From: Transfer to hospital in planned home births: a systematic review
Outcome events, (n/N) | Prevalence | (95% CI) | |
---|---|---|---|
All transfers 1,2 | |||
Amelink-Verburg et al.[24] | 53809/168618 | 31.9 | (31.7-32.1) |
Anderson et al.[22] | 1093/11081 | 9.9 | (9.3-10.4) |
BECG3[1] | 3530/16840 | 21.0 | (20.3-21.6) |
Blix et al.[25] | 197/1631 | 12.1 | (10.5-13.8) |
Davies et al.[23] | 39/177 | 22.0 | (16.2-28.9) |
Hansen et al.[27] | 29/102 | 28.4 | (19.9-38.2) |
Howe [17] | 34/165 | 20.6 | (14.7-27.6) |
Hutton et al.[18] | 954/6692 | 14.3 | (13.4-15.1) |
Janssen et al.[19] | 165/797 | 20.7 | (17.9-23.7) |
Johnson and Daviss [4] | 655/5418 | 12.1 | (11.2-13.0) |
Lindgren et al.[26] | 128/1025 | 12.5 | (10.5-14.7) |
McMurtrie et al.[15] | 10/70 | 14.3 | (7.1-24.7) |
Murphy et al.[21] | 126/1221 | 10.3 | (8.7-12.2) |
Parratt et al.[16] | 64/419 | 15.3 | (12.0-19.1) |
Tyson [20] | 165/1001 | 16.5 | (14.2-18.9) |
Transfers during labour 2 | |||
Amelink-Verburg et al.[24] | 40636/168618 | 24.1 | (23.9-24.3) |
Anderson et al.[22] | 905/11081 | 8.2 | (7.7-8.7) |
BECG3[1] | 2387/16840 | 14.2 | (13.7-14.7) |
Blix et al.[25] | 156/1631 | 9.6 | (8.2.11.1) |
Davies et al.[23] | 35/177 | 19.8 | (14.2-26.4) |
Howe [17] | 23/165 | 13.9 | (9.0-20.2) |
Hutton et al.[18] | 835/6692 | 12.5 | (11.7-13.3) |
Janssen et al.[19] | 142/797 | 17.8 | (15.2-20.7 |
Johnson and Daviss [4] | 546/5418 | 10.1 | (9.3-10.9) |
Lindgren et al.[26] | 109/1025 | 10.6 | (8.8-12.7) |
McMurtrie et al.[15] | 7/70 | 10.0 | (4.1-19.5) |
Murphy et al.[21] | 102/1221 | 8.4 | (6.9-10.0) |
Parratt et al.[16] | 51/419 | 12.2 | (9.2-15.7) |
Tyson [20] | 141/1001 | 14.1 | (12.0-16.4) |
Transfers after birth 2 | |||
Amelink-Verburg et al.[24] | 3204/168618 | 1.9 | (1.8-2.0) |
Anderson et al.[22] | 188/11081 | 1.7 | (1.5-2.0) |
BECG3[1] | 1046/16040 | 6.2 | (5.9-6.6) |
Blix et al.[25] | 41/1631 | 2.5 | (1.8-3.4) |
Davies et al.[23] | 4/177 | 2.3 | (0.6-5.7) |
Howe [17] | 12/165 | 7.3 | (3.8-12.4) |
Hutton et al.[18] | 119/6692 | 1.8 | (1.5-2.1) |
Janssen et al.[19] | 23/797 | 2.9 | (1.8-4.3) |
Johnson and Daviss [4] | 37/5418 | 0.7 | (0.5-0.9) |
Lindgren et al.[26] | 19/1025 | 1.9 | (1.1-2.9) |
McMurtrie et al.[15] | 3/70 | 4.3 | (0.9-12.0) |
Murphy et al.[21] | 24/1221 | 2.0 | (1.3-2.9) |
Parratt et al.[16] | 13/419 | 3.1 | (1.7-5.2) |
Tyson [20] | 24/1001 | 2.4 | (1.5-3.5) |
Emergency transfers | |||
Amelink-Verburg et al.[24] | 5735/168618 | 3.4 | (3.3-3.5) |
Anderson et al.[22] | 202/11081 | 1.8 | (1.6-2.1) |
