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.
The site of all 605 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. Women experiencing complications during birth were transferred to hospital. No woman died during or after birth.
Following data demonstrate that midwives offered intensive but not invasive care for mother and child.
Spontaneous birth of all births |
91.4% |
Preferred birthing position of all vaginal births |
vertical |
Intact perineum of all vaginal births |
44.8% |
Third or fourth degree perinael tear of all vaginal births |
1.3% |
Episiotomy of all vaginal births |
5.1% |
C-section of all births |
6.0% |
No intervention of any kind of all mothers |
30.6% |
No problem after birth of all mothers |
94.3% |
Transfer after birth of all mothers |
3.8% |
Transfer after birth of all children |
2.7% |
5 minutes Apgar-score > 7 of all live-births |
99.3% |
Breathing problems as the most frequent morbidity of all children |
1.9% |
Perinatal mortality |
0.16% (= 1.6‰) |
This data set supports the view that out-of-hospital midwifery care is safe for mother and child.
(Loytved, C. 2012 Qualitätsbericht 2010. Außerklinische Geburtshilfe in Deutschland. Im Auftrag der Gesellschaft für Qualität in der außerklinischen Geburtshilfe e.V. Verlag Wissenschaftliche Skripten, Zwickau)
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