{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T06:50:24Z","timestamp":1773211824420,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,4,15]],"date-time":"2024-04-15T00:00:00Z","timestamp":1713139200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,4,15]],"date-time":"2024-04-15T00:00:00Z","timestamp":1713139200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>At our center, natural home\u2010like delivery settings have been established in or near conventional labor wards, for the care of pregnant women who prefer little or no medical intervention during labor and birth. We compared obstetrical and neonatal outcomes of women in active spontaneous labor, between those who chose to deliver in a natural\u2010delivery setup and those who chose a conventional setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study included low\u2010risk women who delivered at term between March 1, 2020 and December 31, 2022, in a single tertiary university affiliated medical center.<\/jats:p>\n                    <jats:p>Birth outcomes were compared between 124 women who delivered by natural birth (the study group) and 244 who gave birth in a conventional setting (the control group).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      No cesarean deliveries were performed in the study group, compared to 18 (7.4%) of the control group,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004. Intrapartum fever, postpartum hemorrhage, and uterotonic administration were similar between the groups. For the study compared to the control group, breastfeeding was more common (71.3% vs. 12.3%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), analgesia administration within 48\u2009h delivery was lower (4.1% vs. 10.7%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.033), and maternal and neonatal length of hospitalization were shorter. Of the women initially admitted to the natural\u2010delivery room, 14 (11.5%) were transferred to a conventional\u2010delivery room.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Birth in a hospital natural\u2010delivery setting was associated with increased likelihood of vaginal birth, increased immediate breastfeeding and breastfeeding at discharge, and lower postpartum pain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jog.15952","type":"journal-article","created":{"date-parts":[[2024,4,15]],"date-time":"2024-04-15T20:24:56Z","timestamp":1713212696000},"page":"1118-1125","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Birth outcomes associated with a natural delivery approach in a perinatal center: A comparative retrospective study"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0131-3936","authenticated-orcid":false,"given":"Raneen","family":"Abu Shqara","sequence":"first","affiliation":[{"name":"Raya Strauss Wing of Obstetrics and Gynecology Galilee Medical Center Galilee Medical Center  Nahariya Israel"},{"name":"Azrieli Faculty of Medicine Bar Ilan University  Safed Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8681-0196","authenticated-orcid":false,"given":"Gabriela","family":"Goldinfeld","sequence":"additional","affiliation":[{"name":"Azrieli Faculty of Medicine Bar Ilan University  Safed Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roni","family":"Tenne Cohen","sequence":"additional","affiliation":[{"name":"Raya Strauss Wing of Obstetrics and Gynecology Galilee Medical Center Galilee Medical Center  Nahariya 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