Sentences with phrase «birth neonatal mortality»

«Increasing trend in home birth neonatal mortality rates.»

Not exact matches

There is evidence that skilled birth attendance in a facility, exclusive and immediate breastfeeding, thermal care, and keeping the mother and baby in a clean, sanitary environment (and preventing infection of the cord site) can reduce neonatal mortality significantly.»

«The highly charged debate over the safety of home birth was inflamed by the publication of a meta - analysis by Joseph R. Wax and coworkers, [1] which concluded that «less medical intervention during planned home birth is associated with a tripling of the neonatal mortality rate.»

For now, there is not conclusive data that proves home births are any more dangerous than hospital births and carry the 2 - 3 fold neonatal mortality risk.

The third article by Chang & Macones (2011), which the AAP uses to support their statement that neonatal mortality is increased in out - of - hospital birth, was not as easily accessible.

Therefore, the personnel, training, and equipment available for neonatal resuscitation represent other possible contributors to the excessive neonatal mortality rate among planned home births» (Wax et al, 2010, p 243.

Too many high - risk mothers still give birth to endangered newborns who cost the nation billions of dollars for neonatal intensive care and add to infant mortality statistics.

Homebirth with American homebirth midwives has almost triple the neonatal mortality rate for low risk hospital birth in the US.

CDC data shows that neonatal mortality is about half as high with CNM and «other» midwives (there's no direct entry of homebirth category) as it is for MDs for all births, as well as by weeks gestation.

These horrible outcomes, which are the consequence of the substandard care that Ina May Gaskin and her cult followers provided, warranted excluding close to 2/3 of births to come up with «Neonatal mortality 1970 - 1979 2 of 1,083 labors.»

Rather than using neonatal mortality (birth to 28 days) or perinatal mortality (from 28 weeks of pregnancy to 28 days of life), they used deaths from 20 weeks of pregnancy to 7 days of life.

That's TEN TIMES HIGHER than the national neonatal mortality rate for low risk hospital birth with a CNM.

It's infant mortality that the US suffers in, not perinatal / neonatal (eg; very shortly after birth)-- and surprise surprise, it's pretty much for the same reason we have a high maternal mortality — in the US, poor people can't / don't have access to skilled health care until it's an emergency, because then they can't refuse you.

The neonatal mortality rate for term, singleton, vertex, midwife - attended births in hospitals was.32 per thousand.

Looking behind the Curtain A recent study of elective induction at term purports to show that it would reduce perinatal mortality without affecting spontaneous birth rates, although it would increase admission to a special neonatal care unit if done before 41 weeks, which contradicts the current belief that elective delivery at 39 weeks poses no excess risk.

Perinatal mortality rates were similar for planned home and hospital births, but neonatal mortality rates were significantly higher with planned home births.

Which raises the question: Is Dahlen deliberately trying to trick readers, since a neonatal mortality rate of 2.2 / 1000 is 5X higher than comparable risk hospital birth?

Even in a study that plainly reports a 3x neonatal mortality rate, they manage to gloss over the shocking mortality rate to focus on the «positive» birth experience.

Home birth is associated with a neonatal mortality rate 3 - 8 times that of comparable risk hospital birth.

The study shows a VERY HIGH neonatal mortality rate, 400 % higher than comparable risk hospital birth.

I don't know the perinatal mortality rate for low risk births in Australia, but I do know that the neonatal death rate is 0.4 / 1000.

That book is full of misinformation, for example he cites the Johnson & Daviss study saying «any remaing doubts about the safety of home birth were conclusively erased» by said study — which isn't even remotely true (the home birth data from that study actually shows that neonatal mortality is 3 TIMES higher at home):

Main outcome measure A composite primary outcome of perinatal mortality and intrapartum related neonatal morbidities (stillbirth after start of care in labour, early neonatal death, neonatal encephalopathy, meconium aspiration syndrome, brachial plexus injury, fractured humerus, or fractured clavicle) was used to compare outcomes by planned place of birth at the start of care in labour (at home, freestanding midwifery units, alongside midwifery units, and obstetric units).

There was no difference overall between birth settings in the incidence of the primary outcome (composite of perinatal mortality and intrapartum related neonatal morbidities), but there was a significant excess of the primary outcome in births planned at home compared with those planned in obstetric units in the restricted group of women without complicating conditions at the start of care in labour.

