I fervently believe that most babies who die
at homebirth did not have to die.
Not exact matches
If I was in Szabo's situation (and didn't want a
homebirth), I probably would just labor
at home as long as possible.
Topics include:
Homebirths at «older» ages (35 +) Concerns we had about our own homebirths Positive reinforcement for moms considering a homebirth Additional things to consider when planning a homebirth What to do about naysayers How to manage pain without an epidural How to find a provider that fits your birthing philosophy and wishes Postpartum recovery tips while managing a toddler Enjoy the... [Rea
Homebirths at «older» ages (35 +) Concerns we had about our own
homebirths Positive reinforcement for moms considering a homebirth Additional things to consider when planning a homebirth What to do about naysayers How to manage pain without an epidural How to find a provider that fits your birthing philosophy and wishes Postpartum recovery tips while managing a toddler Enjoy the... [Rea
homebirths Positive reinforcement for moms considering a
homebirth Additional things to consider when planning a
homebirth What to
do about naysayers How to manage pain without an epidural How to find a provider that fits your birthing philosophy and wishes Postpartum recovery tips while managing a toddler Enjoy the... [Read more...]
Just because YOU and YOUR babies were fine doesn't negate the mountain of data (including MANA's own study) that clearly indicates the dangers of
homebirth and the hideously higher death rate
at the hands of
homebirth midwives.
You've got a hospital staff reeling from a death, trained to comfort the grieving parents, trying to say SOMETHING and «you killed your baby by not being here» is not exactly bedside manner, so they don't say that, they say «there's nothing we could have
done» (
at this point), and the people go away thinking «there was nothing they could have
done, either,
homebirth wasn't the culprit.»
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?
I actually met a
homebirth midwife
at a fetal monitoring class who
does use EFM
at home.
Maybe they are smiling because they know it doesn't matter how many babies die
at the hands of self - proclaimed
homebirth midwives.
That, of course, tells us nothing about
homebirth, but it
does tell us that you aren't particularly good
at logical thinking.
That makes no sense
at all until you remember that the entire point of MANA is to provide intellectual cover for
homebirth midwives, who are nothing more than lay people, to
do whatever they want to
do.
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?
To understand why the Birthplace study
does not and could not show that
homebirth is more cost effective, it is helpful to look
at the more detailed version of the findings available here.
We don't know exactly how many deaths
homebirth transfers added to the «doctor» category, but anecdotally
at least, it's going to be more than 1 and probably more than 10.
but in my thinking, that is EXACTLY what
homebirth is supposed to provide: the environment and support to
do what can normally and naturally be
done at home, with the wisdom and assessment of a care provider who knows when the risk is to great, thus utilizing home and hospital for their exact right purposes.
(I am an Australian midwife and also had
homebirths prior to becoming a midwife) Your system in America is quite radically different to ours here in Australia and so we don't have the same problem with poorly trained and undereducated midwives and although we still have ideologically driven midwifery, where process is promoted over outcome, we have strict protocols, guidelines and governance
at all levels to ensure dangerous midwives are prevented from continuing to practice and women and their families are protected and have recourse for compensation.
I don't know any rational woman who would go ahead with a
homebirth in the knowledge that
at least 1 in 500 babies, even in optimal circumstances, die.
I believe the scout part - I was thinking that I was cheated though, they must have brought the unicorn out after I left
at the
homebirths I attended (it's cause I didn't believe hard enough.
I expect that you worship
at his altar because your
homebirth midwives surely
do.
What hardly ever gets pointed out, in the «babies die in hospitals» [faux] argument is that, while, yes, babies
do die in hospitals, it is after everything possible has been
done to save them, whereas in
homebirth babies are put
at the utmost risk of death by not having proper staff / equipment / conditions, etc. to save them.
I actually
did have a midwife
at my
homebirth and sadly my baby died.
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 Bingo.
When they nearly bleed out or their baby dies
at their HBA2C attempt and STILL proclaim that
homebirth is 100 % safe and natural and they're definitely going to
do it again and NO WAY is their severe 100 % preventable PPH or 100 % preventable dead baby the fault of abysmal «medical» care... she calls them on it.
I think that they need to maybe reiterate that people who attend
homebirths should be able to really
do it, not just assist
at it.
Yet another baby has been placed
at risk of significant brain damage and possible death because the clueless
homebirth midwives didn't understand how to diagnose fetal distress.
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.
I've
done homebirths [in the UK] and the potential for irreparable disaster was present
at every one, although there was a crisis in only one [abruption] and mother and baby were both saved, they were also
at much greater risk
at home than in the hospital and in the end required much more intensive treatment [largely because of time delays] than if the same situation had happened in hospital.
