Maternal and Peri/Neonatal Mortality and Morbidity in Midwife-Assisted Low-Risk Birth Outside Hospital Compared to Obstetric Team-Assisted Low-Risk Hospital Birth: A Systematic Review and Meta-Analysis - Scorecard - MDSpire
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Comparative Analysis of Maternal and Perinatal Mortality and Morbidity in Low-Risk Births Assisted by Midwives Outside of Hospitals Versus Those Managed by Obstetric Teams in Hospital Settings: A Systematic Review and Meta-Analysis
Clinical Scorecard: Comparative Analysis of Maternal and Perinatal Mortality and Morbidity in Low-Risk Births Assisted by Midwives Outside of Hospitals Versus Those Managed by Obstetric Teams in Hospital Settings: A Systematic Review and Meta-Analysis
At a Glance
Category
Detail
Condition
Low-Risk Births
Key Mechanisms
Comparison of maternal and neonatal outcomes between midwife-assisted out-of-hospital births and obstetric team-assisted hospital births.
Target Population
Women with expected low-risk births in high-income countries.
Care Setting
Out-of-hospital settings (home births and freestanding midwifery units) versus hospital obstetric units.
Key Highlights
Planned out-of-hospital births may offer fewer obstetric interventions.
Higher maternal satisfaction reported in out-of-hospital settings.
Conflicting evidence on neonatal outcomes in planned out-of-hospital births.
Variability in planned out-of-hospital birth rates across high-income countries.
Need for rigorous evidence synthesis to clarify risks and benefits.
Guideline-Based Recommendations
Diagnosis
Expected low-risk births defined as singletons, cephalic position, spontaneous onset of labour, normal blood pressure, no previous caesarean section, and full term.
Management
Consideration of maternal and neonatal risks in the choice of birth setting.
Monitoring & Follow-up
Ongoing assessment of maternal and neonatal outcomes in different birth settings.
Risks
Potential for higher peri/neonatal mortality in planned out-of-hospital births, especially among nulliparous women.
Patient & Prescribing Data
Women with expected low-risk births.
Out-of-hospital births may be a viable option but require careful consideration of individual circumstances.
Clinical Best Practices
Integration of midwifery education in accordance with International Confederation of Midwives (ICM) criteria.
Use of systematic reviews and meta-analyses to inform clinical practice.
by Carolina Herding, Ulla-Britt Wennerholm, Anders Elfvin, Sara Holm, Karolina Linden, Jahangir Khan, Max Petzold, Christina Bergh, Petteri Sjögren, Ida Stadig, Ann Liljegren, Ylva Carlsson, Verena Sengpiel
