Maybe I'm wrong looking at the increased neonatal death rate in MANA's study, the increased risk of HIE in January 2014 ACOG, the increased risk of Apgars of 0 at 5 minutes (Grunebaum 2014)
at homebirth as compared to hospital birth.
So your logic is that because there are fewer babies that died last year
at Homebirth as compared to all the other 99 % of the population who chose hospital birth, that Homebirth is safer?
Not exact matches
I had a c - section that started out
as a
homebirth, and my (very very long) labor
at home was WAY less dramatic than that
homebirth scene.
I can tell you, however, that
as a
homebirth advocate I have received numerous letters over the years from grieving mothers who wonder if their hospital born baby might have survived (or avoided injury) had they been born
at home.
I have a 2 - yr - old I would love to have be
at our birth (planned for a birth center but looking into
homebirth as well).
If I was in Szabo's situation (and didn't want a
homebirth), I probably would just labor
at home
as long
as possible.
I know that it isn't for everyone, but if you feel
at all drawn to
homebirth, I say «Go for it — it's not
as mysterious
as it sounds.»
The regulars here are pretty up on these things and the most recent studies of
homebirth have
as far
as I know have universally shown the
homebirth has
at least 3x the perinatal death rate of similar risk hospital birth.
Leaving aside for the moment that this is the same group who crowed over a 20 % increase in
homebirths from from 0.56 % to 0.67 % of US births, does dismissing the absolute number of death
as low fully convey what is
at stake in the decision to attempt
homebirth?
Perhaps more importantly, though,
homebirth advocates will be able to point to this study
as evidence that opponents of
homebirth disingenuously sliced and diced the data to make hospital birth look good on
at least one criterion.
Since 2 out of 3 babies who die
at homebirth could have been saved in a hospital,
homebirth is not «
as safe
as life gets.»
We know it's higher than in hospital, but that is
at least partly due to inadequate midwifery education and to some high risk women being considered
as suitable candidates for
homebirth, so it's a foregone conclusion that the stats will be bad.
As 2 out of 3 babies who die
at homebirth could have been saved in a hospital, living close to the hospital is not close enough.
In fact, the authors go so far
as to deliberately obfuscate the increased neonatal death rate
at homebirth.
In Australia giving birth
at a public hospital is free,
as well
as giving birth in a birth centre (I don't know of any private birth centres) and so are the hospital based
homebirth programs.
Given that intermittent monitoring was stated
as one of the risks involved in
homebirth, what does that say about intermittent monitoring in the hospital, assuming monitoring is done
at roughly the same intervals?
I knew I had chosen
homebirth for a reason that was
as much physical and mental — even though we were treated wonderfully
at St. Lukes, my body sensed I was in a hospital and shut down my labor!
As one
homebirth mother, who was a veteran homebirther and prominent in the
homebirth community, said
at an inquest into the death of her baby last year, «If you are the «one», it's forever.
I have had five babies, all came out of my nether regions, one was born
at home with fantastic community midwives, and one started out
as a
homebirth and ended up in hospital.
As much as some people dislike Dr. Amy's tone, her blunt, unapologetic approach does seem to bring people by — even if it is just to gawk at how ebil we are, express hate, or try to «educate» us with a round of Homebirth Bing
As much
as some people dislike Dr. Amy's tone, her blunt, unapologetic approach does seem to bring people by — even if it is just to gawk at how ebil we are, express hate, or try to «educate» us with a round of Homebirth Bing
as some people dislike Dr. Amy's tone, her blunt, unapologetic approach does seem to bring people by — even if it is just to gawk
at how ebil we are, express hate, or try to «educate» us with a round of
Homebirth Bingo.
She apprenticed in a rural
homebirth practice
as well
as another birth center during her studies between 2005 and 2008, but came to land back
at Andaluz
as a primary midwife in 2008.
Homebirth as an option is raised often enough
at lay lead peer to peer breastfeeding support groups and when the general media touts the safety of
Homebirth i am left shaking my head in disbelief.
