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Severe adverse maternal outcomes among low risk women with planned home versus hospital births in the Netherlands: nationwide cohort study

BMJ 2013; 346 doi: https://doi.org/10.1136/bmj.f3263 (Published 13 June 2013) Cite this as: BMJ 2013;346:f3263

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Re: Severe adverse maternal outcomes among low risk women with planned home versus hospital births in the Netherlands: nationwide cohort study

It appears that the single most important piece of information is missing from the study. How many women in each group died? Without that information we cannot draw any conclusions about the relative safety of homebirth and hospital birth among low risk women.

This is a glaring omission since it would be meaningless that fewer women experienced severe maternal complications at homebirth if more women died as a result.

Competing interests: No competing interests

14 June 2013
Amy Tuteur, MD
obstetrician
self-employed
Boston, MA