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Database - Alliance francophone pour l'accouchement respecté (AFAR)

Record ID : 567
Created on : 8/03/2004
Modified on : 2/12/2007

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URL of this record : http://afar.info/id=567

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Author(s) :

David M, von Schwarzenfeld HK, Dimer JA, Kentenich H.

Year of publication :

1999

Bibliographical entry (without author) :

Perinatal outcome in hospital and birth center obstetric care.
Int J Gynaecol Obstet. 1999 May;65(2):149-56.

Résumé (français) :

Abstract (English):

OBJECTIVE: Our purpose was to compare birth complications and fetal outcome in hospitals and birth centers.

METHOD: We retrospectively compared all 801 deliveries between 1992 and 1994 from two free-standing birth centers against 3271 hospital deliveries in Berlin. The hospital collective was selected according to the same risk criteria of the birth centers.

RESULTS: The birth center group had significantly fewer medical interventions, with a similar cesarean section rate (3.0% vs. 4.6%, P = 0.057) and occurrence of severe perineal lesions. The episiotomy rate was significantly higher (P < 0.001) in the clinics for first-time and multiple births. The perinatal mortality was not significantly different ( < 0.1 per 1000). One-minute Apgar scores less than 7 were found significantly more often in the birth center group.

CONCLUSION: When birth centers employ thorough risk selection and significant early referral rates to nearby hospitals, there is no evidence of increased maternal or perinatal risk compared to hospital deliveries.

Sumário (português):

URL :

http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T7M-3X889XF-7&_coverDate=05%2F01%2F1999&_

Comments :

Argument (français) :

Moins d’interventions dans les “birth centres” que dans les hôpitaux, avec les mêmes résultats périnataux (Berlin).

Argument (English):

Argumento (português):

Keywords :

c-section/caesarean ; perineal/vaginal tears ; fetal distress ; episiotomy ; place of birth ; birthing centers ; perinatal death rates

Author of this record :

C. Loup

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