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Table 1 Description and quality assessments of included studies

From: Transfer to hospital in planned home births: a systematic review

Study

Inclusion criteria

Participants (% P01)

Caregivers

Study design

Data source

Duration of observation time after birth

Analyses stratified for parity

Study population representative

Quality

Amelink-Verburg et al.[24]

All women under midwifery care and with an intended home birth in the Netherlands during 01.01.2001-31.12.2003

N = 168,618

Primary level midwifes

Prospective

The Dutch Midwifery Perinatal Database (LVR1)

2 h after the birth of the placenta

No

Data from LVR1 covers 95% of midwifery practices.

Medium

(Parity not described)

Anderson et al.[22]

All Nurse-midwifery practices in the USA during 1987-1991

N = 11,084

Independent midwives

Retrospective

Data collection forms from the midwives

..”early postpartum period”

No

66% of midwifery practices participated.

Medium

(Parity not described)

BECG2[1]

All NHS trusts providing intrapartum care at home in England (UK) during April 2008-April 2010

N = 16,840

National Health Service midwives

Prospective

Data collection forms from midwives and hospitals

48 h postpartum

Yes

97% of trusts providing home birth services participated. (Home births attended by independent midwives in the region were not included)

Good

(27.2%)

Blix et al.[25]

All planned home births in Norway during 01.01.1990-31.12.2007

N = 1631

Independent midwives

Retrospective

Midwives’ patient files

5 days postpartum

Yes

Unclear, probably >70% of all planned home births during the study period

Medium

(22.6% )

Davies et al.[23]

All women in the North Regional Health Authority area (UK) who planned for a home birth and expected to deliver in 1993

N = 177

National Health Service midwives

Prospective

Data collection forms from midwives, women and GP’s

Not described

Partly

Unclear, probably were all planned home births attended by NHS midwives included.

Medium

(9.1%)

Hansen and et al.[27]

All home births assisted by midwives employed by the local health authorities in the Municipality of Copenhagen (Denmark) during 1980-1982

N = 102

Midwives employed at Hvidovre Hospital

Retrospective

Hospital patient files

Not described

No

All planned home births assisted by midwives employed by the local health authorities were included. (Home births attended by independent midwives in the region were not included)

Medium

(about 50%)

Howe [17]

All home births attended by a registered midwife in the south-west of Western Australia during 01.01.1983-31.12.1986

N = 165

Independent midwives

Retrospective

Midwifery registers

Not described

Partly

All midwives participated

Medium

(31.5%)

Hutton et al.[18]

All home births attended by Ontario midwives during 01.04.2003-31.03.2006 (Canada)

N = 6,692

Certified midwives who are required to submit all data to a regional database

Retrospective

The Ontario Ministry of Health Database

Not described

Partly

All planned home births were included

Medium

(34.3%)

Johnson and Daviss [4]

All home births involving certified professional midwives across the USA and Canada during 01.01.2000-31.12.2000

N = 5,418

Independent midwives

Prospective

Data collection forms from the midwives

Not described

No

73% of the midwives asked, participated. <1% of the women declined participation

Medium

(31.2%)

Janssen et al.[19]

All planned home births attended by regulated midwives in British Columbia (Canada) during 01.01.1998-31.12.1999

N = 797

Regulated midwives

Prospective

Data collection forms

Not described

No

>99% of the data collection forms were received

Medium

(about 47%)

Lindgren et al.[26]

All planned home births in Sweden during 01.01.1992-31.07.2005

N = 1,025

Independent midwives

Retrospective

Data collection forms to the mothers

…”shortly after planned home birth”

Yes

99% of the women asked, agreed to participate. Unclear if all home births were identified.

Medium

(23.8%)

McMurtrie et al.[15]

The first 100 booked home births at the St. George Homebirth Program during Nov 2005-March 2009 in New South Wales (Australia)

n = 70 attempted home births

Midwives employed at St George Hospital

Prospective

Databases at the birth centre

Not described

No

All planned homebirths were included. (Home births attended by independent midwives in the region were not included)

Medium

(Parity not described)

Murphy et al.[21]

All nurse-midwifery practices providing home birth services in the USA during Dec 1994-Dec 1995

N = 1,221

Independent midwives

Prospective

Data collection forms from the midwives, data from hospital files

Not described

Partly

64% of midwifery practices participated. 20% of women transferred to hospital were lost-to-follow-up

Medium

(22.0%)

Parratt et al.[16]

All planned home births in Victoria (Australia) during 1995-1998

N = 419

Independent midwives

Retrospective

Midwives’ patient files

Not described

No

50-60 births were not included

Medium

(about 31%)

Tyson [20]

All planned midwife-attended home births in Toronto (Canada) during Jan 1983-Jul 1988

N = 1,001

Independent midwives

Retrospective

Midwives’ patient files

4 days postpartum

Yes

All midwives participated

Medium

(Parity not described)

  1. 1P0 = nulliparous women. 2Birthplace in England Collaborative Group.