Accouchement à domicile ou à l’hôpital : comparaison des risques à travers une revue de la littérature internationale

Abstract

ObjectiveTo assess the safety of planned home birth compared to hospital birth, in low-risk pregnancies. MethodAn international literature review was conducted. Mortality, adverse outcomes and medical interventions were compared. ResultsHome birth was not associated with higher mortality rates, but with lower maternal adverse outcomes. Perinatal adverse outcomes are not significantly different at home and in hospital. Medical interventions are more frequent in hospital births. ConclusionHome birth attended by a well-trained midwife is not associated with increased mortality and morbidity rates, but with less medical interventions.