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Navigating Relative Risk at Home and in Birth Centers*

The purpose of the study was to explore the relative and absolute risks associated with a variety of maternal/fetal characteristics that may render a pregnancy at increased risk for adverse perinatal outcomes within the context of planned, physiologic birth in the community setting. Looking globally at systems that have integrated maternity care, what we see is that the definition of “low-risk” varies markedly between systems. There is really no consensus on what constitutes a low-risk client. The study looked at some of the exposures (risk factors) that in different systems are considered to put women at higher risk, either based on evidence or based on fears of litigation and asked the question: What are the relative and absolute risks associated with a variety of maternal/fetal characteristics that may render a pregnancy at increased risk for adverse perinatal outcomes within the context of planned, physiologic birth in the community setting? In this four-hour deep dive Dr. Cheyney will present the outcomes of the paper as well as highlight ways in which we can assure the best possible outcomes for the people in our care.

*Bridge Category 3

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