Efforts needed to avoid two extremes Wilmoth said low fertility could be viewed as just as difficult a challenge
as high birth rates because governments have to deal with rapidly aging populations and fewer children to replace them.
Not exact matches
Also, though fertility generally decreases
as women age, the
rate of multiple
births is
higher for older women.
The Deferred Action for Childhood Arrivals program changed the lives of young people who came to the United States illegally
as children in incredible ways — boosting
high school graduation
rates and college enrollment, while slashing teen
births by a staggering 45 percent.
Because of the slowing
birth rate in developed countries which have a
higher than average amount people who profess no religion (minus the united states), the developing countries, such
as Brazil who are highly religious, account for an increase in religious profession.
These forces are the stuff of everyday life:
rates of
birth higher for Mexicans and Mexican - Americans than for most other ethnic groups; a chain of entirely legal immigration,
as Mexican - Americans bestow residency and citizenship on their spouses, children and parents; and a practice of illegal immigration that is, in the vast majority of instances, born from ordinary people exercising common sense.
The cultural changes that Fuchs and Reklis have in mind are increasing individualism, growing preoccupation with individual fulfillment, wider tolerance for divorce
as a solution to marital problems, and more general acceptance at all social levels of the
high rates of out - of - wedlock
births and single parenthood.
Whilst we do not have rigorous evaluation evidence of the effectiveness of Ecole des Maris, testimony from the men involved, and from pregnant women and new mothers, indicates that the scheme has transformed attitudes towards healthcare,
as well
as substantially increasing the
rates of attended labour in a country where maternal and child death
rates at
birth remain
high.
Until women and their families start expecting respect and look at themselves
as the main player in childbirth we will continue to have
higher maternal mortality
rates than 33 other countries (according to WHO) and
higher low
birth weight
rates than 23 other countries.
With a mortality
rate of almost 5x
higher than hospital
birth, this is not that far off the 6 - 8 times
higher we saw for the Oregon data collection, even though the Oregon group almost surely had significantly fewer criteria for risking mothers out (no criteria in some places, I'm sure)
as well
as lower qualifications for the midwives
as CPMs and DEMs.
Mothers who give
birth at home are
as concerned with the under - reported and grossly
high maternal mortality
rate in hospitals
as the infant mortality
rate.
planning
birth in an obstetric unit is associated with a
higher rate of interventions, such
as instrumental vaginal
birth, caesarean section and episiotomy, compared with planning
birth in other settings
As the recently released statistics from Oregon show, planned homebirth with a licensed homebirth midwife has a mortality
rate 800 %
HIGHER than term hospital
birth.
In California's Central Valley, Colleen developed a county - wide educational track for nurses to train
as midwives in order to help reduce
high pre-term
birth and teen pregnancy
rates in Kern County, and provided well woman and prenatal care in a community health center primarily serving migrant farm workers.
Since homebirth
rates are
as low
as 1.2 % in our country, and in the State of Indiana no
higher than 6 %, I suspect his statistics are exaggerated by his own fabricated fear of
birth.
Our top fertility center is proud to maintain consistently
high pregnancy and live
birth rates, ranking among the best in the United States
as determined by the Society for Assisted Reproductive Technology (SART).
Albert and other experts at CDC and in the field attribute the decline to a variety of factors, including lower
rates of sexual activity, greater use of contraception, and a
higher incidence of physicians educating and offering teen mothers long - term
birth control methods such
as IUDs and hormonal implants, which can prevent a second unintended pregnancy.
But the increase in the multiple
birth rate means not just more twins, but also
higher order multiples, such
as triplets, quadruplets and the like.
These studies were from Australasia, 13 14 Europe, 15 — 18 and the United States.19 Australian planned home
births had a perinatal death
rate about twice
as high as these countries (table 5).
But
as Judith also noted in her verbal testimony, the hospital
rate contains both low and
high - risk
births, so the DEM
rate is actually even worse in comparison (since homebirth midwives are attending - supposedly — low risk
births only).
The three recent papers published in American Journal of ObGyn: Wax metaanalysis (2010), Chervenak (2013), Grunebaum **** (see note at bottom)(Apgar 0, 2013) and the U.K.
Birth Place study (2013) report perinatal death rates from homebirth as 3 times or 10 times higher than perinatal death rates in the first week than hospital b
Birth Place study (2013) report perinatal death
rates from homebirth
as 3 times or 10 times
higher than perinatal death
rates in the first week than hospital
birthbirth.
The death
rates are appalling and the fact that so many «
high risk»
births were allowed to go forward
as home
births is also appalling, I would suggest that a lack of training among non-CNM midwives would be obvious to MANA based on the fact that they can't even follow up with their clients for the most basic of information.
Vitamin K2 from
high quality sources has a very
high rate of transfer to colostrum, so unrestricted breastfeeding after
birth (from a well - nourished mother) serves
as an immediate transfusion to newborns.
The 0.5 % death
rate of a
higher - risk home
birth is the same
as the probability of a child dying between the ages of 1 and 18 from any cause at all.
The U.S. has considered many factors, such
as advanced maternal age, more reproductive technology, and
higher rates of premature
births for its
high mortality
rate, but the
rate is simply much too
high.
After hospital transfers were reclassified
as belonging to the planned out - of - hospital
birth category, the
rate of fetal death was
higher (though not quite reaching the level of significance) among out - of - hospital
births than among in - hospital
births (2.4 vs. 1.2 deaths per 1000 deliveries, P = 0.05)(Table 3).
