Article | Published:

Planned home deliveries in Finland, 1996–2013

Journal of Perinatologyvolume 39pages220228 (2019) | Download Citation

Abstract

Objective

To evaluate trends and perinatal outcomes of planned home deliveries in Finland.

Study design

All infants born in 1996–2013, excluding those born preterm, by operative delivery, and without information on birth mode or gestational age, were studied. The study group included 170 infants born at home as planned, 720,047 infants born at hospital were controls.

Result

The rate of planned home deliveries increased from 8.3 to 39.4 per 100,000. In the study group 63%, containing two perinatal deaths, were not low-risk pregnancies according to national guidelines. The rate of hypothermia, asphyxia, and need of invasive ventilation was increased in low-risk home deliveries. One infant had a major congenital malformation. Maternal outcomes were favorable.

Conclusion

The rate of planned home deliveries increased. Guidelines for low-risk deliveries were not followed in a majority of cases, including two perinatal deaths. Even in low-risk home deliveries, the neonatal morbidity appeared to be increased.

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Acknowledgements

This manuscript is funded by Pirkanmaa Hospital District, Scientific Foundation of the City of Tampere and Foundation for Pediatric Research.

Author information

Affiliations

  1. Department of Neonatology, Tampere University Hospital, Tampere, Finland

    • Katja Ovaskainen
    • , Riitta Ojala
    •  & Outi Tammela
  2. School of Medicine Doctoral Programme, University of Tampere, Tampere, Finland

    • Katja Ovaskainen
  3. Department of Obstetrics and Gynecology, Tampere University Hospital, Tampere, Finland

    • Kati Tihtonen
  4. National Institute for Health and Welfare, Helsinki, Finland

    • Mika Gissler
  5. Nordic School of Public Health, Gothenburg, Sweden

    • Mika Gissler
  6. Tampere University Hospital, Research, Development and Innovation Center, Tampere, Finland

    • Tiina Luukkaala
  7. Tampere University, Health Sciences, Faculty of Social Sciences, Tampere, Finland

    • Tiina Luukkaala

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Conflict of interest

The authors declare that they have no conflict of interest.

Corresponding author

Correspondence to Katja Ovaskainen.

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DOI

https://doi.org/10.1038/s41372-018-0267-8