Using archival examples, it also demonstrates how obstetric violence in the home is not a new phenomenon, thus problematising any presumption that this type of violence is rooted in the hospital as institution. Further, data from The Freebirth Study both reaffirms and challenges current understanding of obstetric violence, particularly around consent, the temporal nature of the abuse and the ways it can manifest. Finally, with recent moves towards legislating against obstetric violence, the article argues for legislative change to recognise abuse in the home.

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Section: Reaffirming and Challenging Current Understanding Of Abuse D...mentioning

confidence: 99%

Learning from obstetric violence in UK births at home: reaffirming and challenging current understanding of abuse during the maternity period

McKenzie

2024

Journal of Gender-Based Violence

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“…Our analysis pointed to negative correlations between the frequency of home births assisted by trained healthcare professionals and the rates of perinatal, neonatal, and infant mortality, and we found a positive correlation between the frequency of home births with non-specialised care providers or unattended home births and infant mortality rates. With regard to these results, recently, the authors of the updated Cochrane review comparing planned hospital births with planned home births stated, "the evidence from randomised trials to support that planned hospital birth reduces maternal or perinatal mortality, morbidity, or any other critical outcome is uncertain" (Olsen and Clausen 2023).…”

Section: Home Birth and Health Outcomesmentioning

confidence: 99%

Home Birth in Portugal—A Comprehensive Analysis Based on Official Statistical Data

et al. 2023

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To date, there are no comprehensive analyses of the official data on home births in Portugal that consider other determinants beyond place of birth, such as the conditions in which births occur or the mothers’ social profiles. The aims of this article were: (1) to describe the characteristics of childbirth in Portugal according to the place of birth, and (2) to analyse the association between home birth assistance and perinatal, neonatal, and infant mortality rates. We performed a descriptive, correlational analysis of the official datasets of live births in Portugal (census-based) produced by the National Institute of Statistics. In 2020, home births had more similarities with hospital births than to births occurring in any “other place”. Furthermore, considering the 1995–2020 timeframe, home births with specialised assistance were negatively correlated with perinatal, neonatal, and infant mortality, and home births with non-specialised professional assistance or those that were unassisted showed a positive correlation with these mortality rates. Home births are heterogenous, and merely referencing the place of birth does not provide enough information. Although it recommended further investigation, this analysis pointed to the need to assure a specific, systematic evaluation of the quality of care in home births that allows for the consistent assessment and improvement of its safety.

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“…B. [2] und [3]) belegen, dass geplante außerklinische Geburten mit professioneller Begleitung sicher sind. Die medizinischen Outcomes für Mutter und Kind sind genauso gut wie jene von Low-Risk-Geburten in Klinikkreißsälen, bei weniger Interventionen und größerer Zufriedenheit der Frauen, die zu Hause oder im Geburtshaus geboren haben.…”

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Liebe Leserin, lieber Leser,

Beckmann

2024

Geburtshilfe Frauenheilkd

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Planned hospital birth compared with planned home birth for pregnant women at low risk of complications

Cited by 4 publications

References 79 publications

Learning from obstetric violence in UK births at home: reaffirming and challenging current understanding of abuse during the maternity period

Learning from obstetric violence in UK births at home: reaffirming and challenging current understanding of abuse during the maternity period

Home Birth in Portugal—A Comprehensive Analysis Based on Official Statistical Data

Liebe Leserin, lieber Leser,

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