Home births (relative risk, 10.55) and births in free-standing birth centers (RR, 3.56) attended by midwives had a significantly higher risk of a 5- minute Apgar score of 0 (P births attended by physicians or midwives. Five-minute Apgar scores of 0 and neonatal seizures or serious neurologic dysfunction were analyzed for 4 groups by birth setting and birth attendant (hospital physician, hospital midwife, freestanding birth center midwife, and home midwife). Data from the United States Centers for Disease Control's National Center for Health Statistics birth certificate data files were used to assess deliveries by physicians and midwives in and out of the hospital for the 4-year period from 2007-2010 for singleton term births (≥37 weeks' gestation) and ≥2500 g. To examine the occurrence of 5- minute Apgar scores of 0 and seizures or serious neurologic dysfunction for 4 groups by birth setting and birth attendant (hospital physician, hospital midwife, free-standing birth center midwife, and home midwife) in the United States from 2007-2010. Grünebaum, Amos McCullough, Laurence B Sapra, Katherine J Brent, Robert L Levene, Malcolm I Arabin, Birgit Chervenak, Frank A Apgar score of 0 at 5 minutes and neonatal seizures or serious neurologic dysfunction in relation to birth setting.
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