Let's weigh the options this mother had: Option 1 — 39 weeks — RCS — live baby Option 2 — 40 weeks — RCS — live baby Option 3 — 41 weeks — RCS — live baby Option 4 — 42 weeks — RCS — live baby Option 5 — 43 weeks — show up
at hospital in labor, RCS — live baby Option 6 — 43 weeks — show up
at hospital in labor, demand TOL, CS
at first sign of distress — live baby Option 7 — 43 weeks — attempt
homebirth vba2c — DEAD baby Yea... the
homebirth had NOTHING to
do with it.
You can talk about why you hate
homebirth all you want but don't
do it
at the expense of another person's grief.
Serge Bielanko wrote Don't Be Afraid, It's Just a Home Birth, and he apparently thinks its simply hilarious that people are warning him about the increased rate of death
at homebirth.
At that point, the fallback strategy is to insist that these
homebirth deaths don't count.
The choice of an Apgar score of zero and the primary outcome measurement is particularly apt, since severe neurologic injury is particularly likely
at homebirth, because
homebirth midwives
do not monitor the fetal heart rate appropriately.
Morgan McLaughlin McFarland, in a guest post
at Bring Birth Home entitled Brave Has Nothing to
Do With It, helpfully illustrates the self aggrandizing ignorance that is the hallmark of
homebirth advocacy.
I care about babies who die
at homebirth, and the regular readers of this blog
do, too.
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!
ROTHMANAnd I also just want to say that it is really great to have physicians like Dr. Downing, who understand the midwifery model, understand our scope of practice and where it intersects with obstetrics, so that when we
do have something going on
at a
homebirth where we're not sure things are going well and we were starting to feel like maybe we need to access medical technology, that we have people like Dr. Downing that we can call and say, here's what's going on, we're coming in, and that we know that we and our clients will be received with compassion and respect and understanding of what has come before, so that we never have to hesitate to bring someone in knowing that they're gonna get that good care.
All of these studies profess to count how many babies supposedly die
at planned attended low risk
homebirth, but none of them
do.
It is possible the bias of these authors originate from never having attended a
homebirth and extrapolating from the horrendous emergencies that happen
at hospital births, thinking that they also happen
at homebirths, when they don't.
So they don't insure
homebirths at all.
It doesn't take a rocket scientist to speculate that an extraordinarily high number of babies die
at the hands of
homebirth midwives.
They don't even include any references to the large - scale studies in Canada [6] and the Netherlands [7] that has found no increased risk for
homebirth versus hospital birth and one US study looking
at an integrated system (like those in Canada and the Netherlands) found the same outcome [8](nudge, nudge, USA).
I don't doubt there are safe and compassionate hospitals out there or even compassionate doctors in hospitals that generally aren't, but when a large portion of women are looking for
homebirth because their hospital experiences were the antithesis of compassionate, these ethicists need to be looking
at what they are suggesting.
Because I can think of a few off the top of my head that can NOT be spotted far enough in advance
at home to get to the emergency services needed before injury or death occurs — cord prolapse, severe PPH, shoulder dystocia, cervical laceration, hell even fetal distress most of the time because US
homebirth midwives
do not properly track the fetal heartrate and have no ability or equipment to
do tracings (which are the only way to pick up on some types of distress).
Your wife may be disappointed that you
do not approve of
homebirth, but that is nothing compared to the lifelong heartache both she and you will endure if your baby dies
at home because the emergency treatment he or she needed was too far away to make a difference.
Did you stop to consider that your pleasant, relaxing
homebirth was due more to the fact that this was not your first child than because it was
at home?
I'm sure that Cheyney will
do something to hide the hideous death rate
at CPM attended
homebirth.
And honestly, if they can't afford a hospital birth, chances are they can't afford a
homebirth midwife — who are generally not cheap, who will not generally make payment arrangements (or rather, will not make the same type hospitals make, payable after the fact and in small monthly increments for years; midwife payment arrangements tend to be along the lines of «Half the fee
at the first appointment, and the other half a month or two later»), and who will not deliver a baby without having been paid in full prior to onset of labor (I don't have a statistic, but it seems most midwives have this particular payment policy, and payment is non-refundable).
Do not forget that you are looking
at Homebirth within a very specific cultural milieu, that of predominantly white, well off women in developed countries, a culture where pregnant women expect to be the centre of attention during labour and delivery, and to be in control of every aspect of their lives.
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.
I had a
homebirth myself, but before I found my midwife I had one check up
at a hospital where I was told that I would kill my baby because I didn't want and ultrasound.