Sentences with phrase «comparing home and hospital»

Home birth advocate Ricki Lake and filmmaker Abby Epstein sat down for a question - and - answer session Saturday afternoon at the Music Box Theatre after screening their provocative documentary «The Business of Being Born,» which compares home and hospital births.

It's kind of fun to realize that the studies Gordon holds up as better examples than this U.S. study compare home and hospital births in Ontario, BC, and the Netherlands.

Not exact matches

Last Summer, ACOG «leaked» data from a study to be published in the American Journal of Obstetrics and Gynecology stating that planned home births carried a 2 - 3 fold increase in neonatal death compared with hospital births.

The methodological challenges of attempting to compare the safety of home and hospital birth in terms of the risk of perinatal death.

Random control trials with regards to home birth verses hospital delivery are not ethical, and the methodological challenges of attempting to compare the safety of home and hospital birth are exceptionally tricky which is why the home birth debate has yet to be resolved.

A major study published in the UK (Birthplace in England Collaborative Group, 2011) has examined the risks of planned home births, comparing them against planned deliveries in hospitals and midwife units for low risk women.

I really do not care if a woman wants to squat out a baby in the comfort of her home — I care that she is doing so as an act of informed free will and that she has been apprised of the risks of doing so (including the risks of 3 times or more the mortality rate for her baby compared to hospital birth and the risks of planned vaginal delivery in general).

until there are good, randomized controlled trials out there comparing planned home birth, planned birth center birth, and planned hospital birth, we are all going to continue to yell at one another.

Women who planned a home birth were at reduced risk of all obstetric interventions assessed and were at similar or reduced risk of adverse maternal outcomes compared with women who planned to give birth in hospital accompanied by a midwife or physician.

Intrapartum and neonatal death at 0 — 7 days was observed in 0.15 % of planned home compared with 0.18 % in planned hospital births (crude relative risk 0.80, 95 % confidence interval [CI] 0.71 — 0.91).

Vaginal home delivery compared with vaginal hospital delivery was associated with a decreased risk of eczema, sensitization to food allergens, and asthma.

And more importantly, rather than just comparing home vs hospital overall, it compared midwife - led vs OB - led births at home vs hospital (as you should well know, in the Netherlands, low - risk women see a midwife, full stop — you have to be high - risk to see an OB, so hospital births are a combination of low - risk women under midwife care and high - risk women under OB carAnd more importantly, rather than just comparing home vs hospital overall, it compared midwife - led vs OB - led births at home vs hospital (as you should well know, in the Netherlands, low - risk women see a midwife, full stop — you have to be high - risk to see an OB, so hospital births are a combination of low - risk women under midwife care and high - risk women under OB carand high - risk women under OB care).

More planned home births had 5 - minute Apgar score < 4 (0.37 %) compared to hospital births (0.24 %; aOR 1.87; 95 % CI 1.36 - 2.58) and neonatal seizure (0.06 % vs. 0.02 % respectively; aOR 3.08; 95 % CI 1.44 - 6.58).

The most recent large scale study comparing outcomes for mother and baby reported in the British Medical Journal last month showed that for women who had previously given birth, adverse outcomes were less common among planned home births (1 per 1,000) than among planned hospital births (2.3 per 1,000).

The comparison of the two cortisol levels, at home and in the hospital, should be tested, recorded and compared.

If you know about cortisol levels, you can compare the two environments (home birth and hospital birth) and figure out in which place the cortisol level would be lower, for obvious reasons.

Benefits and harms of planned hospital birth compared with planned home birth for low ‐ risk pregnant women.

We received a letter from Dowswell and colleagues on the feasibility of conducting a trial to compare the effects of birth at home and in hospital.

Planned home compared with planned hospital births in the Netherlands: intrapartum and early neonatal death in low - risk pregnancies.

In a previous study where we explored women's preferences for aspects of intrapartum care regarding planned place of birth we reported that women with a preference for a hospital birth — both midwife - led and obstetrician - led — found the possibility of pain relief treatment much more important compared to women with a preference for a home birth [18].

Using multiple logistic regression, we estimated odds ratios (ORs) and 95 per cent confidence intervals (95 % CI) for differences in medical indications during pregnancy comparing the following groups (based on initial preferences): midwife - led home birth versus midwife - led hospital birth, midwife - led home birth versus obstetrician - led hospital birth and midwife - led hospital birth versus obstetrician - led hospital birth.

We compared planned hospital births with planned out - of - hospital births (an aggregate group of planned home births and planned birth - center births), including the out - of - hospital - to - hospital transfers.

As part of a Dutch prospective cohort study (2007 — 2011), we compared medical indications during pregnancy and birth outcomes of 576 women who initially preferred a home birth (n = 226), a midwife - led hospital birth (n = 168) or an obstetrician - led hospital birth (n = 182).

In order to draw any conclusion about the differences between home and hospital births from the Canadian study, the home birth outcomes should have been compared with hospital outcomes only of women satisfying the same exclusion criteria.

[3] Cheng YW, Snowden J, Caughey A. Neonatal outcomes associated with intended place of birth: birth centres and home birth compared to hospitals.

An UpToDate review on «Planned home birth» (Declercq and Stotland, 2015) stated that «Large cohort studies using intent - to - treat analysis of midwife - attended, planned, out - of - hospital birth of low - risk women in developed countries have reported reduced rates of cesarean birth, perineal lacerations, and medical interventions, and similar rates of maternal and early perinatal morbidity and mortality compared to planned hospital birth.

