Sentences with phrase «higher than in hospital»

In moms who had given birth before, the transfer rate was much lower and the baby death rate was not statistically higher than in the hospital.
We know it's higher than in hospital, but that is at least partly due to inadequate midwifery education and to some high risk women being considered as suitable candidates for homebirth, so it's a foregone conclusion that the stats will be bad.

Not exact matches

They can steer or nudge people towards lower cost settings like pharmacies [in the US] that have one - minute clinics rather than high - cost hospitals,» he said.
New research published today by the Campaign for Better Hospital Food shows that at least 1 in every 4 hospital meals (26 %) served to patients in NHS hospitals are likely to be left uneaten and thrown in the bin, a figure higher than previously recHospital Food shows that at least 1 in every 4 hospital meals (26 %) served to patients in NHS hospitals are likely to be left uneaten and thrown in the bin, a figure higher than previously rechospital meals (26 %) served to patients in NHS hospitals are likely to be left uneaten and thrown in the bin, a figure higher than previously recognised.
Even the babies who received human milk only during the time they were in hospital showed higher scores than those who had only formula in hospital.
In Missouri, the risk of intrapartum death at homebirth is nearly 20 times higher than hospital birth.
Low risk birth in the Netherlands at home with a midwife is more likely to result in a DEAD baby than high risk birth in a hospital with a doctor.
And this paper in the BMJ suggest low risk moms with midwives at home have a higher mortality rate than all the high risk moms in hospitals.
With a mortality rate of almost 5x higher than hospital birth, this is not that far off the 6 - 8 times higher we saw for the Oregon data collection, even though the Oregon group almost surely had significantly fewer criteria for risking mothers out (no criteria in some places, I'm sure) as well as lower qualifications for the midwives as CPMs and DEMs.
I expect the data to be partial, and very slickly presented to put the best spin on it all [something like «90 + % of homebirths are uncomplicated», not that a certain percentage, much higher than hospital births, result in death or morbidity].
This is the 4th confirmed homebirth death in NC this year for a rate that is a whopping TEN times higher than the rate of death for comparable risk hospital birth.
In Oregon, babies die at the hands of CPMs at a much higher rate than they do in hospital, comparing low - risk womeIn Oregon, babies die at the hands of CPMs at a much higher rate than they do in hospital, comparing low - risk womein hospital, comparing low - risk women.
Breastfeeding rates have been shown to be higher among babies born in Baby - Friendly hospitals than among babies born in other hospitals.
There is a much higher rate of infections to new moms and babies in hospitals than born at home.
The higher risk obstetric wards were also really lovely, with communal sitting rooms for post-partum women and the offer of iPod players, electric tealight «candles», electric oil burners, etc. the ob wards were definitely more «sterile» than the FBCs, but at the end of the day you're staying in a hospital, not a five star hotel.
The perinatal (around the time of birth) death rate of babies born in nonhospital settings is much higher than for babies born in a hospital, even though their mothers are supposedly lower - risk.
In some ways the situation in Israel is better than in the US in that mothers are expected to nurse their babies in the hospital, and there is a very high initiation ratIn some ways the situation in Israel is better than in the US in that mothers are expected to nurse their babies in the hospital, and there is a very high initiation ratin Israel is better than in the US in that mothers are expected to nurse their babies in the hospital, and there is a very high initiation ratin the US in that mothers are expected to nurse their babies in the hospital, and there is a very high initiation ratin that mothers are expected to nurse their babies in the hospital, and there is a very high initiation ratin the hospital, and there is a very high initiation rate.
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.
In Oregon, there have been at least 19 newborn deaths reported to the state over the past decade for a death rate more than 4 times higher than low risk hospital birth.
What floors me is how people continue to ignore the glaringly obvious fact, that homebirth, even under the best circumstances, continues to kill mothers and babies at a rate that is far higher than births that occur in hospital settings.
