Not exact matches
«While most pregnant women who choose to have planned home
births are at lower risk of
complications due to careful screening, planned home
births are associated with double to triple the risk of infant death
than are planned
hospital births.
Flint and colleagues suggested that when midwives get to know the women for whom they provide care, interventions are minimised.22 The Albany midwifery practice, with an unselected population, has a rate for normal vaginal
births of 77 %, with 35 % of women having a home
birth.23 A review of care for women at low risk of
complications has shown that continuity of midwifery care is generally associated with lower intervention rates
than standard maternity care.24 Variation in normal
birth rates between services (62 % -80 %), however, seems to be greater
than outcome differences between «high continuity» and «traditional care» groups at the same unit.25 26 27 Use of epidural analgesia, for example, varies widely between Queen Charlotte's
Hospital, London, and the North Staffordshire NHS Trust.
Unless the mother is too wooy or a midwife herself, it does seem that a free birthing mother is more likely to go to a doctor or
hospital if there are
complications which could explain why unassisted
births in either the Colorado or Oregon study showed a lower mortality rate for unassisted
than midwife attended.
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.
You have a higher chance of
complications during labor and
birth than a woman delivering a single baby, so you should plan to deliver in a
hospital.
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.
Women with low risk pregnancies who choose to give
birth at home have a lower risk of severe
complications than women who plan a
hospital birth, finds a new study.
Increasingly better observational studies suggest that planned
hospital birth is not any safer
than planned home
birth assisted by an experienced midwife with collaborative medical back up, but may lead to more interventions and more
complications.
A number of non-invasive, non-pharmocological solutions have been shown scientifically to be as effective as active management in lowering cesarean section rates: a companion in labor in the
hospital (Thornton and Lilford 1994), midwives rather
than doctors as the principle
birth attendants in
hospital births of women without
complications (Wagner 1994), out - of -
hospital birth centers (Rooks et al. 1990), and planned home
birth (Wagner 1994).
If you read the part you quoted in context, you will see that it is a call for more studies in light of the fact that «Increasingly better observational studies suggest that planned
hospital birth is not any safer
than planned home
birth assisted by an experienced midwife with collaborative medical back up, but may lead to more interventions and more
complications.»
A University of Rochester - led study, published in the August issue of Health Affairs, shows
complication rates can vary as much as five-fold among
hospitals, prompting researchers to call for the development of a national quality reporting system to improve maternal outcomes for more
than 4 million women who give
birth each year.
While a
hospital birth can provide peace of mind by providing ready help for emergencies, chances are good you will also see more interventions and
birth complications than home
birth.