Without control for this background, the perinatal outcome in primiparous women was significantly better for planned home births than
for planned hospital births.
In multiparous women, perinatal outcome was significantly better for planned home births than
for planned hospital births, with or without control for background variables.
In order to address the issue of safety of home birth in BC, we compared selected outcomes for planned home births attended by regulated midwives with
those for planned hospital births attended by midwives and by physicians.
Amy Tuteur (the Skeptical OB) calculates from the CDC database that the same statistics
for planned hospital births are 0.38 per 1000 for low risk births.
The incidence of PPH
for planned hospital births would be expected to be higher than the incidence for planned home births, because nulliparous women are more likely to experience PPH (see Table 2), and are also more likely to plan a hospital birth [28].
The combined intra-partum and neonatal death rates up to 28 days after birth, including cases with discrepancies in the registration of the moment of death, were: for nulliparous women, 1.02 % for planned home births versus 1.09 %
for planned hospital births, adjusted OR (aOR) 0.99, 95 % CI: 0.79 to 1.24; and for parous women, 0.59 % versus 0.58 %, aOR 1.16, 95 % CI: 0.87 to 1.55.
In this group of women, the risk of severe blood loss after delivery (also known as postpartum haemorrhage) was 19.6 per 1,000 for a planned home birth compared with 37.6 per 1,000
for planned hospital births.
For planned hospital births, this means the baby is born before arrival at the hospital.
The rate of postpartum haemorrhage was 19.6 per 1,000 for a planned home birth compared with 37.6 per 1,000
for a planned hospital birth.
The rate of postpartum haemorrhage was 43.1 per 1,000 for a planned home compared with 43.3 per 1000
for a planned hospital birth.
For women who had previously given birth (parous women), the rate of severe outcomes for a planned home birth was 1 per 1000 compared with 2.3 per 1000
for a planned hospital birth.
Not exact matches
As a result,
for women who are concerned about the costs related to giving
birth, it's important to explore the average costs at their local
hospitals and review their insurance
plans before they decide to become pregnant.
Practice Guidelines
for California Licensed Midwives Best Practice Guidelines: Transfer from
Planned Home
Birth to
Hospital Citizens
for Midwifery Home
Birth Facts Canadian Medical Association Journal: Outcomes of
Planned Home
Birth Solace
for Mothers: Informed Consent Questions to Consider when Interviewing a Doctor or Midwife
In addition to getting to know each other over the course of the mom's pregnancy — learning about her hopes, fears, and wants
for her
birth experience — home birthing moms also have
birth plans to clarify things like which post-
birth procedures the family does and doesn't want (like vitamin K shot, eye ointment, etc.), and preferred
hospitals and care providers to call in case of transfer.
One more thought Penny... wouldn't it be ideal if a mother
planning the
birth of a breech baby could opt
for hospital TOL with her midwife?
Although tragic, cord prolapse and AFE occur rarely at homebirth, 1/5000 and 1/500, 000 respectively, when balanced with the dozens of acute emergency conditions endangering the health of mother and baby that occur at
planned hospital birth caused by intervening in the
birth process, the scales tip easily in favor of
planned attended homebirth
for low risk women.
I
planned to have my baby at our local Family
Birth Centre through the public health system at my local
hospital the Mercy
for women.
Rates of acute emergencies
for low risk
births at
planned attended homebirth vs
planned hospital birth:
Another lengthy scan with very little discussion between the technician and us, again our worrying about our being steamrolled into a management
plan without through evaluation of the risks and benefits, or being essentially pushed into a
hospital birth because it would be best
for the baby but also mean that I would not have the option of birthing vaginally was all a little more than my tear ducts could bear.
Planned attended homebirth outshines
hospital birth for low risk women in every category of acute emergency.
Several studies have shown that
planned homebirth attended by a qualified experienced caregiver is as safe or safer than
hospital birth for low - risk women.
If you think you might have a
hospital birth, talk to your doctor and the
hospital regarding their typical procedures and put together a
plan that works
for you.
Perinatal mortality rates
for hospital births of low risk women are similar to outcomes of
planned homebirth in general, but the maternal morbidity at
planned hospital births is much higher.
while being coerced to push even though I wanted to breath the babies down, I didn't get to see them at all
for 15 hours after they were born because the
hospital staff didn't get their act together, not because it was medically necessary, etc., so much so that the head of OB (my office doc) later admitted they had me on suicide watch because what happened was so different than my
birth plan... I wasn't stuck on exact details, especially because twins throw a loop in all of it, but it was nothing like I had hoped
for, at all.
No matter that it comports with the data from Oregon that shows that
PLANNED homebirth with a LICENSED homebirth midwife has a death rate 9X higher than comparable risk
hospital birth or that MANA has found that its own members have such hideous death rates that they have been desperately hiding them
for years.
