Decline in home births associated with faster increase in trend of postpartum haemorrhage and manual removal of the placenta

IF 1.4 3区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Sexual & Reproductive Healthcare Pub Date : 2024-04-22 DOI:10.1016/j.srhc.2024.100974
Anna E. Seijmonsbergen-Schermers , Lilian L. Peters , Suze Jans , Corine J. Verhoeven , Ank de Jonge
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Abstract

In this study we explored the relationship between home birth rates and increasing rates of postpartum haemorrhage (PPH) and manual removal of the placenta (MROP). Data were used from the Dutch national perinatal registry (2000–2014) of women in midwife-led care. Adjusting for place of birth flattened the increasing trends of PPH and MROP. By adjusting for place of birth, the rising trend of MROP among multiparous women disappeared. This suggests that if home birth rates had not declined, PPH and MROP rates might not have increased as much. This study supports policies of enabling women to choose home births.

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在家分娩的减少与产后出血和人工摘除胎盘趋势的快速增长有关
在这项研究中,我们探讨了在家分娩率与产后出血(PPH)和人工摘除胎盘(MROP)率上升之间的关系。数据来自荷兰全国围产期登记(2000-2014 年),对象是接受助产士指导的产妇。根据出生地进行调整后,PPH和MROP的增长趋势趋于平缓。根据出生地进行调整后,多产妇中 MROP 的上升趋势消失了。这表明,如果家庭分娩率没有下降,PPH 和 MROP 的上升幅度可能不会那么大。这项研究支持让妇女选择在家分娩的政策。
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来源期刊
Sexual & Reproductive Healthcare
Sexual & Reproductive Healthcare PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.70
自引率
5.60%
发文量
73
审稿时长
45 days
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