Despite the publication of statements and commentaries querying the reliability of the findings, [2 - 6] this faulty study now forms the evidentiary basis for an American College of Obstetricians and Gynecologists Committee Opinion, [7] meaning that its results are being presented to expectant parents as the state - of - the - art
in home birth safety research.
Not exact matches
In any case, there are no studies done on the relative
safety of UC, so it can not be unequivocally stated that UC is more dangerous than midwife - assisted
home birth.
The methodological challenges of attempting to compare the
safety of
home and hospital
birth in terms of the risk of perinatal death.
And most of all, because there are NO guarantees, one way or the other - the numbers on
safety and well being with
home births are better than those
in the hospital.
That information was not available when I was evaluating
home birth safety, but this number has been coming up over and over
in more recent studies and I think it is very difficult to rationalize away.
I wonder as well what else could be done to work with traditional
birth assistants to help increase
safety in home births so that women who do choose to have their baby at
home have the necessary support too.
Current research includes: co-leading organisational case studies
in Birthplace
in England, a national study of
birth outcomes
in home, midwife led, and obstetric led units; investigating the relationship between measures of
safety climate and health care quality
in A and E and intrapartum care; and conducting nested process evaluations of two trials of obesity
in pregnancy behavioural interventions.
She evaluated the
safety of
home vs. hospital
birth in the Province of British Columbia, Canada and published her findings
in the Canadian Medical Association Journal.
In this instance, how far you live from a hospital can make an enormous difference, so it is worth considering this as a
safety aspect before you plan a
home birth.
In the
safety and privacy of your
home, and following your preferences, The Midwives Model of Care ™, and my practice guidelines, I will provide care during your labor and the
birth of your baby.
Kate has been instrumental
in promoting a
safety, quality agenda
in health care for women and infants, and developing collaborative models between midwives and obstetricians to engender integration of
home birth into the maternity care system.
MAWS (Midwives Association of WA) Info on
safety of
home birth and a directory of out of hospital midwives
in WA
Through the experiences of these women, both at
home and
in the hospital, we gain unique insights into risk,
safety, and the experience of
home birth childbirth
in America.
Inspired by a discussion amongst the writers on Eco Child's Play about our
births and the
safety of
home births in particular, we decided to share our labor experiences with our readers.
As it has been shown that conducting a randomised controlled trial is not possible, the best evidence about the
safety of
home birth can only come from good quality, routine registrations such as the one we used
in our study.
The
safety of
home birth for healthy, low - risk women, when attended by skilled midwives and
in a system that facilitates collaboration and timely transfer of care, is well supported by the evidence.
This research should add confidence to the
safety of
home birth in a context such as Canada's
in which registered midwives have a baccalaureate degree or equivalent and are an integral part of the health care system.
I don't think Dr Amy is saying the experience has to be totally ignored, only that
home birth advocates are mistaken
in suggesting that
safety isn't the primary concern.
Plenty of respected research supports the
safety of planned
home birth (most recent large prospective trial published
in the British Medical Journal), but for women who need to deliver
in a hospital due to a complication, the midwife stays by your side and adopts a doula role.
AIMSI are further disappointed that free standing
birth units are not recommended
in this strategy, even though the evidence for their
safety is stronger than for
home birth, which the Strategy does recommend, and even though there was a clear overwhelming demand for
in the public consultation.
Planned
home births for low risk women
in high resource countries where midwifery is well integrated into the healthcare system are associated with similar
safety to low risk hospital
births
And there have been many, many studies that have shown the
safety of
home birth that it's safe or safer to have a low - risk
birth in your
home as it is
in the hospital, and especially
in the D.C. area.
It's time for some real leadership to emerge on the issue of
safety in home birth.
For some, hospital = security Still,
home birth is not for everyone, Hatherall says, and
safety is a definite factor for women who choose to give
birth in the hospital.
Home birth is uncommon in the United Kingdom and uncertainty exists about its safety.1 2 Almost all mortality figures available nationally1 provide merely a single global figure for planned and unplanned home births, though the constituent rates differ greatly.3 The only recent figures for planned home birth in England and Wales relating to 19794 and 19935 provide an inaccurately low estimate of risk because it was not possible to account for those mothers who originally booked to have a home delivery but ended up delivering in hospi
Home birth is uncommon
in the United Kingdom and uncertainty exists about its
safety.1 2 Almost all mortality figures available nationally1 provide merely a single global figure for planned and unplanned
home births, though the constituent rates differ greatly.3 The only recent figures for planned home birth in England and Wales relating to 19794 and 19935 provide an inaccurately low estimate of risk because it was not possible to account for those mothers who originally booked to have a home delivery but ended up delivering in hospi
home births, though the constituent rates differ greatly.3 The only recent figures for planned
home birth in England and Wales relating to 19794 and 19935 provide an inaccurately low estimate of risk because it was not possible to account for those mothers who originally booked to have a home delivery but ended up delivering in hospi
home birth in England and Wales relating to 19794 and 19935 provide an inaccurately low estimate of risk because it was not possible to account for those mothers who originally booked to have a
home delivery but ended up delivering in hospi
home delivery but ended up delivering
in hospital.
