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.
Because ACOG has created its position on
home births based on much of the
data from Wax's meta analysis, the researchers warn that physicians and women who are considering
home births and using this study as a reference for their decisions are not getting reliable information and may not be making a well informed decision.
The dates of the twelve studies included within the Wax (2010) analysis is also an area of concern, with eight dating prior to the
birth certificate
data set change that identified planned
from unplanned
home births.
We collected
data on 79774 eligible women, of whom 64538 were low risk,
from 142 (97 %) of the 147 trusts providing
home birth services, 53/56 (95 %) of freestanding midwifery units, 43/51 (84 %) of alongside midwifery units, and a sample of 36 obstetric units (figure ⇓).
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):
We compared medical intervention rates for the planned
home births with
data from birth certificates for all 3 360 868 singleton, vertex
births at 37 weeks or more gestation in the United States in 2000, as reported by the National Center for Health Statistics, 10 which acted as a proxy for a comparable low risk group.
Objective: To collect
data from a cohort of women requesting a
home birth and examine the experience and outcome of pregnancy, the indications for hospital transfer, and the attitudes of mothers, midwives, and general practitioners.
From 1993 to 1999, using an earlier iteration of the data form, we collected largely retrospective data on a voluntary basis mainly from direct entry midwives involved with home births approached through the Midwives Alliance of North America Statistics and Research Committee and the Canadian Midwives Statistics» Collaborat
From 1993 to 1999, using an earlier iteration of the
data form, we collected largely retrospective
data on a voluntary basis mainly
from direct entry midwives involved with home births approached through the Midwives Alliance of North America Statistics and Research Committee and the Canadian Midwives Statistics» Collaborat
from direct entry midwives involved with
home births approached through the Midwives Alliance of North America Statistics and Research Committee and the Canadian Midwives Statistics» Collaboration.
PALL participated in
data analysis, designed and conducted perinatal death audit, sought additional
data from perinatal
data collections, performed comparative analyses of
home birth and national perinatal death
data, and contributed to the paper.
Data on home births were compared with all Australian births during 1985 - 90 and with planned home births elsewhere, identified from a literature search for comparable data from the 1980s and 19
Data on
home births were compared with all Australian
births during 1985 - 90 and with planned
home births elsewhere, identified
from a literature search for comparable
data from the 1980s and 19
data from the 1980s and 1990s.
MJNCK reviewed all perinatal deaths, analysed perinatal death
data, performed statistical analyses on study
data and
data from comparable
home birth studies, and cowrote the paper.
Following the
birth of her second son in 2013, Megan transitioned to a career in research at Duke, conducting
home visits to collect
data from parents, caregivers, and infants.
A secondary analysis of
data from the prospective observational Birthplace in England study found that immersion was associated with significant reductions in antepartum transfers to hospitals for planned
home births, freestanding midwifery unit
births, and alongside midwifery unit
births (2).
Data for 2005 to 2010 (or
from the commencement of a program to 2010) were requested
from the 12 publicly funded
home birth programs in place at the time.
Inclusion criteria were as follows: the study population was women who chose planned
home birth at the onset of labor; the studies were
from Western countries; the
birth attendant was an authorized mid-wife or medical doctor; the studies were published in 1985 or later, with
data not older than
from 1980; and
data on transfer
from home to hospital were described.
Using
birth certificate
data, researchers
from the National Center for Health Statistics report they saw a 20 percent rise in
home births between 2004 and 2008.
The
data relate to pregnancies that received maternity care
from one of fifteen hospitals in the former North West Thames Regional Health Authority Area in England, and which resulted in a live or stillbirth in the years 1988 — 2000 inclusive, excluding «high - risk» pregnancies, unplanned
home births, pre-term
births, elective Caesareans and medical inductions.
You wrote in your blog «MANA (Midwives Alliance of North America; this is the professional organization for
home birth midwives) collected the
data from over 27,000
home births between 2004 - 2007 that took part in a study they organized.
«For this large cohort of women who planned midwife - led
home births in the United States, outcomes are congruent with the best available
data from population - based, observational studies that evaluated outcomes by intended place of
birth and perinatal risk factors.
And this inflammatory use of a «relative percentage risk» rather than relative risk or absolute risk... for example, even if assuming the writer's awkward
data is valid, you can to look at infant living rates and see 99.6 % vs 98.4 %, which means there's only a 1.2 % higher risk of bad outcome
from at -
home birth than hospital.
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 Washington, OB - COAP collected
data from hospitals and
home birth midwives for the purpose of quality improvement.
No, I don't believe that there is a 3 - 4 fold risk of perinatal death at
home birth because as I said in my comment, we don't have the intrapartum
data from hospitals in order to even make an apples to apples comparison.
When she compared Daviss and Johnson's
home -
birth figures with
data on hospital
births in 2000
from the National Center for Health Statistics, she found that for women with comparable risks, the perinatal death rate was almost three times higher in
home births.
«
Data from other countries have shown that planned
home birth with a skilled midwife is safe for low - risk women.
A significant error in some published research on
birth place is amalgamating
data from unplanned
home births (without skilled
birth attendants) with
data from planned
births at
home or in
birth centres within integrated systems.
Based on the most recent 2012
births data, the authors concluded that if
home births by midwives continue to grow at the present 10 percent yearly rate, then the excess total neonatal mortality of
home births by midwives would nearly double
from about 16 - 17 in 2009 to about 32 in 2016.
We conducted a retrospective cohort study by using
data from the ECLS - B, a multisource, multimethod study that focuses on children's
home and educational experiences
from birth through kindergarten.
This study uses nationally representative
data from the US Early Childhood Longitudinal Study,
Birth Cohort (ECLS - B) to examine the magnitude of SES gradients in reading and math ability at kindergarten entry and the independent contribution of factors in the family background, health,
home learning, parenting, and early education domains to these gradients.
Data for the implementation and impact studies will be collected from a variety of sources, including interviews with parents; observations of the home environment; observed interactions of parents and children; direct assessments of children's development; observations of home visitors in their work with families during home visits; logs, observations, and interviews with home visitors, supervisors, and program administrators; program model documentation from program developers, grantees, and local sites; and administrative data on child abuse, health care use, maternal health, birth outcomes, and employment and earni
Data for the implementation and impact studies will be collected
from a variety of sources, including interviews with parents; observations of the
home environment; observed interactions of parents and children; direct assessments of children's development; observations of
home visitors in their work with families during
home visits; logs, observations, and interviews with
home visitors, supervisors, and program administrators; program model documentation
from program developers, grantees, and local sites; and administrative
data on child abuse, health care use, maternal health, birth outcomes, and employment and earni
data on child abuse, health care use, maternal health,
birth outcomes, and employment and earnings.
Key
data from multiple databases and programs (e.g.,
birth records, immunization, Part C,
home visiting, child care, Head Start, foster care, and others) will be integrated into one system.
From birth until the age of 8,
data was collected annually on cognitive and socio - emotional skills,
home environments, family structure, and family economic characteristics.