The key point about homebirth is that MORE babies die at
homebirth than in the hospital.
if you define success as «fewer dead babies» however you're 450 % more likely to have a dead baby with
a homebirth than in a hospital.
It is those who survive by the skin of their teeth who are expensive — and, let's face it, that is a lot less likely in
a homebirth than 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.
Not exact matches
Even when women are segregated
in maternity wards, infections are much more commonplace after
hospital births
than homebirths.»
In the event that a condition arises during my pregnancy or labor that indicates that a
homebirth is no longer a safe, responsible choice, I have no qualms about going back to my OB (whom I like and respect) or being transferred to a
hospital (which is literally less
than five minutes from our house) if necessary.
I have to first admit that I've been a little reticent to post about this, not because I'm not excited about it, but because
homebirth in our culture is not seen as a safe or wise choice (though
in reality it is as safe or safer
than hospital births
in most cases — there are a number of studies that indicate as such).
I have always believed
in my gut that it is safer to have a CNM attend a
homebirth in a low risk pregnancy
than give birth
in a
hospital.
In Missouri, the risk of intrapartum death at
homebirth is nearly 20 times higher
than hospital birth.
Dr. Tuteur writes about more
than 10
homebirth deaths a year, many of which take place at or are called at the
hospital, the majority of which meet those criteria for being included
in the analysis.
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.
Yes, babies die
in hospitals — though they are predominantly premature, no prenatal care, congenital defects, etc, not HEALTHY TERM babies — but the RELATIVE RISK is MUCH lower
than comparable risk
homebirth.
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.
In yet another example of a strikingly robust finding, planned homebirth in NZ had more than triple the neonatal death rate of planned hospital birt
In yet another example of a strikingly robust finding, planned
homebirth in NZ had more than triple the neonatal death rate of planned hospital birt
in NZ had more
than triple the neonatal death rate of planned
hospital birth.
The Canadian study has an unusual way of calculating perinatal mortality, and the Dutch study points out that
homebirth is as safe as
hospital birth
in the Netherlands without addressing the fact that the
homebirth population is much lower risk
than the
hospital population.
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.
We have the data that shows
homebirth mortality rates with CPMs is 5.4 / 1000 which is actually 7 - 9 xs greater
than in hospital births with similar co-factors.
Planned
homebirth with a licensed
homebirth midwife
in Oregon has a death rate 9X higher
than term births
in the
hospital.
The kind thing to say to someone considering a
homebirth is: Choose
homebirth if you like, but know that your baby is far more likely to die or be injured
than during a birth
in hospital.
In Colorado, licensed homebirth midwives have a perinatal death rate more than double that of all hospital birth in the state (including premature babies
In Colorado, licensed
homebirth midwives have a perinatal death rate more
than double that of all
hospital birth
in the state (including premature babies
in the state (including premature babies).
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.
I've done
homebirths [
in the UK] and the potential for irreparable disaster was present at every one, although there was a crisis
in only one [abruption] and mother and baby were both saved, they were also at much greater risk at home
than in the
hospital and
in the end required much more intensive treatment [largely because of time delays]
than if the same situation had happened
in hospital.
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.
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.
I believe a lot of women choose
homebirth because they truly believe that it is «as safe or safer
than hospital» and through fear that being
in a
hospital will lead to psychological damage / bonding issues and a potentially harmed baby.
18 deaths
in 3 years, that's 6 per year and based on the fact that
homebirth rates have been rising
in the past 3 years and nearly 30 % of women are opting for
homebirth I'd say those stats are pretty good and far better
than your risks when walking through the doors of any
hospital.
lol) I wasn't stating you were more likely to aquire a staph infection
than die
in a
homebirth, rather that you were more likely to die from a staph infection
than a
homebirth, and the staph would be aquired from the
hospital, where it is rampant, which is why they don't like people
in hospitals longer
than they need to be.
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.
Homebirth is very different
than hospital birth — people do not come and wait
in the other room until the baby is born.
Even if you include late preterm babies
in the
hospital, it's 1.06 / 1000 — STILL lower
than the
homebirth set.
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.
The problem is... there is no explanation for why low risk newborns would have a higher rate of death
in the first week after Planned Attended
Homebirth than after Planned
Hospital birth.
Oft quoted research studies state 3X to 10X more babies die
in the first week after low risk
homebirth than hospital birth.
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 birt
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 birt
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 believe
Homebirth has always been shown to have more risk
than hospital birth
in every credible study.
And all of them have found that the neonatal death rate is far higher with
homebirths than with comparable low risk pregnancies
in the
hospital.
If every woman planning a
homebirth signed a piece of paper saying «I understand that my baby is 3 - 5x more likely to die
in a
homebirth than a
hospital birth.
CNM midwives
in the US are well trained and they tend to work
in hospitals where they get enough experience to know better
than to «trust birth» to any old
homebirth yahoo who learned all she needed to know through apprenticing with another yahoo.
Even
in my case — without full medicaid coverage — a
hospital birth would have cost me about 3000 dollar less
than I ended up paying for my midwife,
homebirth supplies etc..
To summarize, the MANA statistics show that
homebirth as practiced
in the US has a death rate 450 % higher
than hospital birth.
I think that childbirth is safer nowadays because of the prenatal care that women receive, not so much because women are giving birth
in hospitals (even though I am aware that there are problems that come up during delivery, which would make a
hospital birth safer
than, say, a
homebirth).
You can't accept the fact that MANA's own datasets prove that
homebirth in the US is more dangerous to the baby
than hospital birth, yet you persist
in flinging mostly lame rejoinders and getting your dander up when anyone has the temerity to call you on your ignorance.
The birthplace study
in the UK tells us that for first - time moms, the rate of
homebirth birth injuries was several times higher
than for those who went to the
hospital.
Does nine times higher death rate of breech babies
in homebirth according to MANA stats
than the death rate of breech births
in hospitals count as a proven negative outcome or not?
The truly shocking thing about
homebirth is that even when you include malpractice and negligence
in the
hospital statistics,
homebirth STILL has a death rate that is 450 % higher
than hospital birth for comparable risk women.
Homebirth is
in America as
Homebirth in America does, yet the
Homebirth advocates who are looking at the actually data are making excuses about the worse outcomes as they speculate that it is either due to the high risks births that were included, or because they must have been farther away from the
hospital than just 5 minutes, or just ignoring the outcomes data and focusing on the low intervention data.
In other words, the death rate at
homebirth is 450 % higher
than comparable risk
hospital birth.