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Study shows higher rates of neonatal mortality with planned home births

BMJ 2010; 341 doi: (Published 02 July 2010) Cite this as: BMJ 2010;341:c3551
  1. Susan Mayor

    A1 London

    Planned home births are associated with a twofold increase in neonatal mortality rate compared with hospital deliveries in developed countries—although both rates are very low, a systematic review has found. The difference may be caused by a lower rate of medical intervention and access to neonatal resuscitation, researchers suggest.

    The study found a neonatal death rate of 0.2% (32 deaths in 16 500 births) in planned deliveries at home, compared with 0.09% (32 in 33 302 births) for hospital deliveries (American Journal of Obstetrics and Gynecology doi:10.1016/j.ajog.2010.04.041). Neonatal death was defined as death of a liveborn within 28 days of delivery. Perinatal mortality rates, which included stillbirths of at least 20 weeks or 500 g as …

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