Planned homebirth with a licensed homebirth midwife in Oregon has a death rate 9X higher than term births in the hospital.
Your midwives saw to it that was maintained as well by not warning you that all of the data on homebirth in the US show a 3 - 8x higher risk of the baby dying in homebirth than in hospital birth.
That's a maternal death rate at home birth more than 20 TIMES HIGHER than the maternal death rate in the hospital.
She did say that her first two were born in hospital and her blood pressure was higher than what is considered normal then, too, but the doctor never did anything about it because it wasn't «too much higher than baseline» and she never lost protein in her urine.
The reality, backed by statistics, is that homebirth, even in countries which have high licensing standards and good emergency backup systems — which the US most emphatically does not — is far more dangerous than giving birth in hospital, grumpy staff or not.
And actually, I just checked the rate at Pullman is higher than the rate at the two major hospitals in Spokane!
To put this into context, over time, Dr Amy has presented several different lines of hard evidence that the death rate for babies is higher in home birth than it is at hospitals, in America.
Second, the authors ACTUALLY showed that homebirth with a CPM in 2000 had a mortality rate 3X higher than comparable risk hospital birth in 2000.
Women who started birth at home were on average older, of a lower socioeconomic status and higher educational achievement, and less likely to be African - American or Hispanic than women having full gestation, vertex, singleton hospital births in the United States in 2000.
Home births (relative risk [RR], 10.55) and births in free - standing birth centers (RR, 3.56) attended by midwives had a significantly higher risk of a 5 - minute Apgar score of 0 (P <.0001) than hospital births attended by physicians or midwives.
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.
And more importantly, rather than just comparing home vs hospital overall, it compared midwife - led vs OB - led births at home vs hospital (as you should well know, in the Netherlands, low - risk women see a midwife, full stop — you have to be high - risk to see an OB, so hospital births are a combination of low - risk women under midwife care and high - risk women under OB care).
Babies that are born in the hospital have a much higher incidence of infections in the first month than babies who were born outside of the hospital.
«With younger babies, parents always think the crying is going to go on longer than it usually does,» agrees Pamela High, M.D., medical director of the infant development unit at Women & Infants» Hospital, in Providence.
Note that the total mortality rate for births planned to be attended by direct - entry midwives is 6 - 8 times higher than the rate for births planned to be attended in hospitals.
The long - awaited report, written by occupational health specialists at Northwest Community Hospital, Arlington Heights, stated that the rates of cancer - 25 reported cases in current and former staff members - and other illnesses at the school were no higher than normal statewide averages.
The problem is that the risks of a VBAC are not in fact that much higher than the risks of other kinds of deliveries that do occur regularly in hospitals.
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.
The three recent papers published in American Journal of ObGyn: Wax metaanalysis (2010), Chervenak (2013), Grunebaum **** (see note at bottom)(Apgar 0, 2013) and the U.K. Birth Place study (2013) report perinatal death rates from homebirth as 3 times or 10 times higher than perinatal death rates in the first week than hospital birth.
In the case of Oregon, homebirth with a homebirth midwife has a death rate 800 % higher than comparable risk hospital birth.
It's still measurably higher risk than if it's her second uncomplicated pregnancy (and personally I'd rather know in advance if I were delivering in the hospital) but it's not insane.
Post-mortem tests on more than 500 babies found high levels of Staphylococcus aureus and Escherichia coli in babies who died for unexplained reasons, a team from Great Ormond Street Hospital for Children in London said on Friday.
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.
Out - of - hospital births were also associated with a higher rate of unassisted vaginal delivery and lower rates of obstetrical interventions and NICU admission than in - hospital births, findings that corroborate the results of earlier studies.3 - 5 These associations follow logically from the more conservative approach to intervention that characterizes the midwifery model of care8, 19 and from the fact that obstetrical interventions are either rare (e.g., induction of labor) 20 or unavailable (e.g., cesarean delivery, whether at home or at a birth center) outside the hospital setting.
