There are many studies that show that perinatal outcomes for low risk women in planned home birth are as good or better than
those from planned hospital births.
By the time the credits rolled, I was almost guaranteed new clients, freshly converted
from planning a hospital birth to planning a birth center birth with me or one of my partners as midwife.
Not exact matches
Practice Guidelines for California Licensed Midwives Best Practice Guidelines: Transfer
from Planned Home
Birth to
Hospital Citizens for Midwifery Home
Birth Facts Canadian Medical Association Journal: Outcomes of
Planned Home
Birth Solace for Mothers: Informed Consent Questions to Consider when Interviewing a Doctor or Midwife
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.
No matter that it comports with the data
from Oregon that shows that
PLANNED homebirth with a LICENSED homebirth midwife has a death rate 9X higher than comparable risk
hospital birth or that MANA has found that its own members have such hideous death rates that they have been desperately hiding them for years.
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 coroner has concluded Midwives should not attend HBs alone, the emergency services should be notified and given prior warning when a HB occurs, and «that the distance of a home
birth from the local maternity
hospital should be factored in whenever home deliveries are
planned.»
The following quote
from the article above puzzles me to no end: «The latest CDC figures (publicly available on the CDC Wonder website) show that
planned homebirth with a non-nurse midwife has a mortality rate 600 % HIGHER than low risk
hospital birth.»
As the recently released statistics
from Oregon show,
planned homebirth with a licensed homebirth midwife has a mortality rate 800 % HIGHER than term
hospital birth.
The Best Practice Guidelines: Transfer
from Planned Home
Birth to
Hospital, created by the Collaboration Task Force of the Home
Birth Summit, were specifically cited.
Thank you for your interest in endorsing the Best Practice Guidelines: Transfer
from Planned Home
Birth to
Hospital.
In this instance, how far you live
from a
hospital can make an enormous difference, so it is worth considering this as a safety aspect before you
plan a home
birth.
Two model transfer forms — maternal and infant — were created to accompany the Best Practice Guidelines: Transfer
from Planned Home
Birth to
Hospital.
Three model transfer forms — Maternal, Infant, and Nurse — were created to accompany the Best Practice Guidelines: Transfer
from Planned Home
Birth to
Hospital.
The biggest takeaway
from our discussion is that with a bit of advance preparation, parents can certainly cloth diaper
from birth, even if cloth diapers are new for your partner,
birth team,
hospital,
birth center, and even if your
birth does not go according to
plan.
Ole Olsen, a researcher
from the University of Copenhagen, recently examined several studies of
planned homebirth backed up by a modern
hospital system compared with
planned hospital birth.
An infant car seat is one of the very first things you will need for your baby unless you
plan to give
birth at home or take the bus to get home
from the
hospital.
If you are cared for by a midwife they come and assess you at home when you go into labor even if you are
planning on a
hospital birth (unless you choose to go right in and meet them there but most midwife clients want to be at home as long a possible
from what I understand).
And while some
hospitals and care providers welcome
birth plans, others dislike any requests that deviate
from standard labor and delivery procedures.
Views are particularly polarised in the United States, with interventions and costs of
hospital births escalating and midwives involved with home
births being denied the ability to be lead professionals in
hospital, with admitting and discharge privileges.5 Although several Canadian medical societies6 7 and the American Public Health Association8 have adopted policies promoting or acknowledging the viability of home
births, the American College of Obstetricians and Gynecologists continues to oppose it.9 Studies on home
birth have been criticised if they have been too small to accurately assess perinatal mortality, unable to distinguish
planned from unplanned home
births accurately, or retrospective with the potential of bias
from selective reporting.
I've used the CDC Wonder data
from 2003 - 2008 to demonstrate that in each year,
planned homebirth with a homebirth midwives has a neonatal death rate anywhere
from 3 - 7X higher than
hospital birth.
Many expecting couples choose to develop a
plan for how they want to handle the period
from immediately, prior to the
birth, to the point of which they leave the
hospital or birthing center.
National data
from the ongoing CDC survey of Maternity Practices in Infant Nutrition and Care (mPINC), which assesses breastfeeding - related maternity practices in
hospitals and
birth centers across the United States, indicate that barriers to breastfeeding are widespread during labor, delivery, and postpartum care, as well as in
hospital discharge
planning...
Authors» conclusions: There is no strong evidence
from randomised trials to favour either
planned hospital birth or
planned home
birth for low ‐ risk pregnant women.
Packed with vital and cutting - edge information on everything
from building the ultimate
birth plan, to your choices and rights in the birth room; from optimal cord clamping, to seeding the microbiome; from the inside track on breastfeeding, to woman - centred caesarean, The Positive Birth Book shows you how to have the best possible birth, regardless of whether you plan to have your baby in hospital, in the birth centre, at home or by elective caesa
birth plan, to your choices and rights in the
birth room; from optimal cord clamping, to seeding the microbiome; from the inside track on breastfeeding, to woman - centred caesarean, The Positive Birth Book shows you how to have the best possible birth, regardless of whether you plan to have your baby in hospital, in the birth centre, at home or by elective caesa
birth room;
from optimal cord clamping, to seeding the microbiome;
from the inside track on breastfeeding, to woman - centred caesarean, The Positive
Birth Book shows you how to have the best possible birth, regardless of whether you plan to have your baby in hospital, in the birth centre, at home or by elective caesa
Birth Book shows you how to have the best possible
birth, regardless of whether you plan to have your baby in hospital, in the birth centre, at home or by elective caesa
birth, regardless of whether you
plan to have your baby in
hospital, in the
birth centre, at home or by elective caesa
birth centre, at home or by elective caesarean.
