Midwife-attended planned home births versus planned hospital births in Spain: Maternal and neonatal outcomes
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- dc.contributor.author Alcaraz-Vidal, Lucia
- dc.contributor.author Escuriet Peiró, Ramón, 1968-
- dc.contributor.author Palau-Costafreda, Roser
- dc.contributor.author Leon-Larios, Fatima
- dc.contributor.author Robleda, Gemma
- dc.date.accessioned 2025-07-04T06:27:27Z
- dc.date.available 2025-07-04T06:27:27Z
- dc.date.issued 2024
- dc.description.abstract Background: The debate on the safety and outcomes of home versus hospital births highlights the need for evidence-based evaluations of these birthing settings, particularly in Catalonia where both options are available. Aim: To compare sociodemographic characteristics and maternal and neonatal outcomes between low-risk women opting for home versus hospital births in Catalonia, Spain. Methods: This observational cross-sectional study analysed 3,463 low-risk births between 2016 and 2018, including 2,713 hospital and 750 home births. Researchers collected sociodemographic data, birthing processes, and outcomes, using statistical analysis to explore differences between the settings. Findings: Notable differences emerged: Women choosing home births typically had higher education levels and were predominantly Spanish. They were 3.43 times more likely to have a spontaneous birth and significantly less likely to undergo instrumental births than those in hospitals. Home births were associated with higher utilization of non-pharmacological analgesia and a more pronounced tendency to iniciate breastfeeding within the first hour post birth and stronger inclination towards breastfeeding. Hospital births, conversely, showed higher use of the lithotomy position and epidural analgesia. There were no significant differences in neonatal outcomes between the two groups. Conclusions and implication for practice: Home births managed by midwives offered better obstetric and neonatal outcomes for low-risk women than hospital births. These results suggest home birth as a safe, viable option that promotes natural birthing processes and reduces medical interventions. The study supports the integration of midwife-led home birth into public health policies, affirming its benefits for maternal and neonatal health.
- dc.format.mimetype application/pdf
- dc.identifier.citation Alcaraz-Vidal L, Escuriet R, Palau-Costafreda R, Leon-Larios F, Robleda G. Midwife-attended planned home births versus planned hospital births in Spain: Maternal and neonatal outcomes. Midwifery. 2024 Sep;136:104101. DOI: 10.1016/j.midw.2024.104101
- dc.identifier.doi http://dx.doi.org/10.1016/j.midw.2024.104101
- dc.identifier.issn 0266-6138
- dc.identifier.uri http://hdl.handle.net/10230/70835
- dc.language.iso eng
- dc.publisher Elsevier
- dc.relation.ispartof Midwifery. 2024 Sep;136:104101
- dc.rights © 2024 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by/4.0/
- dc.subject.keyword Maternal outcomes
- dc.subject.keyword Midwife
- dc.subject.keyword Neonatal outcomes
- dc.subject.keyword Planned home birth
- dc.subject.keyword Planned hospital birth
- dc.subject.keyword Transfer of care
- dc.title Midwife-attended planned home births versus planned hospital births in Spain: Maternal and neonatal outcomes
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion