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Table 4 Rates of adverse maternal outcomes and obstetric interventions among planned home and hospital births

From: Planned private homebirth in Victoria 2000–2015: a retrospective cohort study of Victorian perinatal data

 

Planned low risk at home

Planned low risk in hospital

p Value

n = 3202

n = 701,058

Mother outcomes

Composite maternal morbidity

344 (10.7%)

121,248 (17.3%)

< 0.001

 Mother admitted to HDU/ICU

6 (0.2%)

4217 (0.6%)

0.002

 3rd/4th degree tear

31 (1.0%)

14,000 (2.0%)

< 0.001

 Postpartum haemorrhage

291 (9.1%)

90,603 (12.9%)

< 0.001

 Blood Transfusion

10 (0.3%)

5174 (0.7%)

0.005

 Manual removal of placenta

29 (0.9%)

17,354 (2.5%)

< 0.001

 Rupture of uterus

0 (0 per 1000)

94 (0.13 per 1000)

0.5

 Intrapartum haemorrhage

3 (0.1%)

2565 (0.4%)

0.01

Obstetric Interventions

 Unplanned Caesarean

81 (2.5%)

87,716 (12.5%)

< 0.001

 Instrumental delivery

79 (2.5%)

122,517 (17.5%)

< 0.001

 Epidural

101 (3.2%)

192,821 (27.5%)

< 0.001

 General Anaesthetic

5 (0.2%)

6754 (1.0%)

< 0.001

 Episiotomy

92 (2.9%)

148,868 (21.2%)

< 0.001

 Spontaneous Vaginal

3038 (94.9%)

490,748 (70.0%)

< 0.001

 

Planned high risk at home

Planned high risk in hospital

p Value

n = 743

n = 128,228

Mother outcomes

Composite maternal morbidity

124 (16.7%)

31,543 (24.6%)

< 0.001

 Mother admitted to HDU/ICU

4 (0.5%)

1459 (1.1%)

0.06

 3rd/4th degree tear

12 (1.6%)

2443 (1.9%)

0.58

 Postpartum haemorrhage

108 (14.5%)

25,079 (19.6%)

< 0.001

 Blood Transfusion

14 (1.9%)

1634 (1.3%)

0.25

 Manual removal of placenta

15 (2.0%)

4058 (3.2%)

0.047

 Rupture of uterus

1 (1.3 per 1000)

138 (1.1 per 1000)

0.37

 Rupture of uterus (women with past caesarean only)

1 (3.2 per 1000)

138 (3.6 per 1000)

0.89

 Intrapartum haemorrhage

3 (0.4%)

673 (0.52%)

0.65

Obstetric Interventions

 Unplanned Caesarean

66 (8.9%)

41,530 (32.4%)

< 0.001

 Instrumental delivery

34 (46%)

18,407 (14.4%)

< 0.001

 Epidural

40 (5.4%)

35,266 (27.5%)

< 0.001

 General Anaesthetic

4 (0.5%)

3450 (2.7%)

< 0.001

 Episiotomy

30 (4.0%)

20,329 (15.9%)

< 0.001

 Spontaneous Vaginal

640 (86.1%)

68,219 (53.2%)

< 0.001