Olsen: The third study used by Leslie and Romano for perinatal mortality comparison is also the last study
in section I: Olsen from 1997, «Meta - analysis of the
safety of
home birth.»
Johnson & Daviss: Letter C under section III of the list of studies that the Midwives Alliance of North America deems the very best
in proving
home birth safety is titled, «Outcomes of planned
home birth with certified professional midwives.»
The authors concluded that the findings of this study provided the first national evaluation of a significant proportion of women choosing publicly funded
home birth in Australia; however, the sample size did not have sufficient power to draw a conclusion about
safety.
In a meta - analysis, Wax and colleagues (2010) reviewed the medical literature on the maternal and newborn
safety of planned
home versus planned hospital
birth.
Cheng et al (2013) noted that more women are planning
home birth in the United States, although
safety remains unclear.
This classic book on
home birth is now
in its fourth edition, with updated information on the
safety of natural childbirth, new birthing stories, and the most recent statistics on
births managed by The Farm Midwives.
There are also several stories of positive
birth in a variety of circumstances, including hospital, twins, induction, «high risk» and more, plus thoughts and advice from professionals on everything from
home birth safety to your rights
in the
birth room.
A new study tracking the
safety of
home birth in the United States has taken a major step
in that direction, its authors believe, finding that outcomes among women who had planned, midwife - led
home births were «excellent,» and that the women experienced relatively low rates of intervention.
The finding that the risk of PPH was lower if a
home birth was intended even when «high - risk»
births were included
in the model raises the question of whether it is necessary for all women with «high - risk» pregnancies to be advised to plan a hospital
birth on the grounds of
safety.
International research on
safety of homebirths [1]: «
In 2014, a comprehensive review in the Journal of Medical Ethics of 12 previously published studies encompassing 500,000 planned home births in low - risk women found that perinatal mortality rates for home births were triple that of hospital birth
In 2014, a comprehensive review
in the Journal of Medical Ethics of 12 previously published studies encompassing 500,000 planned home births in low - risk women found that perinatal mortality rates for home births were triple that of hospital birth
in the Journal of Medical Ethics of 12 previously published studies encompassing 500,000 planned
home births in low - risk women found that perinatal mortality rates for home births were triple that of hospital birth
in low - risk women found that perinatal mortality rates for
home births were triple that of hospital
births.
New Studies Published by Oregon State University Professor Confirm
Safety of
Home Birth With Midwives
in the U.S.
In order to address the issue of safety of home birth in BC, we compared selected outcomes for planned home births attended by regulated midwives with those for planned hospital births attended by midwives and by physician
In order to address the issue of
safety of
home birth in BC, we compared selected outcomes for planned home births attended by regulated midwives with those for planned hospital births attended by midwives and by physician
in BC, we compared selected outcomes for planned
home births attended by regulated midwives with those for planned hospital
births attended by midwives and by physicians.
Like I said
in my email Leigh, I totally agree with you on the
safety of US
home birth — but I think that something is missing from this discussion, and that's the psychological
safety of birthing women as well as their and their babies physical
safety.
It should add confidence to the
safety of
home birth in a context such as ours
in which registered midwives have a baccalaureate degree or equivalent and are an integral part of the health care system.
The debate about the
safety of
home births continues
in the literature, professional policy and practice.
Yet, when I analyzed all of the studies that the Midwives» Alliance of North America (MANA) says comprise the best evidence for the
safety of
home birth, I found that every study that looked at nonhospital
birth in the United States (and many of the studies that looked at other countries, as well) reported much higher death rates for babies when compared to similar hospital
births.
Here is a full article about Giving
birth in water where you can find the research about water
births, benefits and risks, supplies needed if you have water
birth at
home,
safety tips and common questions.
I would like to share our story because, contrary to what the statistics might say, it is one showing the stellar quality of my midwives and the beauty and
safety to be found
in home births.
Unfortunately, child protective services authorities
in Illinois disagree about the
safety of
home births, as this
birth also involved a breech presentation.
On the issue of planned
home birth there is strong resistance reported
in news articles from medical experts a position supported
in a recently published systematic review of the medical literature on the maternal and newborn
safety [39].
About six months after the
birth of our first child
in 1997, I set out to childproof my
home and did what every parent does — head for the local retail store to purchase child
safety devices.
That said, no one I know
in academic
birth research (and there are many of us who support
home birth) would ever cite that Cochrane review as evidence of
home birth's
safety.
Here is what you wrote — «Despite the fact that a Fall 2012 Cochrane Library Review (considered the gold standard of independent inquiry and scientific objectivity) reports that
home birth is as safe or
in many cases actually safer than hospital
birth, the American obstetrical community continues to publicly oppose homebirth, citing
safety concerns as their main argument.»
Caveat: I was not an RN at the time of my children's
births — and I think my naivete contributed to my feelings of
safety in giving
birth at
home.
Despite the fact that a Fall 2012 Cochrane Library Review (considered the gold standard of independent inquiry and scientific objectivity) reports that
home birth is as safe or
in many cases actually safer than hospital
birth, the American obstetrical community continues to publicly oppose homebirth, citing
safety concerns as their main argument.