Rates of obstetrical intervention are high in U.S. hospitals, and we found large absolute differences in the risks of these interventions between planned out - of - hospital births and in - hospital births.38 In contrast, serious adverse fetal and neonatal outcomes are infrequent in all the birth settings we assessed, and the absolute differences in risk that we observed between planned birth locations were correspondingly small; for example, planned out - of - hospital births were associated with an excess of less than 1 fetal death per 1000 deliveries in multivariate and propensity - score - adjusted analysein U.S. hospitals, and we found large absolute differences in the risks of these interventions between planned out - of - hospital births and in - hospital births.38 In contrast, serious adverse fetal and neonatal outcomes are infrequent in all the birth settings we assessed, and the absolute differences in risk that we observed between planned birth locations were correspondingly small; for example, planned out - of - hospital births were associated with an excess of less than 1 fetal death per 1000 deliveries in multivariate and propensity - score - adjusted analysein the risks of these interventions between planned out - of - hospital births and in - hospital births.38 In contrast, serious adverse fetal and neonatal outcomes are infrequent in all the birth settings we assessed, and the absolute differences in risk that we observed between planned birth locations were correspondingly small; for example, planned out - of - hospital births were associated with an excess of less than 1 fetal death per 1000 deliveries in multivariate and propensity - score - adjusted analysein - hospital births.38 In contrast, serious adverse fetal and neonatal outcomes are infrequent in all the birth settings we assessed, and the absolute differences in risk that we observed between planned birth locations were correspondingly small; for example, planned out - of - hospital births were associated with an excess of less than 1 fetal death per 1000 deliveries in multivariate and propensity - score - adjusted analyseIn contrast, serious adverse fetal and neonatal outcomes are infrequent in all the birth settings we assessed, and the absolute differences in risk that we observed between planned birth locations were correspondingly small; for example, planned out - of - hospital births were associated with an excess of less than 1 fetal death per 1000 deliveries in multivariate and propensity - score - adjusted analysein all the birth settings we assessed, and the absolute differences in risk that we observed between planned birth locations were correspondingly small; for example, planned out - of - hospital births were associated with an excess of less than 1 fetal death per 1000 deliveries in multivariate and propensity - score - adjusted analysein risk that we observed between planned birth locations were correspondingly small; for example, planned out - of - hospital births were associated with an excess of less than 1 fetal death per 1000 deliveries in multivariate and propensity - score - adjusted analysein multivariate and propensity - score - adjusted analyses.
After hospital transfers were reclassified as belonging to the planned out - of - hospital birth category, the rate of fetal death was higher (though not quite reaching the level of significance) among out - of - hospital births than among in - hospital births (2.4 vs. 1.2 deaths per 1000 deliveries, P = 0.05)(Table 3).
The proportions of women who were white, had private insurance or paid out of pocket, or were of advanced maternal age were higher among women who planned out - of - hospital birth than among those who planned in - hospital birth (Table 1).
Similarly, rates of perinatal and neonatal death did not differ significantly before transfers were reclassified (P > 0.1 for all comparisons) but were higher in the case of planned out - of - hospital births than in the case of planned in - hospital births after reclassification (perinatal death, 3.9 vs. 1.8 deaths per 1000 deliveries, P = 0.003; neonatal death, 1.6 vs. 0.6 deaths per 1000 deliveries, P = 0.02).
Planned out - of - hospital birth was associated with a higher rate of perinatal death than was planned in - hospital birth (3.9 vs. 1.8 deaths per 1000 deliveries, P = 0.003; odds ratio after adjustment for maternal characteristics and medical conditions, 2.43; 95 % confidence interval [CI], 1.37 to 4.30; adjusted risk difference, 1.52 deaths per 1000 births; 95 % CI, 0.51 to 2.54).
Perinatal mortality was higher with planned out - of - hospital birth than with planned in - hospital birth, but the absolute risk of death was low in both settings.
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