During that time the death
rate in labour or the neonatal period in non-malformed babies of normal
birth weight born to women booked for a home delivery (those deaths most capable of reduction by
high quality care during labour) was
as low
as the regional figure for all other such losses (0.05 % v 0.11 %).
In Horwood's long - range study that followed children from
birth to 18 years or the completion of
high school, breastfed children were
rated as more cooperative and socially better students the longer they were breastfed.17 When drop - out
rates were calculated, the
rate was
higher among children who had been bottle - fed and lowest among those who had been breastfed equal to or longer than eight months, even when data were adjusted for maternal demographics.
Sadly, the results are
as you'd expect, with more complications during
birth and
higher mortality
rates for both mom and baby.
Rates of respiratory infections, such
as pneumonia and bronchitis, metabolic disorders, and eczema were
higher among children who experienced any form of
birth intervention than those born vaginally.
So a team of Dutch researchers decided to test whether low risk women at the onset of labour with planned home
birth have a
higher rate of rare but severe outcomes (known
as severe acute maternal morbidity or SAMM) than those with planned hospital
births.
In nulliparous women, a period of 8 hours of augmentation resulted in an 18 % cesarean delivery
rate and no cases of
birth injury or asphyxia, whereas if the period of augmentation had been limited to 4 hours, the cesarean delivery
rate would have been twice
as high given the number of women who had not made significant progress at 4 hours.
More recently,
rates of
higher order
births (three or more infants) have declined
as changes in assisted reproductive techniques (ART) to reduce multiple pregnancies have been implemented (Smith 2014; Umstad 2013).
What I had meant to say was that if Dr T is going to use the Netherlands
as an example to support her claim that home
birth is not safe, when France has an even
higher perinatal
rate (with an almost non-existent home
birth culture), then she's cherry - picking her stats and misleading her readers.
«In this sample, the
rate of postpartum hemorrhage (defined
as over 500cc in a vaginal
birth and 1000 cc in a cesarean) was 15.4 %,
higher than previous research has reported.
So it makes no sense whatsoever to try and compare the two groups
as you are attempting to, since you have no way of knowing whether the difference in death
rate is due to the place of
birth or due to the underlying conditions which make the women in question
high risk.
Doulas are truly amazing and have been credited with many positive side effects, including lower cesarean section
rates when they are present
as well
as higher satisfaction with the
birth experience on the part of the women they serve during childbirth.
To summarize, the MANA statistics show that homebirth
as practiced in the US has a death
rate 450 %
higher than hospital
birth.
If you look at the death
rate when
high - risk pregnancies falsely classified
as low - risk are included (midwives claim to only attend low - risk
births), you've gotten up to 2.0 per thousand deaths and about 40 per thousand permanently injured for a total of 42 per thousand dead or permanently injured.
The U.S. spends twice
as much per
birth than any other country in the world, yet has the second - worst newborn mortality
rate and one of the
highest rates of maternal death during childbirth.
Nearly all human societies have the practice of assisting women
as they give
birth, and many anthropologists believe that the death
rate in truly unassisted childbirth is too
high for the human race to survive without it.
Does nine times
higher death
rate of breech babies in homebirth according to MANA stats than the death
rate of breech
births in hospitals count
as a proven negative outcome or not?
Yet, when I analyzed all of the studies that the Midwives» Alliance of North America (MANA) says comprise the best evidence for the safety of home
birth, I found that every study that looked at nonhospital
birth in the United States (and many of the studies that looked at other countries,
as well) reported much
higher death
rates for babies when compared to similar hospital
births.
The jury is out
as to why this is, but probable causes include insufficient (or nonexistent) maternity leave, poverty and its accompanying stress and pour nourishment, lack of education about and exposure to breastfeeding, infant care practices that keep mother and baby separate, scheduled feeding,
high rates of
birth interventions, the aggressive marketing of infant formula, exposure to pesticides and endocrine disruptors, and cultural beliefs that tell mothers they can't do it.
Hrubec noted that an epidemiological study could determine whether people who have a
high rate of exposure, such
as healthcare workers or restaurant servers, have a more difficult time becoming pregnant or have a greater likelihood of having children with neural tube
birth defects, but no such study has been conducted to date.
A big skull was not conducive to easy
births, and thus a within - group pressure toward smaller heads was probably always present,
as it still is in present - day humans, who have an unusually
high infant mortality
rate due to big - headed babies.
The incidence
rate for neoplasms was
highest among children either after IVF (1.5 / 1000) and somewhat lower for OI
births (1.0 / 1000)
as compared to that of naturally conceived children -LRB-.59 / 1000).
Most females in this study gave
birth by the age of 14, and
as for other species, early starters have
higher rates of reproduction.
But the projection assumed that
birth rates in Africa — the
highest in the world — would steadily drop
as access to contraceptives and women's education improved.
Lead author Melissa Danielson, MSPH, a statistician with the CDC's National Center on
Birth Defects and Developmental Disabilities, said findings that children in foster care experience
high rates of ADHD along with other, simultaneous behavioral disorders
as compared to their peers in Medicaid shows a substantial need for medical and behavioral services within this group.
With the WHO calling for the US to work to lower its unnecessarily
high c - section
rates, supporting home
birth as a
birth choice is increasingly important.