The researchers then looked only at women who were going through their first pregnancy. They found that women having their first birth at home had a greater chance of complications leading to injury in the child than women who had planned to go to an obstetric unit in a hospital. This risk was almost doubled (odds ratio [OR] 1.75, 95% CI 1.07 to 2.86).
Furthermore, when the sample was restricted to women who had no complicating conditions at the start of labour, there was almost a three-times greater risk for women with planned home births than for women having planned hospital births (OR 2.80, 95% CI 1.59 to 4.92). There was no difference in the rates of such complications in either type of midwife-led unit compared with hospital units.