The primary outcome was a composite of perinatal mortality and specific neonatal morbidities: stillbirth after the start of care in labour, early neonatal death, neonatal encephalopathy, meconium aspiration syndrome, brachial plexus injury, fractured humerus, and fractured clavicle.13 This composite measure was designed to capture outcomes that may be related to the quality of intrapartum care, including morbidities associated with intrapartum asphyxia and birth trauma.

Some interesting charts: http://chartsbin.com/view/2501 percentages of births via c - section by country http://chartsbin.com/view/2602 births attended by skilled birth attendants by country http://chartsbin.com/view/1451 neonatal mortality rate by country

The latest data from the CDC (available on the CDC) Wonder website shows that homebirth with a non-nurse midwife has a neonatal mortality rate more than 7 times HIGHER than low risk hospital birth.

In addition to apprising the expectant mother of the increase in neonatal mortality and other neonatal complications with planned home birth...

Internationally it is one of the few, and the largest, prospective studies of home birth, allowing for relatively stable estimates of risk from intrapartum and neonatal mortality.

Our analysis focused on personal details of the clients, reasons for leaving care prenatally, the rates and reasons for transfer to hospital during labour and post partum, medical interventions, health and admission to hospital of the newborn or mother from birth up to six weeks post partum, intrapartum and neonatal mortality, and breast feeding.

The intrapartum and neonatal mortality was 1.7 deaths per 1000 low risk intended home births after planned breeches and twins (not considered low risk) were excluded.

Planned home births with certified professional midwives in the United States had similar rates of intrapartum and neonatal mortality to those of low risk hospital births

Most studies of homebirth in other countries have found no statistically significant differences in perinatal outcomes between home and hospital births for women at low risk of complications.36, 37,39 However, a recent study in the United States showed poorer neonatal outcomes for births occurring at home or in birth centres.40 A meta - analysis in the same year demonstrated higher perinatal mortality associated with homebirth41 but has been strongly criticised on methodological grounds.5, 42 The Birthplace in England study, 43 the largest prospective cohort study on place of birth for women at low risk of complications, analysed a composite outcome, which included stillbirth and early neonatal death among other serious morbidity.

The rate of stillbirth and early neonatal mortality combined was 3.3 per 1000 births.

Combined intrapartum and neonatal mortality in studies of planned out of hospital births or low risk hospital births in North America (at least 500 births)

US neonatal mortality (death before 28 days) is 0.425 %, and we'll look at that as a measure of how dangerous birth is instead of infant mortality (death before one year).

This data contradicts the claims made based on neonatal mortality that home birth is not riskier for women who have had babies already.

The Johnson and Daviss study actually shows that homebirth with a CPM has nearly triple the rate of neonatal mortality of low risk hospital birth.

For example, the recently published Wax study that showed homebirth to have triple the neonatal mortality rate of hospital birth was excoriated by midwives and homebirth advocates for a variety of methodological flaws.

That's because countries like The Netherlands like to boost their international rankings in neonatal mortality by pretending that premature babies born alive are stillbirths and not live births.

I posted the Wisconsin neonatal mortality statistics in a comment thread on a Newsweek article about midwifery which quoted Prown, asking why she did not mention that homebirth midwives in Wisconsin had triple the neonatal death rate of low risk hospital birth.

Comparison of Australian perinatal mortality (includes stillbirth and early and late neonatal mortality) between planned home births and all Australian births, 1985 - 90

GBS may be the most common infectious cause of neonatal mortality but it is extremely rare in low risk birth.

The reported neonatal mortality risk for homebirths is 0.2 %, or 20 out of 10,000 home births.

In fact, I've given the exact statistic... a 0.11 % increase in absolute risk of neonatal mortality for homebirth vs hospital birth.

desire to minimize neonatal mortality at all costs, it makes sense to choose a hospital birth over a home birth.

I was further intrigued by some of the author's comments regarding neonatal mortality rates of hospital vs home births.

«The planned category of out - of - hospital births is seen to be a generally low - risk group for neonatal mortality, with very few low - birth - weight births and fewer teenage, low - educational levels and unwed mothers than found statewide, «the researchers said.

Since you are willing to address the increased neonatal mortality rate in home births, why not just fire the CPM and go with the OB?

Personally, I think it's curious how many physicians and mothers - to - be place such a high emphasis on the 0.11 % risk reduction of neonatal mortality from hospital births, while thinking nothing of engaging other common practices (i.e. poor dietary habits, overuse of antibiotics, participation in contact sports) that certainly increase their child's lifetime risk of chronic disease, injury, or even death.