«All patients of all races do better at the trauma centers treating white majority populations, so this research tells us we need to direct attention to
hospitals with higher mortality rates to help them improve their outcomes, or we won't ever be able to turn this around.»
Not exact matches
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.
Mothers who give birth at home are as concerned
with the under - reported and grossly
high maternal
mortality rate in
hospitals as the infant
mortality rate.
A more recent study showed that low risk birth (home or
hospital)
with a Dutch midwife has a
HIGHER perinatal
mortality rate than
high risk delivery
with a Dutch obstetrician.
The following quote from the article above puzzles me to no end: «The latest CDC figures (publicly available on the CDC Wonder website) show that planned homebirth
with a non-nurse midwife has a
mortality rate 600 %
HIGHER than low risk
hospital birth.»
The latest CDC figures (publicly available on the CDC Wonder website) show that planned homebirth
with a non-nurse midwife has a
mortality rate 600 %
HIGHER than low risk
hospital birth.
That's TEN TIMES
HIGHER than the national neonatal
mortality rate for low risk
hospital birth
with a CNM.
As the recently released statistics from Oregon show, planned homebirth
with a licensed homebirth midwife has a
mortality rate 800 %
HIGHER than term
hospital birth.
I would've thought that a low risk group affiliated
with a
hospital program could expect to see significantly lower
mortality stats than a group where
high - risk cases are being tackled by underqualified care providers.
Perinatal
mortality rates were similar for planned home and
hospital births, but neonatal
mortality rates were significantly
higher with planned home births.
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.
The latest data from the CDC (available on the CDC) Wonder website shows that homebirth
with a non-nurse midwife has a neonatal
mortality rate more than 7 times
HIGHER than low risk
hospital birth.
Most studies of homebirth in other countries have found no statistically significant differences in perinatal outcomes between home and
hospital births for women at low risk of complications.36, 37,39 However, a recent study in the United States showed poorer neonatal outcomes for births occurring at home or in birth centres.40 A meta - analysis in the same year demonstrated
higher perinatal
mortality associated
with homebirth41 but has been strongly criticised on methodological grounds.5, 42 The Birthplace in England study, 43 the largest prospective cohort study on place of birth for women at low risk of complications, analysed a composite outcome, which included stillbirth and early neonatal death among other serious morbidity.
Some of those factors included a decline in birth rates corresponding
with higher infant
mortality rates, the discovery of vaccines, and a rise in
hospital births.
The Baby Box Company is working
with hospitals, community health organizations, and the non-profit Babies Need Boxes Ohio to give away cardboard box beds, for every newborn in the state this year, in an effort to reduce
high infant -
mortality rates.
It is also possible that the unique health care system found in the United States — and particularly the lack of integration across birth settings, combined
with elevated rates of obstetric intervention — contributes to intrapartum
mortality due to delays in timely transfer related to fear of reprisal and / or because some women
with higher - risk pregnancies still choose home birth because there are fewer options that support normal physiologic birth available in their local
hospitals.
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.
The author concluded that deliveries at home attended by CNMs and «other midwives» were associated
with higher risks for
mortality than deliveries in -
hospital by CNMs.
The authors concluded that 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.
On the other hand, for a first time mother
with no complications at the start of labor, the Birthplace Study found a nearly 3 x greater risk of intrapartum / neonatal loss, and the data from the Netherlands suggests that although the rates aren't
high enough to affect the overall perinatal
mortality rate, there are greater risks out of
hospital if a complication does occur.
The authors used other birth - certificate data on maternal coexisting conditions to adjust for
high - risk conditions and performed a propensity - score analysis to account for the perinatal
mortality associated
with planned out - of -
hospital birth versus
hospital birth.
Analyzing records from the National Trauma Data Bank, Haider and his colleagues separated 181 trauma centers from across the nation into three categories — low -
mortality, or
hospitals with lower - than - expected death rates (86 such centers); average (6); and
high -
mortality, or
hospitals with higher - than - expected death rates (89).
The researchers identified
high - quality
hospitals by using two common measures of surgical quality: 30 - day surgical
mortality rates and patient reported experience
with care.
The stories of Father Carlos and Dr. N'goy, the District Medical Officer who had first identified the epidemic, the reports at the Bumba
hospital, the evident fear of the pilots and the townspeople of Bumba and their desperate attempts to flee the town... the apparent virulence of this disease, the
high mortality — put together
with the poverty and poor organization that characterized Zaire and the potential for contagion in Kinshasa — added up to a picture that Joel Breman, a CDC senior epidemiologist, summarized as «potentially the most deadly epidemic of the century.»
J. Marc Simard, professor of neurosurgery at the University of Maryland School of Medicine, along
with colleagues at Yale University and Massachusetts General
Hospital, found that Cirara, an investigational drug, powerfully reduced brain swelling and death in patients who had suffered a type of large stroke called malignant infarction, which normally carries a
high mortality rate.
The study results showed that unadjusted complication rates were
higher in
hospitals in the NIS for 7 out of the 11 operations, but unadjusted
mortality rates in every procedure were lower in ACS NSQIP
hospitals, in comparison
with NIS.
According to the study by Drs. Randy Cohen and Alan Rozanski and colleagues at Mt. Sinai St. Luke's - Roosevelt
Hospital, New York, «Possessing a
high sense of purpose in life is associated
with a reduced risk for
mortality and cardiovascular events.»
This was done in the case of
hospitals with high heart - patient
mortality rates that «fixed» the problem by simply no longer taking such cases.