Table 2.
Outcome events and prevalence of transfers from home to hospital in planned home births
| Outcome events, (n/N) | Prevalence | (95% CI) | |
|---|---|---|---|
|
All transfers
1,2
|
|
|
|
| Amelink-Verburg et al.[24] |
53809/168618 |
31.9 |
(31.7-32.1) |
| Anderson et al.[22] |
1093/11081 |
9.9 |
(9.3-10.4) |
| BECG3[1] |
3530/16840 |
21.0 |
(20.3-21.6) |
| Blix et al.[25] |
197/1631 |
12.1 |
(10.5-13.8) |
| Davies et al.[23] |
39/177 |
22.0 |
(16.2-28.9) |
| Hansen et al.[27] |
29/102 |
28.4 |
(19.9-38.2) |
| Howe [17] |
34/165 |
20.6 |
(14.7-27.6) |
| Hutton et al.[18] |
954/6692 |
14.3 |
(13.4-15.1) |
| Janssen et al.[19] |
165/797 |
20.7 |
(17.9-23.7) |
| Johnson and Daviss [4] |
655/5418 |
12.1 |
(11.2-13.0) |
| Lindgren et al.[26] |
128/1025 |
12.5 |
(10.5-14.7) |
| McMurtrie et al.[15] |
10/70 |
14.3 |
(7.1-24.7) |
| Murphy et al.[21] |
126/1221 |
10.3 |
(8.7-12.2) |
| Parratt et al.[16] |
64/419 |
15.3 |
(12.0-19.1) |
| Tyson [20] |
165/1001 |
16.5 |
(14.2-18.9) |
|
Transfers during labour
2
|
|
||
| Amelink-Verburg et al.[24] |
40636/168618 |
24.1 |
(23.9-24.3) |
| Anderson et al.[22] |
905/11081 |
8.2 |
(7.7-8.7) |
| BECG3[1] |
2387/16840 |
14.2 |
(13.7-14.7) |
| Blix et al.[25] |
156/1631 |
9.6 |
(8.2.11.1) |
| Davies et al.[23] |
35/177 |
19.8 |
(14.2-26.4) |
| Howe [17] |
23/165 |
13.9 |
(9.0-20.2) |
| Hutton et al.[18] |
835/6692 |
12.5 |
(11.7-13.3) |
| Janssen et al.[19] |
142/797 |
17.8 |
(15.2-20.7 |
| Johnson and Daviss [4] |
546/5418 |
10.1 |
(9.3-10.9) |
| Lindgren et al.[26] |
109/1025 |
10.6 |
(8.8-12.7) |
| McMurtrie et al.[15] |
7/70 |
10.0 |
(4.1-19.5) |
| Murphy et al.[21] |
102/1221 |
8.4 |
(6.9-10.0) |
| Parratt et al.[16] |
51/419 |
12.2 |
(9.2-15.7) |
| Tyson [20] |
141/1001 |
14.1 |
(12.0-16.4) |
|
Transfers after birth
2
|
|
||
| Amelink-Verburg et al.[24] |
3204/168618 |
1.9 |
(1.8-2.0) |
| Anderson et al.[22] |
188/11081 |
1.7 |
(1.5-2.0) |
| BECG3[1] |
1046/16040 |
6.2 |
(5.9-6.6) |
| Blix et al.[25] |
41/1631 |
2.5 |
(1.8-3.4) |
| Davies et al.[23] |
4/177 |
2.3 |
(0.6-5.7) |
| Howe [17] |
12/165 |
7.3 |
(3.8-12.4) |
| Hutton et al.[18] |
119/6692 |
1.8 |
(1.5-2.1) |
| Janssen et al.[19] |
23/797 |
2.9 |
(1.8-4.3) |
| Johnson and Daviss [4] |
37/5418 |
0.7 |
(0.5-0.9) |
| Lindgren et al.[26] |
19/1025 |
1.9 |
(1.1-2.9) |
| McMurtrie et al.[15] |
3/70 |
4.3 |
(0.9-12.0) |
| Murphy et al.[21] |
24/1221 |
2.0 |
(1.3-2.9) |
| Parratt et al.[16] |
13/419 |
3.1 |
(1.7-5.2) |
| Tyson [20] |
24/1001 |
2.4 |
(1.5-3.5) |
|
Emergency transfers |
|
|
|
| Amelink-Verburg et al.[24] |
5735/168618 |
3.4 |
(3.3-3.5) |
| Anderson et al.[22] |
202/11081 |
1.8 |
(1.6-2.1) |
| Blix et al.[25] |
16/1631 |
