Decline in home births associated with faster increase in trend of postpartum haemorrhage and manual removal of the placenta

Anna E Seijmonsbergen-Schermers; Lilian L Peters; Suze Jans; Corine J Verhoeven; Ank de Jonge

doi:10.1016/j.srhc.2024.100974

Decline in home births associated with faster increase in trend of postpartum haemorrhage and manual removal of the placenta

Sex Reprod Healthc. 2024 Apr 22:40:100974. doi: 10.1016/j.srhc.2024.100974. Online ahead of print.

Authors

Anna E Seijmonsbergen-Schermers¹, Lilian L Peters², Suze Jans³, Corine J Verhoeven⁴, Ank de Jonge²

Affiliations

¹ Amsterdam UMC Location Vrije Universiteit Amsterdam, Midwifery Science, De Boelelaan 1117, Amsterdam, The Netherlands; Midwifery Academy Amsterdam Groningen, Inholland, Amsterdam, The Netherlands; Amsterdam Public Health, Quality of Care, Amsterdam, The Netherlands; University of Groningen, University Medical Center Groningen, Department of General, The Netherlands. Electronic address: a.seijmonsbergen@amsterdamumc.nl.
² Amsterdam UMC Location Vrije Universiteit Amsterdam, Midwifery Science, De Boelelaan 1117, Amsterdam, The Netherlands; Midwifery Academy Amsterdam Groningen, Inholland, Amsterdam, The Netherlands; Amsterdam Public Health, Quality of Care, Amsterdam, The Netherlands; University of Groningen, University Medical Center Groningen, Department of General, The Netherlands.
³ TNO, Netherlands Institute of Applied Sciences, Dept. of Child Health, Leiden, The Netherlands.
⁴ Amsterdam UMC Location Vrije Universiteit Amsterdam, Midwifery Science, De Boelelaan 1117, Amsterdam, The Netherlands; Midwifery Academy Amsterdam Groningen, Inholland, Amsterdam, The Netherlands; University of Groningen, University Medical Center Groningen, Department of General, The Netherlands; Department of Obstetrics and Gynaecology, Maxima Medical Centre, Veldhoven, The Netherlands; Division of Midwifery, School of Health Sciences, University of Nottingham, Nottingham, United Kingdom; Amsterdam Reproduction and Development, Amsterdam, The Netherlands.

PMID: 38678677
DOI: 10.1016/j.srhc.2024.100974

Abstract

In this study we explored the relationship between home birth rates and increasing rates of postpartum haemorrhage (PPH) and manual removal of the placenta (MROP). Data were used from the Dutch national perinatal registry (2000-2014) of women in midwife-led care. Adjusting for place of birth flattened the increasing trends of PPH and MROP. By adjusting for place of birth, the rising trend of MROP among multiparous women disappeared. This suggests that if home birth rates had not declined, PPH and MROP rates might not have increased as much. This study supports policies of enabling women to choose home births.

Keywords: Home birth; Manual removal of the placenta; Postpartum haemorrhage; Trends.