Petra Naess
Norwegian University of Life Sciences
Midwife since 1988, live in the north part of Norway. Experience from many different areas:pregnancy care, freestanding birthcenter, hospital, homebirth midwife, breastfeeding councelor, Red Cross delegate in disaster areas (Kenya,Haiti, Nepal) I complete my masterdegree in Public Health may 2017. And I am a proud mother of 5 sons!
Maternal and neonatal outcomes after planned home birth in women with moderate risk factors. A prospective cohort study from four Nordic countries.
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Petra Næss1, 2, Geir Aamodt2, Ellen Blix3.
1Nordland Hospital Trust, Bodø, Norway; 2Norwegian University of Life Sciences, Ås, Norway; 3Oslo and Akershus University College, Oslo, Norway.
Background: In the Nordic countries, pregnant women with risk factors are recommended to give birth in a hospital. There are some differences between the Nordic countries in practice and guidelines for planned home births. In Denmark, any woman have the right to be attended by a midwife at home during childbirth, also in cases of complicated pregnancy and higher risk for adverse outcomes. In Iceland, Norway and Sweden the health authorities does not organise home births, and the woman has to find a midwife willing to assist her. Some times women with risk factors have a strong wish to give birth at home in spite of recommendations from their midwife or doctor. Midwives may risk litigation if attending home births with women with risk factors.
The aim of the present study was to describe the prevalence, characteristics, neonatal and maternal outcomes of women with risk factors, and to compare the outcomes to those of low risk women who planned for home birth.
Material and methods: A prospective cohort of 3068 women who planned for home birth in Denmark, Iceland, Norway and Sweden in 2008-2013.
Women with any of the following characteristics were defined as having risk factors: previous caesarean section, previous postpartum haemorrhage>1000ml, maternal age<20 years, BMI>30, gestational age<37+0 weeks or >42+0 weeks at onset of labour. Women without any of the characteristics listed above were defined as low risk women.
The following maternal and neonatal outcomes were registered: caesarean section, assisted vaginal delivery, perineal tears grade 3 and 4, postpartum haemorrhage >1000 ml, Apgar score <7 at 5 min, baby transferred to hospital within 6 h and perinatal deaths.
Results: The findings will be presented and discussed at the conference.
The identification and examination of relevant outcomes relating to labour and birth
