Cent Eur J Public Health 2020, 28(3):230-236 | DOI: 10.21101/cejph.a5641

Complications of planned home births in the Czech Republic between 2016‒2017

Petr Křepelka1,2, Petr Velebil1,2, Alena Měchurová1,2, Zbyněk Straňák1,2, Jaroslav Feyereisl1,2
1 Institute for the Care of Mother and Child, Prague, Czech Republic
2 Third Faculty of Medicine, Charles University, Prague, Czech Republic

Objective: This study aimed to analyze the complications of planned home births treated at healthcare facilities in the Czech Republic.

Methods: This prospective cohort observational study is based on analysis of women hospitalized with complications related to planned home deliveries in the Czech Republic between 2016 and 2017. The data were collected using an online form made accessible to the directors of all maternity hospitals in the Czech Republic. The results were statistically evaluated.

Results: We identified 45 complications during planned home deliveries. Complications occurred most often among women living in largely populated cities with higher levels of education. Overall, 40% of patients did not receive routine antenatal care, and 38% of women gave birth after the 41st week of pregnancy. In 60% of cases, no professionals attended the birth. Hospital transfer frequencies were 42% after delivery, 36% at third-stage labour, 11% first-stage labour, 9% second-stage labour, and 2% before delivery. We recorded four neonatal deaths and one severe newborn morbidity. There was one maternal death unrelated to the home-birthing process and six cases of severe maternal haemorrhagic shock requiring intensive care.

Conclusion: Complications of planned home births occurred more frequently in women living in largely populated cities and with higher education levels. Planned home births were also observed among women who were at a higher risk of complications. Risk factors included nulliparity, postdate pregnancy, and lack of prenatal care. Hospital transfers occurred most often in the third stage of labour and postpartum.

Klíčová slova: home birth, complication, neonatal death, maternal morbidity

Vloženo: 13. prosinec 2019; Revidováno: 14. červenec 2020; Přijato: 14. červenec 2020; Zveřejněno: 30. září 2020  Zobrazit citaci

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Křepelka P, Velebil P, Měchurová A, Straňák Z, Feyereisl J. Complications of planned home births in the Czech Republic between 2016‒2017. Cent Eur J Public Health. 2020;28(3):230-236. doi: 10.21101/cejph.a5641. PubMed PMID: 32997480.
Sdílet...
Stáhnout citaci
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Zobrazit celý článek

