Not exact matches
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.
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.
I believe that
homebirth will always have risks over hospital because there are just some sudden
complications that can't be handled well
at home.
There would have to be one or more
complications of low risk
homebirths that result in death in the first week that can be prevented by being in hospital, and death from these
complications would have to occur more often than low risk deaths
at planned hospital births.
The authors fails to give any theoretical explanation for what
complication of planned attended
homebirth, that is not present
at planned hospital birth could account for 1 in every 625
homebirths dying during labor
at the hands of licensed doctors and midwives.
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.