Gesellschaft für Qualität in der außerklinischen Geburtshilfe e.V.
Association for Quality in Out-of-Hospital Births

 

Facts (in English)

 

Out-of-Hospital Birth Data (2010)

 

10,699 singleton out-of-hospital births (38.4% first time mothers) were reported in 2010 (about 80% of all out-of- hospital births). Out-of-hospital births accounted for about 2% of all births in Germany.

Booking for the different out-of-hospital birth settings varied: 3,709 home births, 6,982 births started in midwife-led institutions like freestanding birth centres; and 8 births were reported in a centre run by an obstetrician. Mothers-to-be and midwives carefully chose the suitable place of birth. Of all pregnant women 90.9% had no particular problems concerning this pregnancy. During birth were transferred to hospital. No woman died during or after birth.

Following data according to intention to treat show that midwives offered intensive but not invasive care for mother and child.

 

Spontaneous birth	91.4%
Preferred birthing position	vertical
Intact perineum after vaginal birth	44.8%
Third or fourth degree perinael tear after vaginal birth	1.3%
Episiotomy	5.1%
C-section	6.0%
No intervention of any kind	30.6%
No problem after birth	94.3% of all mothers
Transfer after birth	3.8% of all mothers
5 minutes Apgar-score > 7	99.3% of all live-births
Children's most frequent morbidity (breathing problems)	1,87% of all children
Perinatal mortality	0.16% (= 1.6‰)

 

This data set supports the view that out-of-hospital midwifery care is safe for mother and child.

 

 

Who are we?

 

The „Gesellschaft für Qualität in der außerklinischen Geburtshilfe“ (QUAG e.V.) was founded by midwives in 1999. The aim of this association is to register and to document all out-of-hospital births in Germany and to research quality of care and antenatal health outcomes. Data reporting is optional, not all midwives in Germany participate.

For further information: Kontakt

 

 

German Out-Of-Hospital Birth Study

 

Data from more than 40.000 births, collected over 5 years (2000 – 2004) and questions about quality of care and health outcomes are presented in this book.

 

Loytved, Christine und Paul Wenzlaff 2007 Außerklinische Geburt in Deutschland – German Out-Of-Hospital Birth Study 2000 – 2004. Verlag Hans Huber, Bern

 

For further information: Kontakt

 

Some findings from 42,154 births starting out-of- hospital (in the years 2000-2004) in Germany and related recommendations concerning:

 

> Pregnancy

> Birth

> Health of the Mother

> Health of the Baby

 

 

Impressum QUAG e.V. © 2011