In many previous U.S. studies, it was not possible to disaggregate
planned in -
hospital births from planned out - of -
hospital births that took place in the
hospital after a woman's intrapartum transfer to the
hospital.3, 9,10 The latter
births represent 16.5 % of
planned out - of -
hospital births in our population, and misclassification of these
births as in -
hospital births caused rates of adverse outcomes among
planned out - of -
hospital births to be underestimated (in some cases, substantially).
Use and / or modifications of the Model Maternal, Infant, and Nurse Transfer Forms requires citing the original tool: Model Transfer Forms for Best Practice Guidelines: Transfer
from Planned Home
Birth to
Hospital.
In 2012, the home
birth rate in Oregon was 2.4 %, which was the highest rate of any state; another 1.6 % of women in Oregon delivered at birth centers.11 Before licensure became mandatory in 2015, Oregon was one of two states in which licensure was not required for the practice of midwifery in out - of - hospital settings.12 Although the 2003 revision of the U.S. Standard Certificate of Live Birth distinguishes planned home births from unplanned home births, at the national level there is still no way to disaggregate hospital births that were intended to occur at a hospital and those that had not been intended to occur at a hosp
birth rate in Oregon was 2.4 %, which was the highest rate of any state; another 1.6 % of women in Oregon delivered at
birth centers.11 Before licensure became mandatory in 2015, Oregon was one of two states in which licensure was not required for the practice of midwifery in out - of - hospital settings.12 Although the 2003 revision of the U.S. Standard Certificate of Live Birth distinguishes planned home births from unplanned home births, at the national level there is still no way to disaggregate hospital births that were intended to occur at a hospital and those that had not been intended to occur at a hosp
birth centers.11 Before licensure became mandatory in 2015, Oregon was one of two states in which licensure was not required for the practice of midwifery in out - of -
hospital settings.12 Although the 2003 revision of the U.S. Standard Certificate of Live
Birth distinguishes planned home births from unplanned home births, at the national level there is still no way to disaggregate hospital births that were intended to occur at a hospital and those that had not been intended to occur at a hosp
Birth distinguishes
planned home
births from unplanned home
births, at the national level there is still no way to disaggregate
hospital births that were intended to occur at a
hospital and those that had not been intended to occur at a
hospital.
We performed a population - based, retrospective cohort study of all
births that occurred in Oregon during 2012 and 2013 using data
from newly revised Oregon
birth certificates that allowed for the disaggregation of
hospital births into the categories of
planned in -
hospital births and
planned out - of -
hospital births that took place in the
hospital after a woman's intrapartum transfer to the
hospital.
With this second aim, we used new data on
planned birth setting to improve the interpretation of studies in which investigators could not disaggregate in -
hospital births that had been
planned to be out - of -
hospital births from births that had been
planned to be in -
hospital births.
Information on the total number of
births outside
hospital was available each year
from the Office of Population Censuses and Surveys but it was not known how many of these were
planned home
births.
However, they noted a smaller study of all
planned home
births attended by midwives in British Columbia, Canada,
from 2000 to 2004 that showed no increase in neonatal mortality over
planned hospital births attended by midwives or physicians.
You should think about a
birth control
plan before you go home
from the
hospital.
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).
The authors concluded that there is no strong evidence
from randomized trials to favor either
planned hospital birth or
planned home
birth for low - risk pregnant women.
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.
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.
In fact, the latest statistics
from the CDC show that
planned homebirth in 2007 with a homebirth midwife (often called a certified professional midwife, CPM, or licensed midwife, LM) had a newborn death rate more than 7 TIMES higher than low risk
hospital birth.
I'm
planning to go all natural, I really wanted a home
birth, but we live on a smaller rural island quite a distance
from a
hospital and midwives will not attend
births where we live.
Previous research
from the UK and Canada has identified a lower risk of PPH among
planned home
births than among
planned hospital births [4, 11], but the UK study did not attempt to control for confounding variables.
Research
from Australia has found no significant difference between
planned home
birth and
hospital birth in terms of the risk of PPH [1].
In the UK, even if a home
birth is
planned, a pregnant woman receives maternity care
from health care professionals who are based at an individual
hospital, so the
hospital records included
planned home
births as well as
planned hospital births.
When that data is pooled with the data
from Ontario (also 4 yr midwifery degree,
hospital priv for RMs and smooth transfer) perinatal mortality with
planned homebirth was 2 - 3x that of
planned hospital birth.
Whether you're
planning a home
birth, a natural
hospital birth, a
birth with an epidural, or even a scheduled c - section, you can benefit
from a TENS machine
Amy Tuteur (the Skeptical OB) calculates
from the CDC database that the same statistics for
planned hospital births are 0.38 per 1000 for low risk
births.
Instead, they should look for signals
from the infant that feeding isn't going well, assess a mother's risk factors before
birth and set up a care
plan for new parents to make sure someone is following up with them after short
hospital stays.
If you're seeing a midwife in a low - volume
hospital practice, or
planning to give
birth at a
birth center or at home, you're likely to have continuous one - on - one support
from your midwife.
If you
plan to breastfeed your babies, seek out support and information
from your health professional, the
hospital, or a lactation consultant before and after the
birth.
Our findings
from BC support those of previous reports that suggest that there are no indications of increased risk associated with
planned home
birth attended by regulated midwives, compared with those attended by either midwives or physicians in
hospital.
These guidelines were designed to facilitate the safe and mutually respectful transfer of care of a woman and her family
from a
planned home
birth to the
hospital.