A recent study by Grunebaum et al examined the relationship between place of birth and adverse neonatal outcomes (Apgar of 0 at 5 minutes, and neonatal seizures or serious neurologic dysfunction—hereafter referred to as neonatal seizures) as reported in birth certificate data from 2007 to 2010 for term newborns (n = 13,891,274) 1. Outcomes were analyzed by four practitioner types: hospital physician, hospital midwife, freestanding birth center midwife, and home birth midwife. The authors claim that babies born at home and in freestanding birth centers were at a significantly higher risk of having a 5‐minute Apgar score of 0 (RR = 10.55 and 3.56, respectively) and neonatal seizures or serious neurologic dysfunction (RR = 3.80 and 1.88). However, these findings must be interpreted with caution for several reasons.
Find the full study
Open source. To access the full article, click here
Cheyney, M. S. Vedam and P. Burcher (2014). The Crusade Against Home Birth. Birth: Issues in Perinatal Care. 41(1);1-4.(Peer-reviewed Invited Commentary)