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.
So, the absolute increase in risk of
death from home birth is more than 1 in 1,000.
Not exact matches
Research
from the Netherlands — which has a high rate of
home births — found no difference in
death rates of either mothers or babies in 530,000
births.
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 authors do inform readers that when studies are excluded
from the analysis that include
births attended by uncertified or non-nurse midwives that the odds ratio for neonatal
death between
home and hospital
births is no longer statistically significant (Wax, 2010).
What the authors should have told us was that there were two neonatal
deaths (0.11 %) among women planning a
home birth and four (0.03 %)
from women planning to give
birth in the hospital.
The quote that you put in your comment
from Dr Amy seems, to me at least, to me making two points: — Ima May Gaskin is responsible for more than one
death during a
home birth.
I think Dr Amy's anger comes
from reading story after story about preventable
deaths, and preventable permanent injury to infants, month after month, and having the
home -
birth advocates here in the USA simply ignore the very real risks of homebirth with an uneducated «midwife».
I think a combination of urban legend and self - protecting midwives surrounding my son's
birth and
death, and then later sheer intimidation at my growing practice in spite of complete lack of support
from the
home birth committee continued to solidify my being the outsider.
from another...» She used to be here in Michigan, more than one infant
death here related to illegal use of vaccum at a
home birth — her CPM credential was revoked (and later, one of her students, having learned similar practices at her «knee» also lost her credential) so I'm not surprised, but still shocked — I had understood that she was «retired»
from Midwifery after she moved to Utah; I'm very saddened by this.»
The FACT is... more women DO die in hospital
births (
from things that could be prevented, or
from unnecessary interventions) than in
home births, and that women were NOT «dying in droves»
from home births back in the day...
death during
birth was fairly uncommon until women were forced into dirty
birth centers with doctors knocking them out and delivering their babies without being held to any sanitation standards because promiscuity was on the rise and we had to keep the «dirty women» separate
from the rest of the hospital.
Ignoring your insane, made - up statistics, your argument is that because babies die in hospitals and elsewhere by other means that we should all accept
home birth deaths as well and refrain
from discussing how to prevent them?
Review of perinatal
deaths and
home births 1988 - 90 was assisted by a grant
from the National Health and Medical Research Council.
Also, in this document, they exclude the
home birth death from severe congenital anomalies, but they don't exclude such hospital
deaths.
These studies were
from Australasia, 13 14 Europe, 15 — 18 and the United States.19 Australian planned
home births had a perinatal
death rate about twice as high as these countries (table 5).
We thank Ms Maggie Haertsch, Ms Dell Horey, the management committee of Homebirth Australia, and the committee convened to audit the perinatal
deaths from 1985 to 1987: Dr Heather Jeffrey (neonatologist), Dr Andrew Ramsay (
home birth general practitioner), Ms Jan Robinson (
home birth midwife), and the late Professor Rodney Shearman (obstetrician).
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.
Of the 50
deaths, 48 were notified by practitioners to Homebirth Australia or
home birth newsletters and two came
from other sources.
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.
The 0.5 %
death rate of a higher - risk
home birth is the same as the probability of a child dying between the ages of 1 and 18
from any cause at all.
From time immemorial,
home births have been stereotyped as unsafe and one of the greatest contributors to still
births and post-natal
deaths.
«Among women who intended to
birth at
home with midwives in Ontario, the risk of stillbirth, neonatal
death or serious neonatal morbidity was low and did not differ
from midwifery clients who chose hospital
birth,» writes Dr. Eileen Hutton, Department of Obstetrics and Gynecology and the Midwifery Education Program, McMaster University, Hamilton, Ontario, with coauthors.
The study, a meta analysis of research
from around the country comparing
home births to hospital
births, appeared to show a twofold increase in the rare event of neonatal
death at a
home births.
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!»
stats show that perinatal
death rates vary
from country to country, which include countries on the spectrum of
home / hospital
birth care.
In other studies of planned
home birth or
birth in a birthing centre, the rate of perinatal
death excluding infants with major congenital anomalies ranged
from 1.1 per thousand in a British study1 to 10 per 1000 in the Quebec study, 7 with reported rates in the United States, 2 the Netherlands, 3 Switzerland, 4 New Zealand5 and Australia9, 12 falling in between.
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.
Baby
death significantly higher for those delivered at
home or in a freestanding birthing center when compared to those delivered by midwives in the hospital: Term neonatal
deaths resulting
from home births: an increasing trend
Research
from the Netherlands - which has a high rate of
home births - found no difference in
death rates of either mothers or babies in 530,000
births.
Findings
from our study, including low rates of interventions and low rates of
death or injury, are comparable to findings reported in other large observational
home birth studies
from Europe and Canada.»
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.
The excess total neonatal mortality for deliveries performed by
home midwives was 9.3 / 10,000
births or about 18 - 19 excess neonatal
deaths a year
from midwife homebirths.
It will fund research aimed at reducing the number of infant
deaths from neonatal sepsis in developing countries by identifying the roots of infection,
from season of
birth to
home environment.
The authors» main argument against the proven cost - effectiveness of planned
home birth is that «the lifetime costs of supporting the neurologically disabled children who will result
from planned
home birth» have not been factored in, nor have the supposedly increased rates of
death.
In a compelling personal narrative that follows his farm animals
from birth to
death, journalist Lovenheim brings
home the story of the milk and the beef we eat, and he does it by honoring the cattle and the people whose labor and lives feed a nation and a world.
Thematically, Her
Home spans a woman «Äôs life
from birth to
death.