Outcomes of a Rural Sonoma County Home Birth Practice: 1976–1982

Authors

  • Nan Ullrike Koehler M.S.,

    1. Nan Ullrike Koehler, M.S., is a lay midwife and Donald A. Solomon, M.D., is an obstetrician. Marilyn Murphy is a freelance writer studying midwifery.
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  • Donald A. Solomon M.D.,

    1. Nan Ullrike Koehler, M.S., is a lay midwife and Donald A. Solomon, M.D., is an obstetrician. Marilyn Murphy is a freelance writer studying midwifery.
    Search for more papers by this author
  • Marilyn Murphy

    1. Nan Ullrike Koehler, M.S., is a lay midwife and Donald A. Solomon, M.D., is an obstetrician. Marilyn Murphy is a freelance writer studying midwifery.
    Search for more papers by this author

Abstract

ABSTRACT: Of 741 women who appeared for orientation by an obstetrician/lay midwife, 521 were delivered by them. Of 258 primiparae, 191 had planned home births while 24 were transported to the hospital during labor, and 42 had planned hospital births. Of the multiparae, 233 delivered at home; 2 were transported to the hospital after birth and 3 during labor. Hospital births were planned by 25 multiparae. The cesarean rate was 6.1 per cent. There were 4 premature births (all in hospital and all with normal outcomes), 6 minor malformations, and 3 postpartum infections. The 3 perinatal deaths included a prepartum death at 34 weeks, a stillborn double footling breech with a prolapsed cord, and an infant who was resuscitated at home but died after two weeks of intensive care.

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