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dc.contributor.authorBlix, Ellen
dc.contributor.authorKumle, Merethe
dc.contributor.authorKjærgaard, Hanne
dc.contributor.authorØian, Pål
dc.contributor.authorLindgren, Helena E
dc.date.accessioned2014-08-15T08:43:53Z
dc.date.available2014-08-15T08:43:53Z
dc.date.issued2014
dc.description.abstractBackground: There is concern about the safety of homebirths, especially in women transferred to hospital during or after labour. The scope of transfer in planned home births has not been assessed in a systematic review. This review aimed to describe the proportions and indications for transfer from home to hospital during or after labour in planned home births. Methods: The databases Pubmed, Embase, Cinahl, Svemed+, and the Cochrane Library were searched using the MeSH term “home childbirth”. Inclusion criteria were as follows: the study population was women who chose planned home birth at the onset of labour; the studies were from Western countries; the birth attendant was an authorised midwife or medical doctor; the studies were published in 1985 or later, with data not older than from 1980; and data on transfer from home to hospital were described. Of the 3366 titles identified, 83 full text articles were screened, and 15 met the inclusion criteria. Two of the authors independently extracted the data. Because of the heterogeneity and lack of robustness across the studies, there were considerable risks for bias if performing meta-analyses. A descriptive presentation of the findings was chosen. Results: Fifteen studies were eligible for inclusion, containing data from 215,257 women. The total proportion of transfer from home to hospital varied from 9.9% to 31.9% across the studies. The most common indication for transfer was labour dystocia, occurring in 5.1% to 9.8% of all women planning for home births. Transfer for indication for foetal distress varied from 1.0% to 3.6%, postpartum haemorrhage from 0% to 0.2% and respiratory problems in the infant from 0.3% to 1.4%. The proportion of emergency transfers varied from 0% to 5.4%. Conclusion: Future studies should report indications for transfer from home to hospital and provide clear definitions of emergency transfers.en
dc.identifier.citationBMC Pregnancy and Childbirth (2014), vol. 14:179en
dc.identifier.cristinIDFRIDAID 1140897
dc.identifier.doihttp://dx.doi.org/10.1186/1471-2393-14-17924886482
dc.identifier.issn1471-2393
dc.identifier.urihttps://hdl.handle.net/10037/6528
dc.identifier.urnURN:NBN:no-uit_munin_6134
dc.language.isoengen
dc.publisherBioMed Centralen
dc.rights.accessRightsopenAccess
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Gynecology and obstetrics: 756en
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Gynekologi og obstetrikk: 756en
dc.titleTransfer to hospital in planned home births: a systematic reviewen
dc.typeJournal articleen
dc.typeTidsskriftartikkelen
dc.typePeer revieweden


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