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Obstetrics and Gynecology International
Volume 2013 (2013), Article ID 196709, 4 pages
http://dx.doi.org/10.1155/2013/196709
Research Article

Unattended Home Labor until Complete Cervical Dilatation Ending with Hospital Delivery: Analysis of 238 Pregnancies

Zekai Tahir Burak Women's Education and Research Hospital, 62000 Ankara, Turkey

Received 1 September 2012; Revised 21 December 2012; Accepted 29 January 2013

Academic Editor: Gian Carlo Di Renzo

Copyright © 2013 Ozlem Gun Eryilmaz et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives. Hospital fear and avoidance of the routine hospital obstetrical interventions cause some women with low-risk pregnancies to spend most of the active labor period at home, and subsequently they present to the hospital for delivery. Our aim was to analyze the maternal and neonatal outcomes of pregnancies with a planned hospital birth, yet spending the first stage of labor at home without a health provider and completing the delivery in the hospital setting. Methods. We retrospectively compared 238 pregnancies having home labor plus hospital delivery (study group) with 476 pregnancies that had spent the whole labor in the hospital setting, considering various maternal and neonatal outcomes. Results. Cesarean and episiotomy rates were lower ( and , resp.), but neonatal intensive care unit admissions of the infants were more prevalent ( ) in the study group. Other maternal and neonatal outcomes including neonatal mortality were comparable. Conclusion. Although our preliminary data generally do support the safety of home active labor plus hospital delivery for low-risk pregnancies, the clinical implications of current data warrant further prospective trials.