Department of Obstetrics, Gynaecology and Reproductive Medicine, Flinders University, Flinders Medical Centre, Bedford Park, SA 5042, Australia.
Birth. 2010 Dec;37(4):341-6. doi: 10.1111/j.1523-536X.2010.00431.x.
Home birth has attracted a great deal of attention of late, culminating in a meta-analysis to assess its risks for mother and baby. Mothers were estimated to be 2.6 times more likely to die and babies 3 times more likely to die from a planned home birth than from a planned hospital birth. The actual data on which these estimates were based demonstrate that meta-analysis can be developed into an art that suits whatever purpose its authors hope to achieve. Combining studies of home versus hospital, without differentiating what is inside them, where they are, and what is around them, is akin to producing a fruit salad with potatoes, pineapples, and celery.
近年来，家庭分娩引起了广泛关注，最终进行了荟萃分析来评估其母婴风险。与计划在医院分娩相比，计划在家分娩的母亲死亡风险高 2.6 倍，婴儿死亡风险高 3 倍。这些估计所依据的实际数据表明，荟萃分析可以发展成为一门艺术，适合其作者希望实现的任何目的。将家庭分娩与医院分娩的研究结合起来，而不区分其内部、所处地点和周围环境，就好比用土豆、菠萝和芹菜制作水果沙拉。
