{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T18:27:10Z","timestamp":1761676030441},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,2,25]],"date-time":"2013-02-25T00:00:00Z","timestamp":1361750400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2013,3]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>In this study, we examined the perinatal outcomes of planned home births over a 25\u2010year period (1983\u20102008) in a group of primarily Amish women (98%) attended by certified nurse\u2010midwives (CNMs) in southeastern Pennsylvania.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective, descriptive analysis of data (N = 1836 births) from several CNM practices. Data were abstracted for 25 items, including demographics, labor, and birth. Initially, 2 investigators abstracted 15 records to compare assessments and standardize definitions. Charts were then divided and abstracted individually by one investigator. Several relationships were examined in 2 by 2 tables using the chi\u2010square procedure for the difference in proportions. Maternal and newborn transfers to the hospital were included in the analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the women who planned home birth for 1836 pregnancies, 1733 of the births occurred at home. Although more than one\u2010third of the women were of high parity (gravida 5\u201013), rates of postpartum hemorrhage were low (n = 96, 5.5%). There were no maternal deaths. Nearly half of the maternal transfers to the hospital (n = 103, 5.6%) were for ruptured membranes without labor (n = 25, 1.4%) and\/or failure to progress (n = 23, 1.3%). The neonatal hospital admission rate also was low (n = 13, 0.75%). Of the 7 (0.4%) early neonatal deaths, all were attributed to lethal congenital anomalies that are common to this population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>This study is the first to describe the outcomes of planned home births in a primarily Amish population cared for by CNMs. It also adds to the literature on planned home births in the United States and supports the findings from previous studies that women who have home births attended by CNMs have safety profiles equal to or better than profiles of women who had hospital births in similar populations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1542-2011.2012.00217.x","type":"journal-article","created":{"date-parts":[[2013,2,25]],"date-time":"2013-02-25T16:36:51Z","timestamp":1361810211000},"page":"145-149","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Outcomes of Planned Home Births Attended by Certified Nurse\u2010Midwives in Southeastern Pennsylvania, 1983\u20102008"],"prefix":"10.1111","volume":"58","author":[{"given":"Kim J.","family":"Cox","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruth","family":"Schlegel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pat","family":"Payne","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dusty","family":"Teaf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leah","family":"Albers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,2,25]]},"reference":[{"issue":"11","key":"e_1_2_6_2_1","first-page":"1\u201014,16","article-title":"Trends and characteristics of home and other out\u2010of\u2010hospital births in the United States, 1990\u20102006","volume":"58","author":"MacDorman MF","year":"2010","journal-title":"Natl Vital Stat Rep."},{"issue":"1","key":"e_1_2_6_3_1","first-page":"1","article-title":"Births: final data for 2009","volume":"60","author":"Martin J","year":"2011","journal-title":"Natl Vital Stat Rep"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1542-2011.2004.tb04439.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732307312393"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.081869"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.2009.00357.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02175.x"},{"key":"e_1_2_6_9_1","volume-title":"Position Statement: Home Birth","author":"American College of Nurse\u2010Midwives","year":"2011"},{"key":"e_1_2_6_10_1","unstructured":"Home Birth Consensus Summit. Common Ground Statements.2011;http:\/\/www.homebirthsummit.org\/summit\u2010outcomes.html. Accessed December 31 2011."},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.2009.00322.x"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.330.7505.1416"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2010.12"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/0091-2182(95)00051-8"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(98)00182-3"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31820eee20"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.05.028"},{"key":"e_1_2_6_18_1","unstructured":"SimkinsG.It is time to reframe the homebirth conversation: focus on optimal maternity care and the practitioners who can provide it. Midwives Alliance of North America Web site.http:\/\/mana.org\/ACOGHomeBirth.html. January 26 2011. Accessed December 28 2011."},{"key":"e_1_2_6_19_1","volume-title":"A midwife's story","author":"Armstrong P","year":"1986"},{"issue":"4","key":"e_1_2_6_20_1","first-page":"10","article-title":"Birthing among the Amish","volume":"15","author":"Showalter A","year":"2000","journal-title":"Int J Childbirth Educ."},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1891\/1058-1243.11.2.13"},{"issue":"2","key":"e_1_2_6_22_1","first-page":"91","article-title":"Learning from an Amish birth","volume":"40","author":"Kroening E","year":"2008","journal-title":"Fam Med."},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2350-11-68"},{"issue":"2","key":"e_1_2_6_24_1","first-page":"49","article-title":"Rural medicine and the closed society. 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