In -
hospital death rate was highest among those with heart failure (8.2 percent) or older than 80 (about 2 percent).
That's pretty wide, as one would expect with such a small sample, but it still doesn't contain
the hospital death rate.
One quick google search will show that the neonatal death rate in the United States is 6.37, NOT 0.38, making
the hospital death rate 320 % HIGHER than the home birth rate you cited.
In other words, the MANA death rate was 450 % higher than
the hospital death rate.
Obviously, that is 9 times higher than
the hospital death rate for low risk women.
A landmark study by the AIHW showed there were twice as many in -
hospital death rates, a 40 percent lower rate of angiography, a 40 percent lower rate of coronary angioplasty or stent procedures and 20 percent lower rate of coronary artery bypass surgery.
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.
The
death rates for
hospital births in Canada are comparable to the
death rates for American
hospital births in 2003 - 2004.
Homebirth in New Zealand has triple the neonatal
death rate of
hospital birth.
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.
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?
The
rate of
death in
hospitals, though, is much lower in
hospitals.
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.
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.
The authors deliberately used the wrong denominator for calculating the
hospital birth
death rate?
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.
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.
What is the infant
death rate for
hospital births in the this country.
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.
California has a homebirth
death rate that is double that of low risk
hospital birth.
That makes it possible to compare neonatal
death rates at home vs. in the
hospital.
When similar populations of women are studied, home birth has consistently produced a perinatal
death rate 2 - 3x that of
hospital birth.
Research based on the
death rates of mothers and babies during labour and
death or poor outcomes for babies in the first month after birth, and how those
rates have changed over the last 200 years, since 1)
Hospitals, 2) milk substitutes
The authors concluded that the decision to plan a birth attended by a registered midwife at home versus in the
hospital was associated with very low and comparable
rates of perinatal
death.
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 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.
If one assumes the minimum possible error of + -1 in each case you end up with
death rate of between 0.006 % and 0.007 % for
hospital births or between 0.000 % and 0.267 % for home births.
I see it a bit differently — I can't see how a paper that didn't look at causes of
death, or comment on the neonatal
death rate in comparison to low - risk
hospital birth, made it to publication.
If home birth is so safe, why is the
death rate (according to the home birth midwives themselves), almost 5 times what it is in the
hospital?
Planned homebirth with a licensed homebirth midwife in Oregon has a
death rate 9X higher than term births in the
hospital.
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?
That's a maternal
death rate at home birth more than 20 TIMES HIGHER than the maternal
death rate in the
hospital.
(Addendum: One
death is is a stillbirth, so there were 12 neonatal
deaths for a
rate 3X higher than comparable risk
hospital birth.)
In Colorado, licensed homebirth midwives have a perinatal
death rate more than double that of all
hospital birth in the state (including premature babies).
The
death rate for comparable risk
hospital birth is 0.4 / 1000, which means that there should be approximately 4
deaths each year.
Instead there have been 13
deaths that I have heard about and confirmed for a
death rate that is more than 3X higher than comparable risk
hospital birth.
Many studies have shown that homebirth has as much as 3 times the
death rate of
hospital births.
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.
The argument that the
death and complication
rates for homebirth when there is little to no legal route (Yes, CNMs are able to perform homebirth in NC but they are required to be overseen by an Obstetrician and therefore most work in birthing centers and
hospitals) are proof of why it should not be considered for legalization and regulation is the same one seen when abortion is prohibited.
They did not do a comparison to in
hospital birth, probably because the perinatal
death rate was 1.6 / 1000.
Intrapartum and neonatal
death rates were compared with those in other North American studies of at least 500 births that were either planned out of
hospital or comparable studies of low risk
hospital births.
According to the Oregon data, the perinatal (baby)
death rate for out - of -
hospital births in 2012 was 0.45 %.
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 I agree with you, that it would be completely inappropriate to say that homebirth has lower risk of
death if the
rate is say, 1 / 100
deaths, but 1/40, 000 in a
hospital (obviously those are fictitious numbers used for illustration purposes)... but then you also have to account for the
rate among individual OB's if you want a more accurate comparison, since there are multiple OBs typically in a
hospital, being compared to only one midwife.