Blix et al.[25] | 16/1631 | 1.0 | (0.6-1.6) |
Davies et al.[23] | 0/177 | 0.0 | (0.0-2.1) |
Hansen et al.[27] | 1/102 | 1.0 | (0.0-5.3) |
Hutton et al.[18] | 361/6692 | 5.4 | (4.9-6.0) |
Janssen et al.[19] | 27/797 | 3.4 | (2.2-4.9) |
Johnson and Daviss [4] | 185/5418 | 3.4 | (2.9-3.9) |
Transfers for slow progress in labour 2 | |||
Anderson et al.[22] | 612/11081 | 5.5 | (5.1-6.0) |
Blix et al.[25] | 108/1631 | 6.6 | (5.5-7.9) |
Anderson et al.[22] | 13/177 | 7.3 | (4.0-12.2) |
Howe [17] | 13/165 | 7.9 | (4.3-13.1) |
Janssen et al.[19] | 56/797 | 7.0 | (5.4-9.0) |
Johnson and Daviss [4] | 326/5418 | 6.0 | (5.4-6.7) |
Lindgren et al.[26] | 66/1025 | 6.4 | (5.0-8.1) |
McMurtrie et al.[15] | 6/70 | 8.6 | (3.2-17.7) |
Murphy et al.[21] | 63/1221 | 5.2 | (4.0-6.7) |
Parratt et al.[16] | 26/419 | 6.2 | (4.1-9.0) |
Tyson [20] | 98/1001 | 9.8 | (8.0-11.8) |
Transfers for fetal distress 2 | |||
Anderson et al.[22] | 170/11081 | 1.5 | (1.3-1.8) |
Davies et al.[23] | 2/177 | 1.1 | (0.1-4.0) |
Howe [17] | 2/165 | 1.2 | (0.1-4.3) |
Janssen et al.[19] | 29/797 | 3.6 | (2.5-5.2) |
Johnson and Daviss [4] | 119/5418 | 2.2 | (1.8-2.6) |
Lindgren et al.[26] | 11/1025 | 1.1 | (0.5-1.9) |
McMurtrie et al.[15] | 1/70 | 1.4 | (0.0-7.7) |
Murphy et al.[21] | 13/1221 | 1.1 | (0.6-1.8) |
Tyson [20] | 24/1001 | 2.4 | (1.5-3.5) |
Transfers for PPH 2 | |||
Anderson et al.[22] | 44/11081 | 0.4 | (0.3-0.5) |
Davies et al.[23] | 0/177 | 0.0 | (0.0-0.2) |
Howe [17] | 1/165 | 0.6 | (0.0-3.3) |
Janssen et al.[19] | 4/797 | 0.5 | (0.1-1.3) |
Johnson and Daviss [4] | 34/5418 | 0.6 | (0.4-0.9) |
Lindgren et al.[26] | 9/1025 | 0.9 | (0.4-1.7) |
McMurtrie et al.[15] | 1/70 | 1.4 | (0.0-7.7) |
Murphy et al.[21] | 3/1221 | 0.2 | (0.0-0.7) |
Parratt et al.[16] | 6/419 | 1.4 | (0.5-3.1) |
Tyson [20] | 7/1001 | 0.7 | (0.3-1.4) |
Transfers for respiratory problems 2 | |||
Anderson et al.[22] | 62/11081 | 0.6 | (0.4-0.7) |
Howe [17] | 1/165 | 0.6 | (0.0-3.3) |
Janssen et al.[19] | 7/797 | 0.9 | (0.4-1.8) |
Johnson and Daviss [4] | 33/5418 | 0.6 | (0.4-0.9) |
McMurtrie et al.[15] | 1/70 | 1.4 | (0.0-7.8) |
Murphy et al.[21] | 7/1221 | 0.6 | (0.2-1.2) |
Parratt et al.[16] | 2/419 | 0.5 | (0.1-1.7) |
Tyson [20] | 3/1001 | 0.3 | (0.1-0.8) |
All transfers in settings where home births are an integrated and regulated part of the national or regional health care system 1,2 | |||
Amelink-Verburg et al.[24] | 53809/168618 | 31.9 | (31.7-32.1) |
BECG3[1] | 3530/16840 | 21.0 | (20.3-21.6) |
