{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T23:41:14Z","timestamp":1785195674346,"version":"3.55.0"},"reference-count":20,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"02","license":[{"start":{"date-parts":[[2018,12,12]],"date-time":"2018-12-12T00:00:00Z","timestamp":1544572800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:p>\n            Objective\u2003To promote informed choice for women and to compare home and hospital births in relation to the Apgar score.<\/jats:p><jats:p>\n            Methods\u2003Mother's profile and Apgar score of naturally born infants (without forceps assistance) in Brazil between 2011 and 2015, in both settings\u2014hospital or home\u2014were collected from live birth records provided by the Informatics Department of the Unified Health System (DATASUS, in the Portuguese acronym). For the analysis, were included only data from low-risk deliveries, including gestational time between 37 and 41 weeks, singleton pregnancy, at least four visits of prenatal care, infants weighing between 2,500\u2009g, and 4,000\u2009g, mother age between 20-40 years old, and absence of congenital anomalies.<\/jats:p><jats:p>\n            Results\u2003Home birth infants presented significantly higher risk of 0-5 Apgar scores, both in 1 minute (6.4% versus 3%, odds ratio [OR]\u2009=\u20092.2, confidence interval [CI] IC 2\u20132.4) and in 5 minutes (4.8% versus 0.4%, OR\u2009=\u200911.5, CI 10.5\u201312.7). Another finding is related to recovery estimates when from an initially bad 1-minute Apgar (&lt; 6) to a subsequently better 5-minute Apgar (&gt; 6). In this scenario, home infants had poorer recovery, Apgar score was persistently\u2009&lt;\u20096 throughout the fifth minute in most cases (71% versus 10.7%, OR 20.4, CI 17\u201324.6).<\/jats:p><jats:p>\n            Conclusion\u2003The results show worse Apgar scores for babies born at home, compared with those born at the hospital setting. This is a pioneer and preliminary study that brings attention concerning differences in Apgar score related to home versus hospital place of birth in Brazil.<\/jats:p>","DOI":"10.1055\/s-0038-1675572","type":"journal-article","created":{"date-parts":[[2018,12,12]],"date-time":"2018-12-12T23:53:58Z","timestamp":1544658838000},"page":"076-083","source":"Crossref","is-referenced-by-count":6,"title":["Apgar Scoring System in Brazil's Live Births Records: Differences between Home and Hospital Births"],"prefix":"10.61622","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8056-6295","authenticated-orcid":false,"given":"Jordana de Faria","family":"Bessa","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Cl\u00ednica Humana, Guarulhos, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naieli","family":"Bonatto","sequence":"additional","affiliation":[{"name":"Department of Radiology and Oncology, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"47794","published-online":{"date-parts":[[2018,12,12]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1111\/j.1523-536X.2006.00118.x","article-title":"Cesarean section rates and maternal and neonatal mortality in low-, medium-, and high-income countries: an ecological study","volume":"33","author":"F Althabe","year":"2006","journal-title":"Birth"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"e0148343","DOI":"10.1371\/journal.pone.0148343","article-title":"The increasing trend in caesarean section rates: global, regional and national estimates: 1990\u20132014","volume":"11","author":"A P Betr\u00e1n","year":"2016","journal-title":"PLoS One"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"d276","DOI":"10.1136\/bmj.d276","article-title":"Portrayal of caesarean section in Brazilian women's magazines: 20\u2009year review","volume":"342","author":"M R Torloni","year":"2011","journal-title":"BMJ"},{"key":"ref4","first-page":"e155043","article-title":"Viol\u00eancia obst\u00e9trica no Brasil: uma revis\u00e3o narrativa","volume":"29","author":"G LP Zanardo","year":"2017","journal-title":"Psicol Soc"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1590\/S1413-81232005000300019","article-title":"Humaniza\u00e7\u00e3o da assist\u00eancia ao parto no Brasil: os muitos sentidos de um movimento","volume":"10","author":"C SG Diniz","year":"2005","journal-title":"Cien Saude Colet"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.jmwh.2008.09.006","article-title":"Staying home to give birth: why women in the United States choose home birth","volume":"54","author":"D Boucher","year":"2009","journal-title":"J Midwifery Womens Health"},{"issue":"03","key":"ref10","doi-asserted-by":"crossref","first-page":"350.e1","DOI":"10.1016\/j.ajog.2014.10.021","article-title":"Perinatal risks of planned home births in the United States","volume":"212","author":"A Gr\u00fcnebaum","year":"2015","journal-title":"Am J Obstet Gynecol"},{"issue":"02","key":"ref12","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1111\/j.1523-536X.1997.tb00352.x","article-title":"Care in normal birth: a practical guide. 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