Complications of planned home births in the Czech Republic

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023698%3A_____%2F23%3AN0000013" target="_blank" >RIV/00023698:_____/23:N0000013 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11120/23:43925263

Result on the web

<a href="https://journals.viamedica.pl/ginekologia_polska/article/view/91516" target="_blank" >https://journals.viamedica.pl/ginekologia_polska/article/view/91516</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.5603/GP.a2023.0001" target="_blank" >10.5603/GP.a2023.0001</a>

Result language

angličtina

Original language name

Complications of planned home births in the Czech Republic

Original language description

Objectives: This study evaluated complications that can occur during planned home births that require transfer to the hospital. These factors were assessed to improve the current status of deliveries performed outside health care facilities in the Czech Republic. Materials and methods: This prospective cohort study included data on 105 cases of complicated home births during 2017 to 2021 using an online form accessible to all hospital maternity wards in the Czech Republic. Results: Planned home births were complicated by fetal/neonatal causes, maternal causes, and combined fetomaternal complications in 28 (26.7%), 20 (19%), and 2 (1.9%) cases, respectively. The need for transfer was most often realized after the birth of the fetus (86; 81.9%); however, it was realized during birth in 19 (18.1%) cases. The following complications were noted most often: postpartum hemorrhage (23; 21.9%); neonatal asphyxia (17; 16.2); placental retention (14; 13.3%); birth injury (12; 11.4%); neonatal hypothermia (5; 4.8%); and placental birth (5; 4.8%). Indications for transfer during labor were as follows: labor obstruction (10; 9.5%); fetal hypoxia (5; 4.8%); bleeding during labor (2; 1.9%); preeclampsia (1; 0.9%); and fetal malformation (1; 0.9%). Perinatal death occurred in 8 (7.6%) cases. Permanent neonatal morbidity occurred in 4 (3.8%) cases. Conclusions: Patients with home birth complications were transferred to the hospital most often after the birth of the fetus. The low proportion of transfers during childbirth is caused by the unprofessional management of planned home births, resulting in a high number of perinatal deaths and high rate of permanent neonatal morbidity.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30214 - Obstetrics and gynaecology

Project

—

Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2023

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

GINEKOLOGIA POLSKA

ISSN

0017-0011

e-ISSN

2543-6767

Volume of the periodical

94

Issue of the periodical within the volume

7

Country of publishing house

PL - POLAND

Number of pages

7

Pages from-to

552-558

UT code for WoS article

000991394000001

EID of the result in the Scopus database

2-s2.0-85167911481