Featured Research

from universities, journals, and other organizations

Unplanned births out-of-hospital increases risk of infant mortality

Date:
September 3, 2014
Source:
Wiley
Summary:
Unplanned births out-of-hospital in Norway are associated with higher infant mortality, new research reveals. The findings indicate that young women who have given birth at least once before and those living in remote areas are more likely to have unplanned deliveries, which may increase the risk of death in newborns.

New research reveals that unplanned births out-of-hospital in Norway are associated with higher infant mortality. The findings published in Acta Obstetricia et Gynecologica Scandinavica, a journal of the Nordic Federation of Societies of Obstetrics and Gynecology, indicate that young women who have given birth at least once before (multiparous) and those living in remote areas are more likely to have unplanned deliveries, which may increase the risk of death in newborns.

Related Articles


In 2013, close to 60,000 babies were born in Norway according to the Statistics Norway. The country now has 51 institutions with birthing centers -- down from 158 units in 1972. With more specialized care the perinatal mortality rates decreased from 22 out of 1,000 births (1967-1971) to just 5 in 2010. However, medical evidence reports that with less birth centers the rates of unplanned births in Norway have increased from 4 per 1,000 births in 1979-83 to 7 in 1,000 births over the past few years.

"This trend to centralize obstetrics has improved perinatal mortality rates," explains lead author Dr. Björn Gunnarsson from the Norwegian Air Ambulance Foundation in Drøbak, Norway. "One downside to specialized care in central locations is an increase in unplanned births and its adverse outcomes, which is the focus of our study."

For this cross-sectional study, researchers used data from the Medical Birth Registry of Norway from 1999 to 2013. This registry includes data for deliveries outside the hospital, which are required to be submitted by the physician or midwife present during or after the birth. The team compared the 4,899 unplanned births with all other births (reference group) that occurred during the study period.

Findings indicate that 7 per 1,000 deliveries are unplanned births that take place out of hospitals in Norway since 1999. Young multiparous women living in remote areas are most likely to have unplanned deliveries. In fact, young multiparous women giving birth have a 20 times greater risk of unplanned birth compared to older women who have never given birth (nullipara).

Further analysis shows that during the study period, the unplanned birth group had higher perinatal mortality rate compared to the reference group at 11 versus 5 per 1,000 births, respectively. The annual infant mortality rate did not change significantly from year to year during the time period, but did decline an average of 3% each year for the reference group. Babies with extremely low birthweight (500-999 grams; 1-2 pounds) in the unplanned birth group had a three times higher mortality risk compared to babies in the same birthweight category in the reference group.

Dr. Gunnarsson concludes, "Our findings suggest that unplanned births are linked to greater risk of perinatal mortality, which may be caused by limited access to proper medical care for vulnerable newborns. Further study of additional morbidities and potential interventions that reduce unplanned births is needed."


Story Source:

The above story is based on materials provided by Wiley. Note: Materials may be edited for content and length.


Journal Reference:

  1. Björn Gunnarsson, Alexander K. Smárason, Eirik Skogvoll, Sigurd Fasting. Characteristics and outcome of unplanned out-of-institution births in Norway from 1999 to 2013: a cross-sectional study. Acta Obstetricia et Gynecologica Scandinavica, 2014; DOI: 10.1111/aogs.12450

Cite This Page:

Wiley. "Unplanned births out-of-hospital increases risk of infant mortality." ScienceDaily. ScienceDaily, 3 September 2014. <www.sciencedaily.com/releases/2014/09/140903092151.htm>.
Wiley. (2014, September 3). Unplanned births out-of-hospital increases risk of infant mortality. ScienceDaily. Retrieved November 26, 2014 from www.sciencedaily.com/releases/2014/09/140903092151.htm
Wiley. "Unplanned births out-of-hospital increases risk of infant mortality." ScienceDaily. www.sciencedaily.com/releases/2014/09/140903092151.htm (accessed November 26, 2014).

Share This


More From ScienceDaily



More Health & Medicine News

Wednesday, November 26, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Pet Dogs to Be Used in Anti-Ageing Trial

Pet Dogs to Be Used in Anti-Ageing Trial

Reuters - Innovations Video Online (Nov. 26, 2014) — Researchers in the United States are preparing to discover whether a drug commonly used in human organ transplants can extend the lifespan and health quality of pet dogs. Video provided by Reuters
Powered by NewsLook.com
From Popcorn To Vending Snacks: FDA Ups Calorie Count Rules

From Popcorn To Vending Snacks: FDA Ups Calorie Count Rules

Newsy (Nov. 25, 2014) — The US FDA is announcing new calorie rules on Tuesday that will require everywhere from theaters to vending machines to include calorie counts. Video provided by Newsy
Powered by NewsLook.com
Daily Serving Of Yogurt Could Reduce Risk Of Type 2 Diabetes

Daily Serving Of Yogurt Could Reduce Risk Of Type 2 Diabetes

Newsy (Nov. 25, 2014) — Need another reason to eat yogurt every day? Researchers now say it could reduce a person's risk of developing type 2 diabetes. Video provided by Newsy
Powered by NewsLook.com
Madagascar Working to Contain Plague Outbreak

Madagascar Working to Contain Plague Outbreak

AFP (Nov. 24, 2014) — Madagascar said Monday it is trying to contain an outbreak of plague -- similar to the Black Death that swept Medieval Europe -- that has killed 40 people and is spreading to the capital Antananarivo. Duration: 00:42 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins