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Unplanned births out-of-hospital increases risk of infant mortality
Date:9/2/2014

New research reveals that unplanned births out-of-hospital in Norway are associated with higher infant mortality. The findings published in Acta Obstetricia et Gynecologica Scandinavica, a journal of the Nordic Federation of Societies of Obstetrics and Gynecology, indicate that young women who have given birth at least once before (multiparous) and those living in remote areas are more likely to have unplanned deliveries, which may increase the risk of death in newborns.

In 2013, close to 60,000 babies were born in Norway according to the Statistics Norway. The country now has 51 institutions with birthing centersdown from 158 units in 1972. With more specialized care the perinatal mortality rates decreased from 22 out of 1,000 births (1967-1971) to just 5 in 2010. However, medical evidence reports that with less birth centers the rates of unplanned births in Norway have increased from 4 per 1,000 births in 1979-83 to 7 in 1,000 births over the past few years.

"This trend to centralize obstetrics has improved perinatal mortality rates," explains lead author Dr. Bjrn Gunnarsson from the Norwegian Air Ambulance Foundation in Drbak, Norway. "One downside to specialized care in central locations is an increase in unplanned births and its adverse outcomes, which is the focus of our study."

For this cross-sectional study, researchers used data from the Medical Birth Registry of Norway from 1999 to 2013. This registry includes data for deliveries outside the hospital, which are required to be submitted by the physician or midwife present during or after the birth. The team compared the 4,899 unplanned births with all other births (reference group) that occurred during the study period.

Findings indicate that 7 per 1,000 deliveries are unplanned births that take place out of hospitals in Norway since 1999. Young multiparous women living in remote areas are most likely to have unplanned deliveries. In fact, young multip
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Contact: Dawn Peters
sciencenewsroom@wiley.com
781-388-8408
Wiley
Source:Eurekalert  

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