1.0 |
(0.6-1.6) |
| Davies et al.[23] |
0/177 |
0.0 |
(0.0-2.1) |
| Hansen et al.[27] |
1/102 |
1.0 |
(0.0-5.3) |
| Hutton et al.[18] |
361/6692 |
5.4 |
(4.9-6.0) |
| Janssen et al.[19] |
27/797 |
3.4 |
(2.2-4.9) |
| Johnson and Daviss [4] |
185/5418 |
3.4 |
(2.9-3.9) |
|
Transfers for slow progress in labour
2
| |||
| Anderson et al.[22] |
612/11081 |
5.5 |
(5.1-6.0) |
| Blix et al.[25] |
108/1631 |
6.6 |
(5.5-7.9) |
| Anderson et al.[22] |
13/177 |
7.3 |
(4.0-12.2) |
| Howe [17] |
13/165 |
7.9 |
(4.3-13.1) |
| Janssen et al.[19] |
56/797 |
7.0 |
(5.4-9.0) |
| Johnson and Daviss [4] |
326/5418 |
6.0 |
(5.4-6.7) |
| Lindgren et al.[26] |
66/1025 |
6.4 |
(5.0-8.1) |
| McMurtrie et al.[15] |
6/70 |
8.6 |
(3.2-17.7) |
| Murphy et al.[21] |
63/1221 |
5.2 |
(4.0-6.7) |
| Parratt et al.[16] |
26/419 |
6.2 |
(4.1-9.0) |
| Tyson [20] |
98/1001 |
9.8 |
(8.0-11.8) |
|
Transfers for fetal distress
2
|
|
||
| Anderson et al.[22] |
170/11081 |
1.5 |
(1.3-1.8) |
| Davies et al.[23] |
2/177 |
1.1 |
(0.1-4.0) |
| Howe [17] |
2/165 |
1.2 |
(0.1-4.3) |
| Janssen et al.[19] |
29/797 |
3.6 |
(2.5-5.2) |
| Johnson and Daviss [4] |
119/5418 |
2.2 |
(1.8-2.6) |
| Lindgren et al.[26] |
11/1025 |
1.1 |
(0.5-1.9) |
| McMurtrie et al.[15] |
1/70 |
1.4 |
(0.0-7.7) |
| Murphy et al.[21] |
13/1221 |
1.1 |
(0.6-1.8) |
| Tyson [20] |
24/1001 |
2.4 |
(1.5-3.5) |
|
Transfers for PPH
2
|
|
||
| Anderson et al.[22] |
44/11081 |
0.4 |
(0.3-0.5) |
| Davies et al.[23] |
0/177 |
0.0 |
(0.0-0.2) |
| Howe [17] |
1/165 |
0.6 |
(0.0-3.3) |
| Janssen et al.[19] |
4/797 |
0.5 |
(0.1-1.3) |
| Johnson and Daviss [4] |
34/5418 |
0.6 |
(0.4-0.9) |
| Lindgren et al.[26] |
9/1025 |
0.9 |
(0.4-1.7) |
| McMurtrie et al.[15] |
1/70 |
1.4 |
(0.0-7.7) |
| Murphy et al.[21] |
3/1221 |
0.2 |
(0.0-0.7) |
| Parratt et al.[16] |
6/419 |
1.4 |
(0.5-3.1) |
| Tyson [20] |
7/1001 |
0.7 |
(0.3-1.4) |
|
Transfers for respiratory problems
2
| |||
| Anderson et al.[22] |
62/11081 |
0.6 |
(0.4-0.7) |
| Howe [17] |
1/165 |
0.6 |
(0.0-3.3) |
| Janssen et al.[19] |
7/797 |
0.9 |
(0.4-1.8) |
| Johnson and Daviss [4] |
33/5418 |
0.6 |
(0.4-0.9) |
| McMurtrie et al.[15] |
1/70 |
1.4 |
(0.0-7.8) |
| Murphy et al.[21] |
7/1221 |
0.6 |
(0.2-1.2) |
| Parratt et al.[16] |
2/419 |
0.5 |
(0.1-1.7) |
| Tyson [20] |
3/1001 |
0.3 |
(0.1-0.8) |
|
All transfers in settings where home births are an integrated and regulated part of the national or regional health care system
1,2
| |||
| Amelink-Verburg et al.[24] |
53809/168618 |
31.9 |
(31.7-32.1) |
| BECG3[1] |
3530/16840 |
21.0 |
(20.3-21.6) |
| Davies et al.[23] |
39/177 |
22.0 |
(16.2-28.9) |
| Hansen et al.[27] |
29/102 |
28.4 |
(19.9-38.2) |
| Janssen et al.[19] |