More planned home births had 5 - minute Apgar score less than 4 (0.37 %) compared with hospital births (0.24 %; adjusted OR, 1.87; 95 % CI: 1.36 to 2.58) and neonatal seizure (0.06 % versus 0.02 %, respectively; adjusted OR, 3.08; 95 % CI: 1.44 to 6.58).

The excess total neonatal mortality for mid-wife home births compared with mid-wife hospital births was 9.32 per 10,000 births, and the excess early neonatal mortality was 7.89 per 10,000 births.

Jane Sandall was and is principal investigator for two studies evaluating models of midwife - led continuity of care (Sandall 2001), and co-investigator on the «Birthplace in England Research Programme», an integrated programme of research designed to compare outcomes of births for women planned at home, in different types of midwifery units, and in hospital units with obstetric services.

Women and their partners should be advised that the risk of PPH is higher among births planned to take place in hospital compared to births planned to take place at home, but that further research is needed to understand (a) whether the same pattern applies to the more life - threatening categories of PPH, and (b) why hospital birth is associated with increased odds of PPH.

According to the American Congress of Obstetricians and Gynecologists, while home birth is associated with fewer maternal interventions compared to a planned hospital birth (such as labor induction and c - sections), it holds more than twice the risk for perinatal death — or death within the first week of life.

This study aimed to compare the risk of PPH between those who intended a home birth at the end of pregnancy (whether or not they went on to experience a home birth) and those who had a planned hospital birth.

«Compared with women who planned to birth in hospital, women who planned to birth at home underwent fewer obstetrical interventions, were more likely to have a spontaneous vaginal birth and were more likely to be exclusively breastfeeding at 3 and 10 days after delivery,» write the authors.

These findings follow earlier research by Janssen that demonstrated that planned home births resulted in fewer interventions and similar rates of adverse newborn outcomes compared to planned hospital births among women who met the criteria for home births.

The relative safety of planned home births is a topic of continuous debate, but studies have so far been too small to compare severe maternal complications between planned home and planned hospital birth among low risk women.

No strong evidence about the benefits and safety of planned home birth compared to planned hospital birth for low - risk pregnant women.

What the figures in the article show is that if 1000 women went to the hospital for delivery, and 1000 had their births at home, there would be 5 times as many deaths involving the home deliveries as compared to the hospital deliveries.

While this is a great benefit compared to hospitals that want to keep you for observation 24 to 48 hours or longer, it is far less comfortable and convenient than being in your home the whole time.

Outcomes of planned home births compared to hospital births in Sweden between 1992 and 2004: a population - based register study.

What I seem to gather is this: 1) The absolute risk of death from home birth is LOW, which is why homebirth advocates say that this study proves homebirth is «safe», however: 2) Compared to HOSPITAL births, the rate of death for homebirth is MUCH higher, and 3) The midwives reporting did so on a voluntary basis, so this isn't a study that is worth very much anyway.

All sorts of hilarious errors — using one type of data (ICD10 code data from «white healthy women» and essentially comparing the best possible data from one set of hospital data related to low - risk births to the worst possible single set of data related to high - risk at - home births)-- if you use the writer's same data source for hospital births but include all comers in 2007 - 2010 (not just low - risk healthy white women), the infant death rate is actually 6.14 per 1000, which is «300 % higher death rate than at - home births!»

In order to address the issue of safety of home birth in BC, we compared selected outcomes for planned home births attended by regulated midwives with those for planned hospital births attended by midwives and by physicians.

When compared with newborns of women who planned a hospital birth attended by a physician, those whose mothers planned a home birth were similarly at reduced risk of birth trauma (RR 0.33, 95 % CI 0.15 — 0.74), resuscitation at birth (RR 0.56, 95 % CI 0.32 — 0.96) and oxygen therapy behond 24 hours (RR 0.38, 95 % CI 0.24 — 0.61)(Table 4, Appendix 1).

Compared with women who planned a hospital birth with a midwife or physician in attendance, those who planned a home birth were significantly less likely to experience any of the obstetric interventions we assessed, including electronic fetal monitoring, augmentation of labour, assisted vaginal delivery, cesarean delivery and episiotomy (Table 3).

The data on intrapartum death reported in the MANA study on home births is not being and can not be compared to intrapartum deaths occurring in hospital because we simply do not have that national data.

Newborns whose mothers planned a home birth were at similar or reduced risk of fetal and neonatal morbidity compared with newborns whose mothers planned a hospital birth, except for admission to hospital (or readmission if born in hospital), which was more likely compared with newborns whose mothers were in the physician - attended cohort.

Our study showed that planned home birth attended by a registered midwife was associated with very low and comparable rates of perinatal death and reduced rates of obstetric interventions and adverse maternal outcomes compared with planned hospital birth attended by a midwife or physician.

We compared them with the outcomes of all planned hospital births that met the criteria for home birth and were attended by the same cohort of midwives.

Yet, when I analyzed all of the studies that the Midwives» Alliance of North America (MANA) says comprise the best evidence for the safety of home birth, I found that every study that looked at nonhospital birth in the United States (and many of the studies that looked at other countries, as well) reported much higher death rates for babies when compared to similar hospital births.

Comparing intended home and hospital births in a cohort of 529688 low risk pregnancies in primary care in the Netherlands, de Jonge et al recently found low rates of perinatal mortality (intrapartum and neonatal death before 7 days) and admission to the NICU.11 They concluded that an intended home birth does not increase risks compared with an intended hospital birth in this population.