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The obstetric community remains deeply divided regarding the safety of out of hospital birth. Recent population-based registry studies of home birth have reported no difference in perinatal mortality or neonatal mortality.1,–,4 In the absence of randomised controlled trials, evaluation of the safety of out of hospital birth continues to rely on cohort studies in which the planned place of birth is determined by self-selection among parturients and risk assessment by caregivers.
The Birthplace in England Collaborative Group has reported outcomes of singleton term births, during 2008–2010, according to planned place of birth in the National Health Service in England. Outcomes are reported for …
Competing interests None.