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CMAJ Highlights FRANÇAIS À WWW.JAMC.CA Home versus hospital births Contraband cigarettes Planned home births attended by a registered midwife were The widespread use of contraband cigarettes by adolescents, associated with very low and comparable rates of perinatal especially in Ontario and Quebec, is a challenge to tobacco death and reduced rates of obstetric interventions and other control strategies. Callaghan and colleagues studied data for adverse perinatal out- over 40 000 high school students aged 14–18 who partici- comes compared with pated in Canada’s 2006/2007 Youth Smoking Survey. They planned hospital births found that 5.2% were classified as current daily smokers. Of attended by either a these, 13.1% reported that contraband cigarettes were their midwife or a physi- usual brand. See Research, 384 cian. In the cohort studied by Janssen and colleagues, the outcomes of 2889 planned home births were compared with @2009 Jupiterimages Corp. the outcomes of 4752 planned hospital births attended by a midwife and 5331 attended by CMAJ a physician. See Research, page 377 Evidence supports planned home birth for women at low risk of complications, Vocabulary of embryonic research provided they are cared for by qualified midwives with access to backup
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