Davies et al.[23] | 39/177 | 22.0 | (16.2-28.9) |
Hansen et al.[27] | 29/102 | 28.4 | (19.9-38.2) |
Janssen et al.[19] | 165/797 | 20.7 | (17.9-23.7) |
McMurtrie et al.[15] | 10/70 | 14.3 | (7.1-24.7) |
All transfers in settings where the births were booked with independent midwives 1,2 | |||
Anderson et al.[22] | 1093/11081 | 9.9 | (9.3-10.4) |
Blix et al.[25] | 197/1631 | 12.1 | (10.5-13.8) |
Howe [17] | 34/165 | 20.6 | (14.7-27.6) |
Hutton et al.[18] | 954/6692 | 14.3 | (13.4-15.1) |
Johnson and Daviss [4] | 655/5418 | 12.1 | (11.2-13.0) |
Lindgren et al.[26] | 128/1025 | 12.5 | (10.5-14.7) |
Murphy et al.[21] | 126/1221 | 10.3 | (8.7-12.2) |
Parratt et al.[16] | 64/419 | 15.3 | (12.0-19.1) |
Tyson [20] | 165/1001 | 16.5 | (14.2-18.9) |
Nulliparas, all transfers 1 | |||
BECG3[1] | 2057/4568 | 45.4 | (44.0-46.9) |
Blix et al.[25] | 117/369 | 31.7 | (27.0-36.7) |
Howe [17] | 14/52 | 26.9 | (15.6-41.0) |
Hutton et al.[18] | 704/2293 | 30.7 | (28.8-32.6) |
Lindgren et al.[26] | 57/244 | 23.4 | (18.2-29.2) |
Tyson [20] | 116/360 | 32.2 | (27.4-37.3) |
Nulliparas, transfers during labour | |||
BECG3[1] | 1605/4568 | 35.1 | (33.8-36.5) |
Blix et al.[25] | 100/369 | 27.1 | (22.6-31.9) |
Davies et al.[23] | 9/16 | 56.3 | (29.9-80.2) |
Hutton et al.[18] | 638/2293 | 27.8 | (26.0-29.7) |
Lindgren et al.[26] | 53/244 | 21.7 | (16.7-27.4) |
Murphy et al.[21] | 73/269 | 27.1 | (21.9-32.9) |
Tyson [20] | 102/360 | 28.3 | (23,7-33.3) |
Nulliparas, transfers after birth | |||
BECG3[1] | 407/4568 | 8.9 | (8.1-9.8) |
Blix et al.[25] | 17/369 | 4.6 | (2.7-7.2) |
Lindgren et al.[26] | 4/244 | 1.6 | (0.4-4.1) |
Tyson [20] | 14/360 | 3.9 | (2.1-6.4) |
Multiparas, all transfers 1 | |||
BECG3[1] | 1472/12272 | 12.0 | (11.4-12.6) |
Blix et al.[25] | 80/1262 | 6.3 | (5.1-7.8) |
Howe [17] | 12/113 | 10.6 | (5.6-17.8) |
Hutton et al.[18] | 250/4339 | 5.8 | (5.1-6.5) |
Lindgren et al.[26] | 71/781 | 9.1 | (7.2-11.3) |
Tyson [20] | 49/641 | 7.6 | (5.7-10.0) |
Multiparas, transfers during labour | |||
BECG3[1] | 782/12272 | 6.4 | (5.9-6.8) |
Blix et al.[25] | 56/1262 | 4.4 | (3.4-5.7) |
Davies et al.[23] | 26/161 | 16.1 | (10.8-22.8) |
Hutton et al.[18] | 197/4339 | 4.5 | (3.9-5.2) |
Lindgren et al.[26] | 56/781 | 7.2 | (5.5-9.2) |
Murphy et al.[21] | 54/952 | 5.7 | (4.3-7.3) |
Tyson [20] | 39/641 | ||
Multiparas, transfers after birth | |||
BECG3[1] | 639/12272 | 5.2 | (4.8-5.6) |
Blix et al.[25] | 24/1262 | 1.9 | (1.2-2.8) |
Lindgren et al.[26] | 15/781 | 1.9 | (1.1-3.1) |
Tyson [20] | 10/641 | 1.6 | (0.8-2.9) |