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[Obstetric and neonatal outcomes in a home-like birth centre: a case-control study]
A Gaudineau1, E-A Sauleau, I Nisand
1Département de gynécologie-obstétrique, centre hospitalo-universitaire de Strasbourg, 1, avenue Molière, 67098 Strasbourg cedex, France. a.gaudineau@orange.fr
Objectives:
To compare intervention rates associated with labor in low-risk women who began their labor in the "home-like birth centre" and the traditional delivery room.
Patients And Methods:
This retrospective study used data that were collected from January 2005 through June 2008, from women admitted to the "home-like birth centre" (n=316) and compared to a group of randomly selected low-risk women admitted to the traditional labor ward (n=890) using the Baysian Information Criterion to select the best predictive model.
Results:
Women in the "home-like birth centre" had spontaneous vaginal deliveries more often (88.6% versus 82.8%, P value 0.034) and perineal lesions less often (60.1% versus 62.5%, P value 0.013). The frequency of adverse neonatal outcomes did not differ statistically between the two groups, although mean clamped at birth umbilical arterial pH level was higher in the "home-like birth centre" group. The transfer rate from "home-like birth centre" to traditional labor ward was 31.3%.
Discussion And Conclusions:
It appears that women could benefit from "home-like birth centre" care in settings such as the one studied. Larger observational studies are warranted to validate these results.
