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Education And Debate

Mortality is still important, and hospital is safer

BMJ 1996; 312 doi: (Published 23 March 1996) Cite this as: BMJ 1996;312:756
  1. R S Settatree, obstetrician and gynaecologista
  1. a Department of Obstetrics and Gynaecology, Solihull Hospital, Solihull, West Midlands B91 2JL

    In the 1993 United Kingdom (except Scotland) inquiry into intrapartum related mortality with a weight at birth of at least 2500 g there were 367 deaths among the 666204 babies born in hospital (1:1815) and 21 among the 10588 babies born at home (1:504). However, only nine of the 21 babies who died and were born at home were planned home births. Over this time an unknown proportion of women who planned a home delivery would have been transferred before birth on the basis of some predicted risk or emergency to hospital, where some of their babies would have died, adding to the mortality for hospital deliveries. Furthermore, a proportion …

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