Accidental out-of-hospital delivery as an independent risk factor for perinatal mortality. Academic Article uri icon

abstract

  • The objective of this study was to determine maternal characteristics and perinatal outcomes of unattended out-of-hospital deliveries. A population-based study including all singleton deliveries between 1988 and 1999. Maternal characteristics and pregnancy outcomes of accidental out-of-hospital births were compared with those of women who delivered in the hospital. Multiple logistic regression analysis was performed to investigate independent risk factors for out-of-hospital deliveries. Another model was constructed to assess the independent risk factors of out-of-hospital deliveries for perinatal mortality. The incidence of unattended out-of-hospital deliveries was 2% (2328/114938). Multiparity Bedouin ethnicity and lack of prenatal care were independently associated with out-of-hospital deliveries. Parturients who delivered out of hospital had a significantly lower rate of previous cesarean deliveries. Perinatal mortality was significantly higher among out-of-hospital deliveries and those newborns were significantly more likely to be small for gestational age as compared to newborns with in-hospital births. In a multivariable model investigating risk factors for perinatal mortality out-of-hospital delivery was an independent risk factor for perinatal mortality. Other significant risk factors were Bedouin ethnicity and lack of prenatal care. In conclusion accidental out-of-hospital birth associated with multiparity Bedouin ethnicity and lack of prenatal care is an independent risk factor for perinatal mortality. (authors)

publication date

  • January 1, 2002