In other words, most of the babies who die
at homebirth in the US could have been saved in the hospital, whereas none of the babies who died at the hospital could have been saved at home.
Research reveals that there are only 2 acute conditions that might occur
at homebirth in which the mother or baby may have a better outcome had they planned a hospital birth, namely: Cord prolapse and Amniotic Fluid Embolism (AFE).
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.
My second birth was
at home and
in the water and wonderful and I'm planning a third
homebirth.
We had chosen to have a
homebirth through the midwives
at the birth centre
in St George hospital.
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.
Summary: The deaths caused by rare acute condition
at planned attended low risk
homebirth that might have had a better outcome
in hospital are outweighed by the deaths and morbidity due to common acute conditions caused by hospital interventions.
Instead of excluding the high risk births from both groups, they include the
homebirth outcomes of premature births
at 34 - 37 weeks gestation (13 - 17) breech and twins (13,14) lethal anomalies incompatible with life (13,14) unattended
homebirths (15,16) unplanned
homebirths (15,16) or women who became risked out of
homebirth by becoming high risk
at the end of pregnancy, had hospital births, but are included
in the
homebirth group.
It happens so rarely that the rate of death from AFE (1/1, 000,000) and cord prolapse (1/100, 000)
at homebirth is a miniscule fraction of the maternal mortality (1/5, 000) and perinatal mortality (1.7 / 1000) from elective cesarean surgery
in hospital (34).
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.
In Missouri, the risk of intrapartum death
at homebirth is nearly 20 times higher than hospital birth.
Since 2 out of 3 babies who die
at homebirth could have been saved
in the hospital, hiring an attendant who is trained
in «normal birth» is not going to save those babies.
Dr. Tuteur writes about more than 10
homebirth deaths a year, many of which take place
at or are called
at the hospital, the majority of which meet those criteria for being included
in the analysis.
How many of the 27,000 babies
in their database of outcomes from 2001 - 2008 died
at the hands of
homebirth midwives?
There may be a few more bad outcomes
in the
homebirth groups depending on how you look
at the data, but when you consider the number of births we are looking
at, the absolute number is so very few that the argument is a little ridiculous.»
Homebirth midwives, since they aren't under any legal requirement to keep complete records [or any records
at all, really]
in the US, would probably fudge or omit such extreme outcomes except that most of these cases wind up
in hospitals and can't be hidden.
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?
2 out of 3 babies who die
at homebirth could have been saved
in the hospital.
My wife and I had our first 2
in a hospital and it almost killed them because of the drugs they forced on my wife the last 2 were born
at home
in a pool the 1st
homebirth we had a midwife present the 2nd one the midwife was an hour and a half late so I delivered our daughter by myself it was awsome and now my wife is PG with our 5th baby we have the same midwife who was late to our last birth and we already know she is not going to be here ontime mostly because she lives 2 hours away from where we live and we are ok with this.
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Since 2 out of 3 babies who die
at homebirth could have been saved
in the hospital, trusting birth is a bizarre and deadly strategy.
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.»
Like most Americans, I simply thought you needed medication
in the birthing process even though my sister, Amy, is a nurse midwife who specialized
in homebirth and is now working to change this misperception and to empower women to give birth naturally (check out her blog
at scienceandsensibility.org).
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.
Yet another mother from the
Homebirth board at Mothering.com has lost her baby in a homebirth
Homebirth board
at Mothering.com has lost her baby
in a
homebirthhomebirth tragedy.
In fact, the authors go so far as to deliberately obfuscate the increased neonatal death rate
at homebirth.
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.
Shouldn't self - proclaimed «midwives» Mary Barhite and Jacqueline Proffit look even a tiny bit remorseful or
at least sad
in the wake of presiding over yet another
homebirth death
in the state of North Carolina?
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 program
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 program
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?
In other words, there was no difference in severe acute maternal morbidity (SAMM) between home and hospital among nulliparous women and a slightly lower rate of SAMM for parous women at homebirt
In other words, there was no difference
in severe acute maternal morbidity (SAMM) between home and hospital among nulliparous women and a slightly lower rate of SAMM for parous women at homebirt
in severe acute maternal morbidity (SAMM) between home and hospital among nulliparous women and a slightly lower rate of SAMM for parous women
at homebirth.
I never cease to be amazed
at the pervasive contempt
in which professional
homebirth advocates hold their own followers.
They compared the death rate
at homebirth with the death rate
in tertiary [high risk] facilities, but that's not what we want to know.
In other words, any way you choose to look
at it, no matter how carefully you slice and dice the data, there is simply no getting around the fact that
homebirth increases the risk of perinatal death and brain damage.
In those 16 years, I have seen babies die at the hospital and NOT ONE come in from a homebirth dea
In those 16 years, I have seen babies die
at the hospital and NOT ONE come
in from a homebirth dea
in from a
homebirth dead!
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.
Our practice is unique however,
in that we have a higher ratio of trained staff than most all
homebirth practices
in the country (three assistants
at each birth all equipped to provide a full resuscitation), and we carry far more equipment than generally secured by midwives.
(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.
Join the Bay Area
Homebirth Collective for an afternoon of good food, birth stories and community - building
at our annual Picnic
in the Park.
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.
Apparently Sherry was «so calm» and «so experienced» (since she has been a
homebirth midwife since 1975
in a town that just now is reaching a population of 13,000) that she delivered a FOOTLING BREECH
AT HOME.
Homebirth at its best results
in a delay compared to the same situation
in hospital.
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.
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.
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.
Dutch midwife Ank de Jonge is
at it again, slicing and dicing data
in yet another unsuccessful attempt to show that
homebirth is safe.
What floors me is how people continue to ignore the glaringly obvious fact, that
homebirth, even under the best circumstances, continues to kill mothers and babies
at a rate that is far higher than births that occur
in hospital settings.
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.