{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T12:16:38Z","timestamp":1765887398333},"reference-count":35,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,5,17]],"date-time":"2012-05-17T00:00:00Z","timestamp":1337212800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Birth"],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>\u201cPlace of birth\u201d studies have consistently shown reduced rates of obstetric intervention in low\u2010technology birth settings, but the extent to which the place of birth per se has influenced the outcomes remains unclear. The objective of this study was to compare birth outcomes for nulliparous women giving birth at home or in hospital, within the practice of the same midwives.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An innovative survey was generated following a focus group discussion that compared midwifery practice in different settings. Two groups of matched, low\u2010risk first\u2010time mothers, one group who planned to give birth at home and the other in hospital, were compared with respect to birth outcomes and midwifery care, and in relation to evidenced\u2010based care guidelines for low\u2010risk women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Survey data (response rate: 72%) revealed that women in the planned hospital birth group (<jats:italic>n\u00a0<\/jats:italic>=\u00a0116) used more pharmacological pain management techniques, experienced more obstetric interventions, had a greater rate of postpartum hemorrhage, and achieved spontaneous vaginal birth less often than those in the planned home birth group (<jats:italic>n\u00a0<\/jats:italic>=\u00a0109). All results were significant (p\u00a0&lt;<jats:italic>\u00a00.05)<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Despite care by the same midwives, first\u2010time mothers who chose to give birth at home were not only more likely to give birth with no intervention but were also more likely to receive evidence\u2010based care. (<jats:styled-content style=\"fixed-case\">BIRTH<\/jats:styled-content> 39:2 <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>une 2012)<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1523-536x.2012.00534.x","type":"journal-article","created":{"date-parts":[[2012,5,17]],"date-time":"2012-05-17T19:48:38Z","timestamp":1337284118000},"page":"135-144","source":"Crossref","is-referenced-by-count":24,"title":["Are First\u2010Time Mothers Who Plan Home Birth More Likely to Receive Evidence\u2010Based Care? A Comparative Study of Home and Hospital Care Provided by the Same Midwives"],"prefix":"10.1111","volume":"39","author":[{"given":"Suzanne","family":"Miller","sequence":"first","affiliation":[{"name":"School of Midwifery Otago Polytechnic Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joan","family":"Skinner","sequence":"additional","affiliation":[{"name":"Graduate School of Nursing Midwifery and Health Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,5,17]]},"reference":[{"key":"e_1_2_5_2_1","volume-title":"Gentle Birth, Gentle Mothering","author":"Buckley S","year":"2005"},{"key":"e_1_2_5_3_1","first-page":"57","volume-title":"Birth Territory and Midwifery Guardianship","author":"Foureur M","year":"2008"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/01674820410001737423"},{"key":"e_1_2_5_5_1","volume-title":"Position for Women during the Second Stage of Labour (Cochrane Review)","author":"Gupta J","year":"2006"},{"key":"e_1_2_5_6_1","doi-asserted-by":"crossref","DOI":"10.4324\/9780203961711","volume-title":"Evidence\u2010Based Care for Normal Labour and Birth","author":"Walsh D","year":"2007"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003934.pub2"},{"key":"e_1_2_5_8_1","unstructured":"National Institute for Clinical Excellence (NICE) Guideline No 55.Intrapartum Care: Care of Healthy Women and Their Babies during Childbirth 2007. 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