165/797 |
20.7 |
(17.9-23.7) |
| McMurtrie et al.[15] |
10/70 |
14.3 |
(7.1-24.7) |
|
All transfers in settings where the births were booked with independent midwives
1,2
| |||
| Anderson et al.[22] |
1093/11081 |
9.9 |
(9.3-10.4) |
| Blix et al.[25] |
197/1631 |
12.1 |
(10.5-13.8) |
| Howe [17] |
34/165 |
20.6 |
(14.7-27.6) |
| Hutton et al.[18] |
954/6692 |
14.3 |
(13.4-15.1) |
| Johnson and Daviss [4] |
655/5418 |
12.1 |
(11.2-13.0) |
| Lindgren et al.[26] |
128/1025 |
12.5 |
(10.5-14.7) |
| Murphy et al.[21] |
126/1221 |
10.3 |
(8.7-12.2) |
| Parratt et al.[16] |
64/419 |
15.3 |
(12.0-19.1) |
| Tyson [20] |
165/1001 |
16.5 |
(14.2-18.9) |
|
Nulliparas, all transfers
1
|
|
||
| BECG3[1] |
2057/4568 |
45.4 |
(44.0-46.9) |
| Blix et al.[25] |
117/369 |
31.7 |
(27.0-36.7) |
| Howe [17] |
14/52 |
26.9 |
(15.6-41.0) |
| Hutton et al.[18] |
704/2293 |
30.7 |
(28.8-32.6) |
| Lindgren et al.[26] |
57/244 |
23.4 |
(18.2-29.2) |
| Tyson [20] |
116/360 |
32.2 |
(27.4-37.3) |
|
Nulliparas, transfers during labour | |||
| BECG3[1] |
1605/4568 |
35.1 |
(33.8-36.5) |
| Blix et al.[25] |
100/369 |
27.1 |
(22.6-31.9) |
| Davies et al.[23] |
9/16 |
56.3 |
(29.9-80.2) |
| Hutton et al.[18] |
638/2293 |
27.8 |
(26.0-29.7) |
| Lindgren et al.[26] |
53/244 |
21.7 |
(16.7-27.4) |
| Murphy et al.[21] |
73/269 |
27.1 |
(21.9-32.9) |
| Tyson [20] |
102/360 |
28.3 |
(23,7-33.3) |
|
Nulliparas, transfers after birth | |||
| BECG3[1] |
407/4568 |
8.9 |
(8.1-9.8) |
| Blix et al.[25] |
17/369 |
4.6 |
(2.7-7.2) |
| Lindgren et al.[26] |
4/244 |
1.6 |
(0.4-4.1) |
| Tyson [20] |
14/360 |
3.9 |
(2.1-6.4) |
|
Multiparas, all transfers
1
|
|
||
| BECG3[1] |
1472/12272 |
12.0 |
(11.4-12.6) |
| Blix et al.[25] |
80/1262 |
6.3 |
(5.1-7.8) |
| Howe [17] |
12/113 |
10.6 |
(5.6-17.8) |
| Hutton et al.[18] |
250/4339 |
5.8 |
(5.1-6.5) |
| Lindgren et al.[26] |
71/781 |
9.1 |
(7.2-11.3) |
| Tyson [20] |
49/641 |
7.6 |
(5.7-10.0) |
|
Multiparas, transfers during labour | |||
| BECG3[1] |
782/12272 |
6.4 |
(5.9-6.8) |
| Blix et al.[25] |
56/1262 |
4.4 |
(3.4-5.7) |
| Davies et al.[23] |
26/161 |
16.1 |
(10.8-22.8) |
| Hutton et al.[18] |
197/4339 |
4.5 |
(3.9-5.2) |
| Lindgren et al.[26] |
56/781 |
7.2 |
(5.5-9.2) |
| Murphy et al.[21] |
54/952 |
5.7 |
(4.3-7.3) |
| Tyson [20] |
39/641 |
|
|
|
Multiparas, transfers after birth | |||
| BECG3[1] |
639/12272 |
5.2 |
(4.8-5.6) |
| Blix et al.[25] |
24/1262 |
1.9 |
(1.2-2.8) |
| Lindgren et al.[26] |
15/781 |
1.9 |
(1.1-3.1) |
| Tyson [20] | 10/641 | 1.6 | (0.8-2.9) |
1“All transfers” refers to total transfers during labour and after birth.
2In both nulli- and multiparous women.
3BECG = Birthplace in England Collaborative Group.