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Author(s): Pintassilgo, S.
Santos, M.
Trindade, I.
Neves, D. M.
Date: 2023
Title: Home birth in Portugal—A comprehensive analysis based on official statistical data
Journal title: Social Sciences
Volume: 12
Number: 6
Reference: Pintassilgo, S., Santos, M., Trindade, I., & Neves, D. M. (2023). Home birth in Portugal—A comprehensive analysis based on official statistical data. Social Sciences, 12(6), 314.
ISSN: 2076-0760
DOI (Digital Object Identifier): 10.3390/socsci12060314
Keywords: Home childbirth
Perinatal mortality
Infant mortality
Neonatal mortality
Maternity care
Social analysis
Demographic analysis
Abstract: To date, there are no comprehensive analyses of the official data on home births in Portugal that consider other determinants beyond place of birth, such as the conditions in which births occur or the mothers’ social profiles. The aims of this article were: (1) to describe the characteristics of childbirth in Portugal according to the place of birth, and (2) to analyse the association between home birth assistance and perinatal, neonatal, and infant mortality rates. We performed a descriptive, correlational analysis of the official datasets of live births in Portugal (census-based) produced by the National Institute of Statistics. In 2020, home births had more similarities with hospital births than to births occurring in any “other place”. Furthermore, considering the 1995–2020 timeframe, home births with specialised assistance were negatively correlated with perinatal, neonatal, and infant mortality, and home births with non-specialised professional assistance or those that were unassisted showed a positive correlation with these mortality rates. Home births are heterogenous, and merely referencing the place of birth does not provide enough information. Although it recommended further investigation, this analysis pointed to the need to assure a specific, systematic evaluation of the quality of care in home births that allows for the consistent assessment and improvement of its safety.
Peerreviewed: yes
Access type: Open Access
Appears in Collections:CIES-RI - Artigos em revistas científicas internacionais com arbitragem científica

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