Most prospective parents are familiar with what's involved in preparing
for a
birth — attending antenatal classes, packing a
hospital bag, perhaps writing a
birth plan, and certainly bidding a wistful farewell to sleep.
Though its records are also incomplete — reporting is voluntary; there are no reports
for 2012 — they do point to the trauma that accompanies a
planned out - of -
hospital birth where something goes wrong.
A major study published in the UK (Birthplace in England Collaborative Group, 2011) has examined the risks of
planned home
births, comparing them against
planned deliveries in
hospitals and midwife units
for low risk women.
We should also track women who
plan a home
birth but wind up going to the
hospital for preterm labor or other emergency, or get «risked out» of home
birth before the time comes.
I really do not care if a woman wants to squat out a baby in the comfort of her home — I care that she is doing so as an act of informed free will and that she has been apprised of the risks of doing so (including the risks of 3 times or more the mortality rate
for her baby compared to
hospital birth and the risks of
planned vaginal delivery in general).
The second half is about the
birth process and the whole biological aspect, which is great
for anyone even if you
plan on having a
hospital birth.
Whether you are
planning to
birth at home, at a
birth center or at a
hospital, this class will empower you to know what questions to ask your care provider to confirm you are on the same page
for your
birth goals.
Kate was primary author
for the NYSALM Position Statement on
Planned Home
Birth, outlining model behavior
for both midwives and
hospital providers during transfers, the NYSALM Policy on Complaints, and is currently chairing the committee developing Guidelines
for Collaboration in
Planned Home
Birth Midwifery Practice.
Dates: March 13 - April 17 Time: Tuesday nights at 7:00 pm Location: Grapevine Birthing Center This 6 session class is specifically
for couples
planning a
hospital birth.
Thank you
for your interest in endorsing the Best Practice Guidelines: Transfer from
Planned Home
Birth to
Hospital.
The biggest takeaway from our discussion is that with a bit of advance preparation, parents can certainly cloth diaper from
birth, even if cloth diapers are new
for your partner,
birth team,
hospital,
birth center, and even if your
birth does not go according to
plan.
Perinatal mortality rates were similar
for planned home and
hospital births, but neonatal mortality rates were significantly higher with
planned home
births.
If you don't like the high risk of having a cesarean, you can help yourself by choosing a
hospital situation that is conducive to natural
birth and by doing some
planning ahead of time to prepare yourself and the people caring
for you.
While it's not at all vital to select a pediatrician that has «rights» at the
hospital or
birth center where you are delivering, it is something you'll be asked when you arrive in Labor & Delivery so they can properly
plan for your baby's medical care in the
hospital - e.g., if your pediatrician does make rounds at the
hospital, baby won't be seen by the staff pediatrician and vice versa.
«NCT's own detailed review of home
birth concluded that, although the quality of comparative evidence on the safety of home
birth is poor, there is no evidence that
for women with a low risk of complications the likelihood of a baby dying is any higher if they
plan for a home
birth compared with
planning for a
hospital birth.»
I am
planning a home
birth so if I do end up in
hospital its because I absolutely have to be there or its an emergency situation where a C - section is called
for I going to be meeting those people pretty much
for the first time [laughs] and I don't know what they are, how receptive they would to something like this, so you know there are certain things you think might be easier to ask
for verses asking of all of this things, perhaps you know, maybe it doesn't have to be all or nothing but I don't know are there certain things that you think might be good
for me to ask
for in lieu of asking
for everything.
An infant car seat is one of the very first things you will need
for your baby unless you
plan to give
birth at home or take the bus to get home from the
hospital.
A. Whether you are
planning a
hospital birth or a homebirth, whether your caregiver is a midwife or a doctor, The Childbearing Society's classes are right
for you.
Have D - Day
plan finalized and accessible to others (
hospital information and policies, insurance information and coverage,
birth plan outlined, childcare
for older children, pet care, doula, post-partum care / help especially if C - Section anticipated, emergency contacts)
And
for everyone reading this, it means that before you can decide if the
hospital is supportive of your
birth plan, you need to have one, even if it's very basic.
In a randomised controlled trial comparing community based care with standard
hospital care a significant difference in caesarean section rates was found (13.3 % v 17.8 % respectively).29
Planning a home
birth30 or booking
for care at a midwife led
birth centre is also associated with lower operative delivery rates.
I found that 87 % of women who
planned nonhospital
birth agreed with the statement, «Generally speaking, giving
birth in a non-
hospital setting is at least as safe as giving
birth in a
hospital for low - risk women» (69 % strongly agreed).
For those having their second or subsequent
birth, a
planned delivery at home is as safe as a
hospital environment.
If you are cared
for by a midwife they come and assess you at home when you go into labor even if you are
planning on a
hospital birth (unless you choose to go right in and meet them there but most midwife clients want to be at home as long a possible from what I understand).
It would not be so hard to get the rate
for comparable low risk women who
planned hospital birth and run a chi - square.