Planned home births assisted by nurse midwives: maternal and neonatal transfers

Authors

  • Joyce Green Koettker Universidade Federal de Santa Catarina
  • Odaléa Maria Brüggemann Universidade Federal de Santa Catarina; Departamento de Enfermagem
  • Rozany Mucha Dufloth Pontifícia Universidade Católica de Campinas; Hospital e Maternidade Celso Pierro; Laboratório de Anatomia Patológica

DOI:

https://doi.org/10.1590/S0080-62342013000100002

Keywords:

Home childbirth, Obstetrical nursing, Patient transfer, Hospitalization

Abstract

The objective of this explorative and descriptive study was to describe the rates and reasons for intrapartum transfers from home to hospital among women assisted by nurse midwives, and the outcomes of those deliveries. The sample consisted of eleven women giving birth and their newborns, from January 2005 to December 2009. Data was collected from the maternal and neonatal records and was analyzed using descriptive statistics. The transfer rate was 11%, most of the women were nulliparous (63.6%), and all of them were transferred during the first stage of labor. The most common reasons for transfer were arrested cervical dilation, arrested progress of the fetal head and cephalopelvic disproportion. Apgar scores were >;7 for 81.8% of the newborns; and there were no admissions to the neonatal intensive care unit. The results show that planned home births assisted by nurse midwives following a clinical protocol, had good outcomes even when a transfer to the hospital was needed.

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Published

2013-02-01

Issue

Section

Original Article

How to Cite

Koettker, J. G., Brüggemann, O. M., & Dufloth, R. M. (2013). Planned home births assisted by nurse midwives: maternal and neonatal transfers . Revista Da Escola De Enfermagem Da USP, 47(1), 15-21. https://doi.org/10.1590/S0080-62342013000100002