Characteristics of out-of-hospital births and perinatal outcomes: data from the Lazio Region cross-sectional study from 2019 to 2021

Authors

Abstract

Introduction. In Italy, the primary place of birth is typically a hospital, with only a small number of women opting for an out-of-hospital setting. This study details the characteristics of midwifery care and perinatal and maternal outcomes of women who gave birth in an out-of-hospital setting in the Lazio Region, Italy, from 2019 to 2021.
Methods. A cross-sectional study was carried out. The study population included 542 healthy low-risk women who completed the process of planning an out-of-hospital birth, and excluding transfers, this resulted in a total sample of 478 women who gave birth outof- hospital. Descriptive and inferential analyses and also a logistic regression model were performed.
Results. The main outcomes of the out-of-hospital deliveries were: intact perineum in 38.9% of cases, two cases of 3rd degree laceration (0.4%) and in one case (0.2%) episiotomy. Intrapartum emergencies occurred in 85 out of 478 women (17.8%) but only 10 women required a transfer to hospital after delivery. The one minute Apgar score was equal to or greater than 7 in 99.2% of cases. Exclusive breastfeeding of 96% one week after birth and 94.6% one month. Furthermore, having a previous vaginal hospital birth (adjOR 9.7; CI 95% 4.33-21.68 P<0.001) and a previous out-of-hospital birth (adjOR 24.2; CI 95%
3.23-181.48 P=0.002) was associated with the continuation of out-of-hospital birth.
Conclusions. For low-risk pregnant women who have planned an out-of-hospital birth, it has been shown to be a safe, adequate, appropriate, and effective alternative.

Share on

Downloads

Authors

Roberta Vittoria Cicero - PhD Candidate, BMid, MSC, Department of Biomedicine and Prevention, University of Rome Tor Vergata Rome Italy, Via Montpellier 1, 00133, Rome, IT, Italy

Francesca Zambri

Michele Grandolfo

Federica Varone

Margaret Smith

Sofia Colaceci

How to Cite
Cicero, R. V., Zambri, F., Grandolfo, M., Varone, F., Smith, M., & Colaceci, S. (2024). Characteristics of out-of-hospital births and perinatal outcomes: data from the Lazio Region cross-sectional study from 2019 to 2021. Annali dell’Istituto Superiore Di Sanità, 60(2), 98–106. https://doi.org/10.4415/ANN_24_02_03
  • Abstract viewed - 92 times