Blix Ellen, Øian Pål, Kumle Merethe
Føde- og gynekologisk avdeling Hammerfest sykehus 9613 Hammerfest og Institutt for klinisk medisin Universitetet i Tromsø.
Tidsskr Nor Laegeforen. 2008 Nov 6;128(21):2436-9.
About 150 planned home births take place in Norway annually. Professionals have different opinions on whether such births are safe or not. The aim of the present study was to perform a systematic literature review on maternal and neonatal outcomes after planned home births.
A review was performed of literature retrieved from searches in MEDLINE, PubMed, Embase, Cinahl and The Cochrane Library and relevant references found in the articles. The searches were limited to studies published in 1985 and later.
10 studies with data from 30 204 women who had planned and were selected to home birth at the onset of labour were included. Three of the studies had control groups including women with planned hospital births. All included studies were assessed to be of medium quality. Between 9.9 and 23.1 % of women and infants were transferred to hospital during labour or after birth. There were few caesarean sections, other interventions or complications in the studies assessed; the total perinatal mortality rate was 2.9/1000 and the intrapartum mortality rate 0.8/1000.
There is no sound basis for discouraging low-risk women from planning a home birth. Results from the included studies do not directly apply to Norwegian conditions. Outcomes and transfers after planned home births should be systematically registered.
挪威每年约有150例计划在家分娩。对于此类分娩是否安全，专业人士存在不同意见。本研究的目的是对计划在家分娩后的母婴结局进行系统的文献综述。
对从MEDLINE、PubMed、Embase、Cinahl和Cochrane图书馆检索到的文献以及文章中找到的相关参考文献进行综述。检索限于1985年及以后发表的研究。
纳入了10项研究，这些研究的数据来自30204名计划在家分娩且在临产后被选在家分娩的妇女。其中3项研究有对照组，包括计划在医院分娩的妇女。所有纳入研究的质量均被评估为中等。9.9%至23.1%的妇女和婴儿在分娩期间或产后被转诊至医院。在所评估的研究中，剖宫产、其他干预措施或并发症较少；围产期总死亡率为2.9/1000，产时死亡率为0.8/1000。
没有充分的依据劝阻低风险妇女计划在家分娩。纳入研究的结果并不直接适用于挪威的情况。计划在家分娩后的结局和转诊情况应进行系统登记。
