Pregnancy
Resources
Basic InformationLatest News
Smoking During Pregnancy Up Among Women With DepressionWound Complication Rate for C-Section Varies With Suture TypePreterm Birth Risk Spikes in Mothers With Sleep DisordersBirths Outside Obstetric Institutions Up Mortality RiskPrenatal Exposure to Certain Flame Retardants Linked to Lower IQsPoor Adherence to Self-Monitoring of Glucose in GDMRecent Flu Shot Shouldn't Prevent Vaccination During PregnancyACOG: Opioid Agonist Rx First Choice in Affected PregnanciesC-Section, GDM Rates Down With Maternal Lifestyle InterventionsAntidepressants in Pregnancy Tied to Slight Increase in AutismGood Diet, Exercise While Pregnant Could Cut C-section RiskAsthma Control Essential in Pregnancy, Study SuggestsNo Sign That Antidepressants in Pregnancy Harm Kids' Brains: StudyDoes Stress Worsen Chemical Harms in Pregnancy?Pregnancy Complication Costs U.S. BillionsDo Moms Who Smoke in Pregnancy Raise Their Odds for a Troubled Teen?Sugary Drinks in Pregnancy Tied to Heavier Kids LaterSugar Intake During Pregnancy Tied to Allergy in OffspringCould a Sweet Tooth in Pregnancy Spur Allergies in Kids?Can an Aspirin a Day Keep a Pregnancy Complication Away?Diabetic Ketoacidosis Poses Fetal Risk During/After EventBirth Defect Risk Rises With Maternal Excess Weight SeverityHigher Pregnancy Weight Tied to Raised Odds for Birth DefectsFever During Pregnancy Tied to Autism in StudySuccessful Pregnancies Seen After Uterine Fibroid EmbolizationOpioids Tend to Be Over-Prescribed After Cesarean SectionOpioids Over-Prescribed After C-Sections: Studies1 in 20 Pregnant Women Infected With Zika Have Babies With Birth Defects: CDCNewborns Sickened With Legionnaire's Disease Via Home Water Birth: CDCHeart Risks to Fetus From Bipolar Drug May Be Lower Than ThoughtAblation Successful for Trigeminal Neuralgia in PregnancyAntidepressants During Pregnancy Safe for Baby: StudyJust 10 Cigarettes During Pregnancy Can Harm KidsPregnancy Weight Gain: Too Much or Too Little Is UnhealthyBreast-Feeding May Reduce Pain From C-SectionHealth Tip: Bleeding Gums During Pregnancy?Mindfulness-Based Childbirth Prep Course Found BeneficialDistinct Maternal, Fetal Risks for Anticoagulants in PregnancyStroke Risk Can Rise With Pregnancy-Linked High Blood PressureInduction With Concurrent Oxytocin, Foley Speeds DeliveryU.S. Moms-to-Be Often Victims of AssaultIncreasing Numbers of Pregnant Women Also Have Heart DiseaseSleep Apnea May Boost Pregnancy ComplicationsHealth Tip: Getting an X-Ray During PregnancyOdds for C-Section May Depend on HospitalAs Temps Rise, Risk of Pregnancy Complication May TooBiomarker ID'd for Pregnancy-Induced Glucose IntoleranceHigh Rates of Hepatitis C in Pregnancy Mirror Opioid Epidemic: CDCZika Risk May Be Lower Than Thought for Some Pregnant WomenMom's Money Worries May Mean Smaller Baby
Questions and AnswersLinksBook ReviewsSelf-Help Groups
Related Topics

Births Outside Obstetric Institutions Up Mortality Risk


HealthDay News
Updated: Aug 8th 2017

new article illustration

TUESDAY, Aug. 8, 2017 (HealthDay News) -- Unplanned birth outside an obstetric institution is associated with increased peripartum mortality and long travel time to an institution, according to a study published in the August issue of the American Journal of Obstetrics & Gynecology.

Hilde M. Engjom, M.D., from the University of Bergen in Norway, and colleagues assessed all births in Norway from 1999 to 2009 (n = 648,555) using data from the Medical Birth Registry of Norway and Statistics Norway and including births from 22 gestational weeks or birth weight ≥500 g in order to assess peripartum mortality by place of birth and travel time to obstetric institutions.

The researchers identified 1,586 peripartum deaths (2.5 per 1,000 births). Compared with institutional births, unplanned birth outside an institution had a three-fold higher mortality (2.4 versus 8.4 per 1,000; relative risk, 3.5). The risk of unplanned birth outside an institution increased from 0.5 percent for less than one hour of travel time to 3.3 percent for one to two hours and 4.5 percent for more than two hours. For comparison, mortality rates at term in obstetric institutions ranged from 0.7 to 0.9 per 1,000.

"The results show the importance of skilled birth attendance and warrant attention from clinicians and policy makers to negative consequences of reduced access to institutions," the authors write.

Abstract
Full Text