Birth outcomes of planned home births in Missouri: a population-based study

Am J Perinatol. 2011 Aug;28(7):529-36. doi: 10.1055/s-0031-1272971. Epub 2011 Mar 4.


We evaluated the birth outcomes of planned home births. We conducted a retrospective cohort study using Missouri vital records from 1989 to 2005 to compare the risk of newborn seizure and intrapartum fetal death in planned home births attended by physicians/certified nurse midwives (CNMs) or non-CNMs with hospitals/birthing center births. The study sample included singleton pregnancies between 36 and 44 weeks of gestation without major congenital anomalies or breech presentation ( N = 859,873). The adjusted odds ratio (aOR) of newborn seizures in planned home births attended by non-CNMs was 5.11 (95% confidence interval [CI]: 2.52, 10.37) compared with deliveries by physicians/CNMs in hospitals/birthing centers. For intrapartum fetal death, aORs were 11.24 (95% CI: 1.43, 88.29), and 20.33 (95% CI: 4.98, 83.07) in planned home births attended by non-CNMs and by physicians/CNMs, respectively, compared with births in hospitals/birthing centers. Planned home births are associated with increased likelihood of adverse birth outcomes.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Female
  • Fetal Death / epidemiology
  • Fetal Monitoring / statistics & numerical data
  • Home Childbirth*
  • Humans
  • Labor, Induced / statistics & numerical data
  • Logistic Models
  • Missouri
  • Nurse Midwives
  • Obstetric Labor Complications / epidemiology
  • Odds Ratio
  • Pregnancy
  • Pregnancy Outcome / epidemiology*
  • Retrospective Studies
  • Seizures / epidemiology
  • Young Adult