Shearer J M
Br Med J (Clin Res Ed). 1985 Nov 23;291(6507):1478-80. doi: 10.1136/bmj.291.6507.1478.
A prospective survey was undertaken in 26 practices in Essex to assess the risks associated with a home birth. The 202 women who were booked for a home confinement were compared with a similar group of 185 women who were booked for hospital delivery under consultant care. The principal difference in outcome was the induction rate of 19% in the hospital group compared with 8% in the group booked for delivery at home. A higher rate of episiotomy and second degree tears and more Apgar scores of 7 or below were found in those who were booked for hospital. There were no perinatal deaths in either group. The results of this study showed no evidence of an increased risk associated with home confinements but indicated that there were fewer problems than were encountered in the deliveries in mothers confined in hospital.
在埃塞克斯郡的26家医疗机构进行了一项前瞻性调查，以评估与在家分娩相关的风险。将202名预定在家分娩的妇女与185名预定在顾问护理下于医院分娩的类似妇女群体进行了比较。结果的主要差异在于，医院组的引产率为19%，而预定在家分娩组的引产率为8%。在预定在医院分娩的产妇中，会阴切开术和二度撕裂的发生率较高，阿氏评分7分及以下的情况更多。两组均无围产期死亡。这项研究的结果没有显示出与在家分娩相关的风险增加的证据，但表明与在医院分娩的产妇相比，在家分娩遇到的问题更少。
