{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T16:11:04Z","timestamp":1778602264102,"version":"3.51.4"},"reference-count":48,"publisher":"Walter de Gruyter GmbH","issue":"8","license":[{"start":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T00:00:00Z","timestamp":1751241600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_jpm-2025-0141_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Depending on risk profile, pregnant women can freely choose their preferred birthplace, especially in the case of a normal pregnancy. In addition to obstetric maternity units in a hospital, options may include out-of-hospital births (such as births at home or in a freestanding midwifery unit. To our knowledge, there is no study comparing the outcomes of peripartum transfers from different places.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2025-0141_abs_002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between 2020 and 2021, all births transferred internally from the AMU of the University Hospital of Leipzig (n=74) were retrospectively analyzed and compared with births transferred from external (home or an FMU; n=72). The main outcome measures were morbidity and interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2025-0141_abs_003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>86.1\u202f% were transfers from an FMU and 13.9\u202f% were transfers of planned home births. There were significantly less spontaneous vaginal births in planned OH births (55.6\u202f%) compared to planned AMU births (73.7\u202f%, p&lt;0.001). For the FMU births, we found a significantly higher rate of caesarean section (20.8\u202f%, to 6.6\u202f%, p&lt;0.001) and postpartum neonatal transfers (8.3\u20134.1\u202f%, p=0.025). The duration of labor was significantly longer in transferred OH (p&lt;0.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2025-0141_abs_004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In case of an intrapartum transfer, there was a decreased likelihood of spontaneous vaginal birth and increased likelihood of secondary caesarean section compared to internally transferred AMU births. Furthermore, OH transfers were associated with a higher morbidity. Hence, pregnant women should be given an informed choice of birthplace, including the likelihood of intrapartum transfer. Out-of-hospital deliveries are associated with a higher rate of adverse perinatal outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/jpm-2025-0141","type":"journal-article","created":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T03:58:47Z","timestamp":1750996727000},"page":"1077-1088","source":"Crossref","is-referenced-by-count":2,"title":["Comparison of intrapartum transfer from out-of-hospital births with intrapartum transfer from an alongside midwifery unit: a real-world data analysis of a German cohort"],"prefix":"10.1515","volume":"53","author":[{"given":"Theresa","family":"Andraczek","sequence":"first","affiliation":[{"name":"Department of Obstetrics , 443524 University Hospital Leipzig , Leipzig , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Tauscher","sequence":"additional","affiliation":[{"name":"Department of Obstetrics , 443524 University Hospital Leipzig , Leipzig , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noura","family":"Kabbani","sequence":"additional","affiliation":[{"name":"Department of Obstetrics , 443524 University Hospital Leipzig , Leipzig , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henrike","family":"Todorow","sequence":"additional","affiliation":[{"name":"Faculty of Midwifery , Leipzig University , Leipzig , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holger","family":"Stepan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics , 443524 University Hospital Leipzig , Leipzig , Germany"},{"name":"Faculty of Midwifery , Leipzig University , Leipzig , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2025,6,30]]},"reference":[{"key":"2026051215163774812_j_jpm-2025-0141_ref_001","unstructured":"Sozialgesetzbuch (SGB V). 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