I am an ob / gyn working
at a hospital that cares for women who have attempted a
homebirth in our area and who need tranport to the hospital when things don't work out
as planned.
So for me, when the subject of
homebirth comes up and this study is cited, I am
at a loss
as to how to refute the findings.
Indeed, I well imagine that ethical, responsible, intelligent
homebirth providers such
as yourselves are absolutely horrified
at the incompetent, irresponsible and unethical behaviour shown by several
homebirth providers.
To admit that
homebirth led to the preventable death of the baby is to admit that they weren't educated
at all; that rather than being special for choosing
homebirth, they've marked themselves
as gullible and selfish.
These new papers add valuable information by looking
at severe neurologic outcomes
as well and showing that such outcomes are much more common
at planned
homebirth.
The critical difference between the babies who die
as a result of a hospital birth and those who die
as a result of a
homebirth is that those who die
at home DID N'T HAVE TO DIE!
The two larger hospitals have lower c - section rates than the smaller hospital closest to me and they also boast women's clinics with multiple midwives on staff, but my
homebirth midwife recommended an OB
at the closer hospital — a personal friend of hers — who had given birth her own child
at The Farm (with Ina May
as a back - up midwife!)
Although it appears that the preventable newborn deaths
at home and hospital birth balance out,
homebirth is clearly safer when you take into consideration the risk of maternal death that 20 % of low risk U.S. women face
as a result of avoidable cesareans which became necessary because they went to hospital.
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 birth.
All the existing scientific evidence,
as well
as state and national statistics shows that American
homebirth has an increased risk of death of
at least 3 - 9 times higher than comparable risk hospital birth.
So
homebirth it was for this family, who had two older children, one born
at home
as well.
Our midwife, a traditionally trained
homebirth midwife, requires an ultrasound
at 20 weeks to rule out abnormalities that would prevent a home birth (or, in her case, more than twins
as she will not deliver 3 + babies
at home or won't deliver twins if baby A is not head down).
It is a fundamental difference in outlook that causes American
homebirth to be
at least three times
as risky
as hospital birth.
Homebirth is in America
as Homebirth in America does, yet the
Homebirth advocates who are looking
at the actually data are making excuses about the worse outcomes
as they speculate that it is either due to the high risks births that were included, or because they must have been farther away from the hospital than just 5 minutes, or just ignoring the outcomes data and focusing on the low intervention data.
But too many people out there are looking
at your press release and saying they knew all along that
Homebirth was
as safe
as hospital birth.
The paper uses the term: «5 minute Apgar score of 0»
as newborns that were born with a heart beat but the midwife or doctor attending the planned
homebirth were unable to resuscitate the baby, so
at 5 minutes the Apgar was 0 and the baby was dead.
Finally, an official body has noted that
homebirth midwives, organized
as Midwives Alliance of North America (MANA), have refused to release their own data on babies who have died
at homebirth.
The nurse - midwifery team
at Believe Midwifery Services, LLC is
as equipped, if not more so, than the local remote hospital to handle obstetric emergencies and to date, has a successfully assisted all their VBAC clients in a subsequent
homebirth with the exception of two who self - elected a non-emergent transfer for pain management.
As a
homebirth midwife, I provide care that fosters low - risk pregnancy and natural birth
at home.
This positive attitude towards
homebirth makes so much sense and is one clue to how we can make our birthing system safer: A baby slated to be born
at home who is instead delivered in the hospital should not be seen
as «a failed
homebirth,» but
as a safe delivery.
I've met a few who described their birth experience
as amazing (most of them were
homebirths or in birth centers — which are a fringe practice here too, but
at least with real, medically trained midwives), but I wasn't there so I can't say how much of that was reality vs. glossing over it, and how the birth REALLY went safety-wise.
She went to get some coffee and breakfast
at about 6 a.m., and I laid there, listening to Tre's heartbeat on the monitor and mourning the loss of my
homebirth, and sobbing softly
as I thought of all the things that were going to happen that day.