Birthplace in New South Wales, Australia: An analysis of perinatal outcomes using routinely collected data

Caroline Homer, Charlene Thornton, Vanessa Scarf, David Ellwood, Jeremy Oats, Marilyn Foureur, David Sibbritt, Helen McLachlan, Della Forster, Hannah Dahlen

    Research output: Contribution to journalArticlepeer-review

    51 Citations (Scopus)


    Background: The outcomes for women who give birth in hospital compared with at home are the subject of ongoing debate. We aimed to determine whether a retrospective linked data study using routinely collected data was a viable means to compare perinatal and maternal outcomes and interventions in labour by planned place of birth at the onset of labour in one Australian state.Methods: A population-based cohort study was undertaken using routinely collected linked data from the New South Wales Perinatal Data Collection, Admitted Patient Data Collection, Register of Congenital Conditions, Registry of Birth Deaths and Marriages and the Australian Bureau of Statistics. Eight years of data provided a sample size of 258,161 full-term women and their infants. The primary outcome was a composite outcome of neonatal mortality and morbidity as used in the Birthplace in England study.Results: Women who planned to give birth in a birth centre or at home were significantly more likely to have a normal labour and birth compared with women in the labour ward group. There were no statistically significant differences in stillbirth and early neonatal deaths between the three groups, although we had insufficient statistical power to test reliably for these differences.Conclusion: This study provides information to assist the development and evaluation of different places of birth across Australia. It is feasible to examine perinatal and maternal outcomes by planned place of birth using routinely collected linked data, although very large data sets will be required to measure rare outcomes associated with place of birth in a low risk population, especially in countries like Australia where homebirth rates are low.

    Original languageEnglish
    Article number206
    Pages (from-to)Art: 206
    Number of pages9
    JournalBMC Pregnancy and Childbirth
    Issue number1
    Publication statusPublished - 14 Jun 2014


    • Birth centre
    • Birthplace
    • Homebirth
    • Maternity
    • Perinatal


    Dive into the research topics of 'Birthplace in New South Wales, Australia: An analysis of perinatal outcomes using routinely collected data'. Together they form a unique fingerprint.

    Cite this