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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