Skip to Main content Skip to Navigation
Master Thesis

L'accouchement accompagné à domicile comparé au bas risque en milieu hospitalier : une étude exposé-non exposé historique multicentrique

Abstract : Objectives: While birthplace choice is widening in France, planned home birth is a subject of debate. The objectives of this study were to evaluate the effects of planned home birth on maternal and neonatal outcomes. Methods: This exposed-non exposed retrospective multisite study, in intention to treat, analyzed the perinatal data from the Audipog French database. Women who intended to give birth at home at the onset of labor (n = 1192) have been compared to low risk women, at term, intending to give birth in primary care hospitals (control group 1 (CG1) : n = 8310) and to all hospitals (control group 2 (CG2) : n = 58222). Unplanned home birth, induced labor and elective caesarian sections were excluded from the controls. Crude and adjusted relative risks have been reported. Results: Severe maternal outcomes were less frequent for the exposed group versus CG1 (aRR 0,19 [95% IC: 0,09;0,39]) and CG2 (aRR 0,20 [95% IC: 0,09;0,41]). Neonatal outcomes were similar between exposed group and CG1 (aRR 0,59 [95% IC: 0,32;1,08]) but significantly improved to CG2 (aRR 0,43 [95% IC: 0,24;0,77]). Normal births were more frequent in the home birth group (versus CG1 : aRR 2,85 [95% IC: 2,54;3,18] and CG2: aRR 4,25 [95% IC: 3,85;4,70]) but transfer during labor had been necessary for 12,6% women. Conclusion: Planned home birth in France
Document type :
Master Thesis
Complete list of metadatas

Cited literature [98 references]  Display  Hide  Download

https://dumas.ccsd.cnrs.fr/dumas-02893888
Contributor : Santé Uca <>
Submitted on : Wednesday, July 8, 2020 - 3:58:09 PM
Last modification on : Tuesday, October 20, 2020 - 11:00:47 AM

File

2019-MSF-ORLIAC-V.pdf
Files produced by the author(s)

Identifiers

  • HAL Id : dumas-02893888, version 1

Collections

Citation

Virginie Saget Orliac. L'accouchement accompagné à domicile comparé au bas risque en milieu hospitalier : une étude exposé-non exposé historique multicentrique. Médecine humaine et pathologie. 2019. ⟨dumas-02893888⟩

Share

Metrics

Record views

83

Files downloads

132