Rates of birth weight that was less than 2500 g (0.8 %) in
our home birth group did not differ from the midwife comparison group (0.7 %) and were somewhat lower than the rate of 2 % among women attended by midwives in the Quebec study.
Not exact matches
Fathers were much less likely to be involved after the
birth if their baby's mother lived with her parents during the pregnancy — and of course the very young mothers were more likely to have been living with their own parents (or with one of them): 63 % of the youngest
group of mums lived «at
home» while only 13 % of those aged 22 or over
did so.
The article
did say that the
home birth group had fewer immigrants and fewer poor women.
Since the question
does not distinguish between planned
home births and planned
birth - center deliveries, we used a single «planned out - of - hospital»
group for the purposes of analysis.
Although ACOG
does not support planned
home births given the published medical data, it emphasizes that women who decide to deliver at
home should be offered standard components of prenatal care, including
group B Strep screening and treatment, genetic screening, as well as HIV screening.
For the planned
home birth cohort, 8 % needed emergency medical services, as
did 1.7 % in the planned hospital
group.
Your
home births are
done byy the equivalent of our CNMs, which are not the
group in a question in this study.
This is entirely appropriate — if
home birth is ever safe that time is not in premature labor — but
does bias survival in favor of the
home birth group.
Well, looking at the 10 steps I failed at: — # 6 nothing other than breast milk (gave hungry baby formula b / c I was too tired and drugged up to nurse more than 5 minutes)-- # 7 rooming in (being tired and drugged up I actually wanted to sleep)-- # 9 no pacifiers (I would rather baby have the SIDS prevention and soothing that comes from sucking)-- # 4 initiate breastfeeding within 30 minutes of
birth (that C - section thing where they sliced my guts open interfered with that timing)-- # 10 I was referred to the support
group but sure as hell didn't go (because I deemed healing at
home from my surgery more important than being browbeaten about how I was feeding my baby).
When we restricted the
home -
birth group to women who actually gave
birth at
home, the rates of adverse maternal and newborn outcomes
did not differ significantly from those among all planned
home births.
In the subgroup analysis in which we excluded women whose labour was induced by outpatient administration of prostaglandins, amniotomy or both (118 [4.1 %] of women in the
home -
birth group, 344 [7.2 %] of those who planned a midwife - attended hospital
birth and 778 [14.6 %] of those who planned a physician - attended hospital
birth), the relative risks of obstetric interventions and adverse maternal and neonatal outcomes
did not change significantly.
The rate of infection overall, although lower in the
home -
birth group,
did not differ significantly between these 2
groups (RR 0.39 (0.13 — 1.14).
While Rosa
did not talk specifically in the Save the Children video about postpartum depression, research shows that stressful life events, including premature
birth, are risk factors for maternal depression.24 Evaluation studies confirm that women who participated in
home visiting programs were less likely to demonstrate symptoms of depression and reported improved mental outlook when compared with control groups of women who did not participate in home visiting.25 For example, parents participating in the Child First model — one of the 20 evidence - based models eligible to receive funds from the Maternal, Infant, and Early Childhood Home Visiting program — experienced lower levels of stress and depression at the end of the program compared with parents who did not participat
home visiting programs were less likely to demonstrate symptoms of depression and reported improved mental outlook when compared with control
groups of women who
did not participate in
home visiting.25 For example, parents participating in the Child First model — one of the 20 evidence - based models eligible to receive funds from the Maternal, Infant, and Early Childhood Home Visiting program — experienced lower levels of stress and depression at the end of the program compared with parents who did not participat
home visiting.25 For example, parents participating in the Child First model — one of the 20 evidence - based models eligible to receive funds from the Maternal, Infant, and Early Childhood
Home Visiting program — experienced lower levels of stress and depression at the end of the program compared with parents who did not participat
Home Visiting program — experienced lower levels of stress and depression at the end of the program compared with parents who
did not participate.26