When asked by State of Oregon to release
the homebirth death rates for that state, Melissa Cheyney refused to do so.
Those studies are supposed to be valid, but
the homebirth death rates are not?
Is it any wonder that MANA (the Midwives Alliance of North America) is hiding
their homebirth death rates?
You may recall that back in August 2010, Melissa Cheyney, the Director of Research for the Midwives Alliance of North America (MANA) and also the head of the Board of Direct Entry Midwifery, rejected a call by the State of Oregon for access to the MANA
homebirth death rates for Oregon.
Even MANA have not released
the Homebirth death rates to help you decide if Homebirth is really even safe.
Nine (9) babies died for
a homebirth death rate of 11.3 / 1000!
However,
the homebirth death rate for American midwives is more than triple
the homebirth death rate for Canadian midwives.
California has
a homebirth death rate that is double that of low risk hospital birth.
Abruption from March of Dimes, prolapse from Healthline,
homebirth death rate from MANA's own published «research».
Or are she and the authors of the study so ignorant of childbirth safety statistics that they don't realize that
the homebirth death rate 400 % higher than comparable risk hospital birth?
Can you crunch the Oregon
homebirth death rate with the Everest climb attempt death rate (I think that it's 1/61 for younger climbers, 1/20 for older climbers but we are still talking about people who are otherwise totally fit and healthy, a bit like home birth mothers).
In other words, the hospital birth death rate is basically unaffected by the liveborn homebirth transfers, while
the homebirth death rate is considerably lowered by removing the deaths that occurred after transfer.
However, since the number of women attempting homebirth is only 1 / 200th of that attempting hospital birth, and since death is a relatively rare outcome, leaving a few deaths out of the homebirth group would make a very big difference in
the homebirth death rate.
because a study showing a higher
homebirth death rate should * absolutely * be spun in a way to encourage women to give birth at home.
Not exact matches
It happens so rarely that the
rate of
death from AFE (1/1, 000,000) and cord prolapse (1/100, 000) at
homebirth is a miniscule fraction of the maternal mortality (1/5, 000) and perinatal mortality (1.7 / 1000) from elective cesarean surgery in hospital (34).
The regulars here are pretty up on these things and the most recent studies of
homebirth have as far as I know have universally shown the
homebirth has at least 3x the perinatal
death rate of similar risk hospital birth.
Homebirth in New Zealand has triple the neonatal
death rate of hospital birth.
Yet by refusing to release the
death rate, MANA can maintain the illusion of plausible deniability and continue to fool unsuspecting women who are contemplating
homebirth.
Let's be honest here: is there anyone in the US
homebirth community who believes those
death rates are anything other than hideous?
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.
Just because YOU and YOUR babies were fine doesn't negate the mountain of data (including MANA's own study) that clearly indicates the dangers of
homebirth and the hideously higher
death rate at the hands of
homebirth midwives.
Did you know that those statistics show that
homebirth with a
homebirth midwife has triple the
rate of neonatal
death of low risk hospital birth?
In fact, the
rate of
homebirth death is more than double that of MDs and their statistics include all high risk births.
And North Carolina is vying to be the
homebirth death capital of the US: they had 5 publicly reported
homebirth deaths last year for a
rate 12X higher than low risk hospital birth.
There were 200 times as many hospital births as
homebirths, so even if a massive proportion of
homebirth attempts ended in a live hospital birth, it would have NO IMPACT on the overall
rate of hospital birth
death or hospital live birth.
However, while amnio increases the
rate of pregnancy loss by 6 %,
homebirth increases the risk of perinatal
death by 200 % or more.
That's why it is absolutely critical for readers of Charlotte's story to understand that Charlotte didn't have to die, that
homebirth increases the risk of perinatal
death, and that licensed Oregon
homebirth midwives have a
death rate 800 % higher than term hospital birth.
We want to know how the
death rate at
homebirth compares with the
death rate at all hospital births, not the
death rate at tertiary facilities.
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.
The
death rate at CNM attended
homebirth is double the
death rate of CNM attended hospital birth.
Indeed, the study shows that
homebirth with an American direct entry midwife has more than triple the
death rate of
homebirth with a Canadian midwife.
Therefore, as far as I can determine, there were 3 maternal
deaths attributable to pregnancy in the entire study, 2 in the
homebirth group and one in the hospital group, for a
death rate of 2/100, 000 in each group.
They didn't want anyone to know that
homebirth had triple the neonatal
death rate of hospital birth, so they deliberately obscured it by using the wrong denominator in their calculations.
It does show an increased neonatal
death rate for
homebirth.
In fact, the authors go so far as to deliberately obfuscate the increased neonatal
death rate at
homebirth.
Planned
homebirth with a licensed midwife in Colorado has a
death rate that is extraordinarily high and has risen in every year since statistics were first collected.
The neonatal
death rate in the planned
homebirth group was 1.1 / 1000.
Simply put, the
death rate was not zero and until the difference (if any) between maternal
deaths at home and in the hospital is determined, we can not draw any conclusions about the safety of
homebirth for Dutch mothers.
In yet another example of a strikingly robust finding, planned
homebirth in NZ had more than triple the neonatal
death rate of planned hospital birth.
They compared the
death rate at
homebirth with the
death rate in tertiary [high risk] facilities, but that's not what we want to know.
How many babies have to die before the Midwives Alliance of North America is forced to publicly acknowledge that they KNOW that
homebirth at the hands of a CPM dramatically increases the
rate of perinatal
death?
The genesis of the controversy is a planned
homebirth of a double footling breech, an uncommon breech position know to have a very high
rate of neonatal
death.
And I emphasized to the interviewer that American women need to be aware of the biggest red flag of all: MANA (Midwives Alliance of North America), the trade and lobbying organization for
homebirth midwives, has collected neonatal
death rates for
homebirth since 2001 but they are hiding that data from American women.
What I think is unconscionable is that the Midwives Alliance of North America (the organization that represents
homebirth midwives) refuses to release their own
death rates.
So the neonatal and perinatal
death rates are meaningless because we don't know how many
homebirth babies end up brain - damaged?
Planned
homebirth with a licensed
homebirth midwife in Oregon has a
death rate 9X higher than term births in the hospital.
The
homebirth cohort had both a higher
death rate and a higher injury
rate (the two HIE babies were
homebirth).
The real
death rate for
homebirths attended by CPMs and other lay midwives is undoubtedly much higher.
It's hardly surprising therefore that
death rates at the hands of
homebirth midwives are appalling.
In Colorado, licensed
homebirth midwives have a perinatal
death rate more than double that of all hospital birth in the state (including premature babies).