Berg D, Süss J
Frauenklinik des Klinikum St. Marien Amberg, Universität Erlangen-Nürnberg.
Geburtshilfe Frauenheilkd. 1994 Mar;54(3):131-8. doi: 10.1055/s-2007-1023568.
103 current publications on perinatal mortality of home delivery (HD) have been investigated concerning their possible usage for statistics. Only few could meet the necessary statistical requirements. All publications which were in favour of home delivery showed statistical faults; therefore, they cannot give clear evidence of advantages and disadvantages of HD. The group of the described HD (approximately 85,000 home deliveries) were compared with a statistically comparable group of hospital deliveries. The risk for children to die during or after birth is between 3 and 23 times higher for home-born children than for those born in hospitals. The rate of unexpected incidents during delivery, where transport to hospital was required, is about 11%; this corresponds to the rate of unexpected incidents in hospitals. In home delivery, it is not possible to provide obstetrical operative interventions. The frequency of operatively terminated deliveries is about 40% in the group of secondarily transferred patients. The Netherlands have about 30% home deliveries; their perinatal mortality rate (0.96%) is the highest of all comparable high-developed countries (Germany: 0.6%). Considering the necessary safety of the child, home delivery is irresponsible.
对103篇关于家庭分娩围产期死亡率的现有出版物进行了调查，以研究它们在统计方面的可能用途。只有少数能满足必要的统计要求。所有支持家庭分娩的出版物都存在统计错误；因此，它们无法明确证明家庭分娩的优缺点。将所描述的家庭分娩组（约85,000例家庭分娩）与一组在统计学上具有可比性的医院分娩组进行了比较。在家出生的儿童在出生期间或之后死亡的风险比在医院出生的儿童高3至23倍。分娩期间需要转院的意外事件发生率约为11%；这与医院的意外事件发生率相当。在家庭分娩中，无法提供产科手术干预。在二次转诊患者组中，手术终止妊娠的频率约为40%。荷兰约有30%的家庭分娩；其围产期死亡率（0.96%）是所有可比的高度发达国家中最高的（德国：0.6%）。考虑到儿童必要的安全，家庭分娩是不负责任的。
