Planned home compared with planned hospital births: mode of delivery and Safety measures and outcome

摘要

To compare the mode of delivery and Safety measures between planned home versus planned hospital delivery and to determine if differences in intervention rates and out come.At current, obstetric care in Saudi Arabia has a highly medicalized maternity care. Unfortunately, intervention rates are unacceptably high with a still rising rates for cesarean sections) and a completely normal physiologic birth a rarity. Data was collected by a questionnaire about Intervention and safety We enrolled only women expecting their first birth so that their previous birth experiences would not affect their preferences and outcomes. Recruitment in midwifery practices was carried out from March 2017 to feburary 2018 and in hospitals from March 2017 to December 2017.Besides adjustment for maternal and care factors, we included for additional casemix adjustment: presence of congenital anomaly , small for gestational age, preterm birth, or low Apgar score. The techniques used were nested multiple stepwise, and stratified analysis for separate risk groups. The women who previously have been delivered (inadvertently) at PHCs found it more comfortable and pleasant experience and wished (66.7%) to have next delivery in midwifery led centers. the women who gave birth to their babies in obstetrician led maternity hospitals were satisfied and opted (90%) the same for their next delivery. Women are felling safe and comfortable to have a hospital delivery and having good neonatal care how ever few less than ten percent women like to have home deliver or mid wife setting.