Abstract

A cross-sectional study was performed to analyze obstetric and neonatal results of planned home births assisted by obstetric nurses in the city of Florianópolis, Southern Brazil. Data collected from the medical records of 100 parturient women cared for between 2005 and 2009 indicated 11 hospital transfers, nine of which underwent a Cesarean section. The majority of women who had a home birth showed normal fetal heart beat (94.0%) and progress on the partogram (61.0%), vertical water delivery was the position most frequently chosen (71.9%), newborns had an Apgar score ≥ 7 at five minutes (98.9%), episiotomy was performed in 1.0%, and 49.4% did not need perineal suturing. Outcomes indicated that planned home birth is safe.

Highlights

  • Home birth is an option in several countries such as Canada,[3] Australia[5] and the Netherlands.[4]

  • The present study aimed to evaluate obstetric and neonatal outcomes of planned home births attended by nurse-midwives

  • The neonatal and obstetric outcomes described in this study are similar to those reported in studies conducted in countries where home birth assisted by midwives is a well-recognized and respected care practice

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Summary

Introduction

Home birth is an option in several countries such as Canada,[3] Australia[5] and the Netherlands.[4]. The increasing number of home births in the southern city of Florianópolis may be attributed to the work of nurse-midwives of the “Hanami Team – Blossom (Flowering of life) – planned home birth”.a

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