    Reference

    1. Loudon I. The transformation of maternal mortality. BMJ. 1992;305(6868):1557-60. Přejít k původnímu zdroji... Přejít na PubMed...
    2. Lindgren HE, Rådestad IJ, Christensson K, Wally-Bystrom K, Hildingsson IM. Perceptions of risk and risk management among 735 women who opted for a home birth. Midwifery. 2010;26(2):163-72. Přejít k původnímu zdroji... Přejít na PubMed...
    3. Birthplace in England Collaborative Group, Brocklehurst P, Hardy P, Hollowell J, Linsell L, Macfarlane A, McCourt C, et al. Perinatal and maternal outcomes by planned place of birth for healthy women with low risk pregnancies: the Birthplace in England national prospective cohort study. BMJ. 2011 Nov 23;343:d7400. doi: 10.1136/bmj.d7400. Přejít k původnímu zdroji... Přejít na PubMed...
    4. Hollowell J, Li Y, Bunch K, Brocklehurst P. A comparison of intrapartum interventions and adverse outcomes by parity in planned freestanding midwifery unit and alongside midwifery unit births: secondary analysis of 'low risk' births in the birthplace in England cohort. BMC Pregnancy Childbirth. 2017;17:95. doi: 10.1186/s12884-017-1271-2. Přejít k původnímu zdroji... Přejít na PubMed...
    5. Blix E, Kumle M, Kjærgaard H, Oian P, Lindgren HE. Transfer to hospital in planned home births: a systematic review. BMC Pregnancy Childbirth. 2014;14:179. doi:10.1186/1471-2393-14-179. Přejít k původnímu zdroji... Přejít na PubMed...
    6. Lindgren HE, Radestad IJ, Hildingsson IM. Transfer in planned home births in Sweden - effects on the experience of birth: a nationwide population-based study. Sex Reprod Healthc. 2011;2(3):101-5. Přejít k původnímu zdroji... Přejít na PubMed...
    7. Dunham B. Home birth midwifery in the United States. Hum Nat. 2016;27(4):471-88. Přejít k původnímu zdroji... Přejít na PubMed...
    8. Zeitlin J, Mohangoo A, Delnorn M, editors. European perinatal health report. The health and care of pregnant women and babies in Europe in 2010. Paris: Euro Peristat; 2013.
    9. Institute of Health Information and Statistics of the Czech Republic. Mother and newborn 2014-2015 [Internet]. Prague: IHIS CR; 2017 [cited 2018 0ct 10]. Available from: https://www.uzis.cz/sites/default/files/knihovna/rodnov2014_2015.pdf. (In Czech, English.)
    10. van der Kooy J, Poeran J, de Graaf JP, Bimie E, Denktass S, Steegers EA, et al. Planned home compared with planned hospital births in the Netherlands: intrapartum and early neonatal death in low-risk pregnancies. Obstet Gynecol. 2011;118(5):1037-46. Přejít k původnímu zdroji... Přejít na PubMed...
    11. de Jonge A, van der Goes BY, Ravelli AC, Amelink-Verburg MP, Mol BW, Nijhuis JG, et al. Perinatal mortality and morbidity in a nationwide cohort of 529,688 low-risk planned home and hospital births. BJOG. 2009;116(9):1177-84. Přejít k původnímu zdroji... Přejít na PubMed...
    12. Janssen PA, Saxell L, Page LA, Klein MC, Liston RM, Lee SK. Outcomes of planned home birth with registered midwife versus planned hospital birth with midwife or physician. CMAJ. 2009;181(6-7):377-83. Přejít k původnímu zdroji... Přejít na PubMed...
    13. Lindgren HE, Radestad IJ, Christensson K, Hildingsson IM. Outcome of planned home births compared to hospital births in Sweden between 1992 and 2004. A population-based register study. Acta Obstet Gynecol Scand. 2008;87(7):751-9. Přejít k původnímu zdroji... Přejít na PubMed...
    14. Evers AC, Brouwers HA, Hukkelhoven CW, Nikkels PG, Boon J, van Egmond-Linden A, et al. Perinatal mortality and severe morbidity in low and high risk term pregnancies in the Netherlands: prospective cohort study. BMJ. 2010 Nov 2;341:c5639. doi: 10.1136/bmj.c5639. Přejít k původnímu zdroji... Přejít na PubMed...
    15. Wax JR, Lucas FL, Lamont M, Pinette MG, Carlin A, Blackstone J. Maternal and newborn outcomes in planned home birth vs planned hospital births: a metaanalysis. Am J Obstet Gynecol. 2010 Sep;203(3):243.e1-8. doi: 10.1016/j.ajog.2010.05.028. Přejít k původnímu zdroji... Přejít na PubMed...
    16. Grunebaum A, McCullough LB, Sapra KJ, Brent RL, Levene MI, Arabin B, et al. Apgar score of 0 at 5 minutes and neonatal seizures or serious neurologic dysfunction in relation to birth setting. Am J Obstet Gynecol. 2013 Oct;209(4):323e1-6. doi: 10.1016/j.ajog.2013.06.025. Přejít k původnímu zdroji... Přejít na PubMed...
    17. Grunebaum A, McCullough LB, Sapra KJ, Brent RL, Levene MI, Arabin B, et al. Early and total neonatal mortality in relation to birth setting in the United States, 2006-2009. Am J Obstet Gynecol. 2014;211(4):390.e1-7. doi: 10.1016/j.ajog.2014.03.047. Přejít k původnímu zdroji... Přejít na PubMed...
    18. Snowden JM, Tilden EL, Snyder J, Quigley B. Planned out-of-hospital birth and birth outcomes. N Engl J Med. 2015;373(27):2642-53. Přejít k původnímu zdroji... Přejít na PubMed...
    19. Wasden SW, Chasen ST, Perlman JM, Illuzze JL, Chervenak FA, Grunebaum A, et al. Planned home birth and the association with neonatal hypoxic ischemic encephalopathy. J Perinat Med. 2017;45(9):1055-60. Přejít k původnímu zdroji... Přejít na PubMed...
    20. Königsmarková I. Homebirth in Czech Republic. Ceska Gynekol. 2012;77(6):558-62. (In Czech.)
    21. Křepelka P, Velebil P. The safety of home birth and evidence-based medicine. Ceska Gynekol. 2012;77(6):555-8. (In Czech.)
    22. Chervenak FA, Grünebaum A, Arabin B, McCullough LB. The European Court of Human Rights on planned home birth: resolution of a paradoxical ruling. BJOG. 2017;124(10):1472-3. Přejít k původnímu zdroji... Přejít na PubMed...
    23. Boucher D, Bennett C, McFarlin B, Freeze R. Staying home to give birth: why women in the United States choose home birth. J Midwifery Womens Health. 2009;54(2):119-26. Přejít k původnímu zdroji... Přejít na PubMed...
    24. Bachilova S, Czuzoj-Shulman N, Abenhaim HA. Effect of maternal and pregnancy risk factors on early neonatal death in 41004 planned home births delivering at home. J Obstet Gynaecol Can. 2018;40(5):540-6. Přejít k původnímu zdroji... Přejít na PubMed...
    25. Zizzo AR, Kirkegaard I, Pinborg A, Ulbjerg N. Decline in stillbirths and perinatal mortality after implementation of a more aggressive induction policy in post-date pregnancies: a nationwide register study. Acta Obstet Gynecol Scand. 2017;96(17):862-7. Přejít k původnímu zdroji... Přejít na PubMed...
    26. Cox KJ, Bovbjerg ML, Cheyney M, Leeman LM. Planned Home VBAC in the United States, 2004-2009: outcomes, maternity care practices, and implications for shared decision making. Birth. 2015;42(4):299-308. Přejít k původnímu zdroji... Přejít na PubMed...
    27. Maher MA, Sayyed TM, Elkhouly NI. Different routes and forms of uterotonics for treatment of retained placenta: a randomized clinical trial. J Matern Fetal Neonatal Med. 2017;30(18):2179-84. Přejít k původnímu zdroji... Přejít na PubMed...
    28. Albers LL, Sedler KD, Bedrick EJ, Teaf D, Peralta P. Midwifery care measures in the second stage of labor and reduction of genital tract trauma at birth: a randomized trial. J Midwifery Womens Health. 2005;50(5):365-72. Přejít k původnímu zdroji... Přejít na PubMed...
    29. Edqvist M, Blix E, Hegaard HK, Ólafsdottir OÁ, Hildingsson I, Ingversen K, et al. Perineal injuries and birth positions among 2992 women with a low risk pregnancy who opted for a homebirth. BMC Pregnancy Childbirth. 2016;16:196. doi 10.1186/s12884-016-0990-0. Přejít k původnímu zdroji... Přejít na PubMed...
    30. Bastian H, Keirse MJ, Lancaster PA. Perinatal death associated with planned home birth in Australia: population based study. BMJ. 1998 Aug 8;317(7155):384-8. Přejít k původnímu zdroji... Přejít na PubMed...

    Zpět na obsah