There really shouldn't be any deaths
at homebirth if candidates are being selected correctly and if transfers are occurring appropriately and in a timely fashion.
Not exact matches
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.
If I was in Szabo's situation (and didn't want a
homebirth), I probably would just labor
at home as long as possible.
Simply:
If hospital birth were useful, the data would support it, but all
homebirth studies (1 - 20), show better outcomes of low risk women
at planned attended
homebirth.
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.»
Simply put, the death rate was not zero and until the difference (
if any) between maternal deaths
at home and in the hospital is determined, we can not draw any conclusions about the safety of
homebirth for Dutch mothers.
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.
If my sister should decide, after looking
at the risk rates and her mitigating circumstances, she still wants to
homebirth, I would recognize that the absolute risk is still pretty low and not try to talk her into or out of anything.
I sometimes wonder
if these women, who plan to repeat a
homebirth after having a
homebirth that resulted in a dead baby really want to have living children
at all.
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.
He probably would never been in the NICU
at all
if it weren't for your insistence on having a
homebirth.
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.
If I, or my daughter, had needed emergency medical care (or worse) I think that the last person I would want to face
at the hospital would be a doctor with a grudge against
homebirth like this doctor has.
I wonder what those authors have to say to «low - risk» women who have lost their babies
at «maybe equally safe
if not safer»
homebirths?
Someone, probably, will say seriously, that it's ONLY the
homebirth midwives who are respecting a woman's right to a vaginal breech, twin, or post dates birth
at home, and HER right to the lower rate of intervention
at home trumps the mythical rights of the baby, and that since it's the sisters in chains that are taking back a woman's right to physiologic birth where SHE wants it that
IF there is an increased risk to the baby it's the mother's right to take that risk.
When this 20 % risk of death is compared to the 0.02 % rate of cord prolapse during labor
at homebirth that might have a better outcome
if it happened in hospital, this means that a low risk woman has a 1000 times higher chance of having a life threatening complication either to her life or her fetus / newborns life
at planned hospital birth, than
if she plans to have an attended
homebirth with a well - trained practitioner.
Even
if we just take early and late neonatal stats, leaving out HALF of the
homebirth deaths (22/44) it's 1.29 / 1000 for MANA's almost all white, majority college educated, mostly singleton, mostly low - risk healthy women in their 20s and 30s, vs. 0.81 for EVERYONE delivering
at term in the hospital.
Therefore, no one has to provide you with the means of having a
homebirth, but no one can stop you
if you choose to give birth
at home.
The reality is, and you
at least should know this so you'll transfer her ASAP
if something seems like it's going wrong, that even low risk
homebirths can go bad.
And huge thanks for the Birthrights link — I will be having a
homebirth, but
if I have to transfer in I will be refusing care
at the hospital that gave me both an epidural without consent and opiates against my stated will (I'm allergic).
When I said the word «
homebirth» to ANYONE I got a host of horror stories that always ended the same «and
if i hadn't of been
at the hospital my baby would of DIED»: /
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).
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.
Unfortunately, even
if a problem
at a
homebirth is due to something like an unavoidable genetic defect, people will say, «That would have never happened
at the hospital!»
If you go to the Hurt By
Homebirth website, none of these women were informed of the risks they were taking when they chose to have their babies
at home.
If they still choose to
homebirth after full disclosure of evidence,
at least I know they are really making their own FULLY informed choice!
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).
Every year
at least 100 US mothers die from cesareans (1/10, 000 among the million cesareans per year) and would be alive
if they had had planned attended
homebirths.
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.
In my experiences with
homebirth midwives that practice in Illinois (there is still a large Mennonite population, and a number of women who still wish to birth
at home), the recommend having a
homebirth friendly Pediatrician in place because, «there are orders to call CPS
if a homebirthed baby or mom transfers to a hospital».
Ask a doula about which hospitals are best for breastfeeding and other issues, because even
if you choose a
homebirth, anything can happen and you wouldn't want to have to choose a hospital
at literally the last minute.
Instead of investigating Amy Medwin who presided over
homebirth deaths in North Carolina, the Friends of North Carolina Midwives held a rally to support her, without making any attempt
at all to determine
if she committed malpractice.
What I disagree with our clinic about in retrospect is that: a) I think induction
at 41 weeks should be mandatory no matter what; and b)
if homebirth is going to be a reality, it should only be after you have established that you have a proven uterus, pelvis, etc... and
if you had an absolutely «natural» birth in the hospital with ZERO interventions and complications.
I was expecting my pre-schooler when this post was written and wasn't a reader of this blog yet, had only seen positive things about
homebirth, and was still convinced that having a baby
at home was dumb, because of the what -
ifs.
If you are interested in reframing this conversation to a more practical and useful level for consumers, providers, and other valuable stakeholders check out the work being done to address these issues on the
Homebirth Summit website
at http://www.homebirthsummit.org/.