The MANAstats registry contains high - quality data that uses the gold standard — the medical record — instead of birth certificate data, which research shows is unreliable for studying
intended place of birth and newborn outcomes.
Subjects» data were analyzed according to
intended place of birth at the onset of labour.
«For this large cohort of women who planned midwife - led home births in the United States, outcomes are congruent with the best available data from population - based, observational studies that evaluated outcomes by
intended place of birth and perinatal risk factors.
SMMIS allowed us to control for nearly all of the known risk factors for PPH, many of which were also associated with
intended place of birth and would therefore almost certainly have caused problems of confounding had they not been included as model covariates.
SMMIS allows
the intended place of birth at the end of pregnancy to be derived (see «Definitions» above), rather than relying on the woman's stated intention in the early stages of pregnancy.
Had the aim of this analysis been to identify characteristics associated with PPH, clearly these covariates would have been included (as would many of the maternities excluded from the analysis as described earlier), so it would not be appropriate to use these results to draw conclusions about the association between PPH and covariates other than
intended place of birth.
We did, however, repeat the analysis including «high - risk» pregnancies, and found that the odds ratio for
intended place of birth was very similar (OR 2.1, 95 % CI 1.4 to 3.4; further details can be provided on application to the authors).
Once the final additive model was built, interaction terms were tested, involving
intended place of birth and: pregnancy risk factors, year, parity, maternal age and time of birth.
M: Midwives can not go to Vital Records to ask how they're doing because Vital Records — except in a few states — does not evaluate outcomes based on
intended place of birth.
My hope is that the system of national surveillance will eventually accurately take into account provider type and
intended place of birth, because many of our discussions right now are around safety; those are the most fundamental questions that people are asking.
M: This article looks at the demographics of the MANA Stats data set 2004 - 2009, including
the intended place of birth and the type of midwife in attendance (we have mostly CPMs but also some CNMs, naturopathic midwives, doctors of osteopathy, or midwives who identify as un-credentialed or traditional midwives who utilize the data set).
[3] Cheng YW, Snowden J, Caughey A. Neonatal outcomes associated with
intended place of birth: birth centres and home birth compared to hospitals.
To determine for the period 1973 - 93, national and regional (1991 and 1992 only) incidence of home birth in New Zealand, with home birth defined as home being
the intended place of birth at the onset of labour, to calculate perinatal and maternal mortality rates for home birth, and to categorise the cause of perinatal death.
AIMS: To determine for the period 1973 - 93, national and regional (1991 and 1992 only) incidence of home birth in New Zealand, with home birth defined as home being
the intended place of birth at the onset of labour, to calculate perinatal and maternal mortality rates for home birth, and to categorise the cause of perinatal death.
The Birthplace study looked at
intended place of birth at the beginning of labor.
And since it doesn't include
intended place of birth, only actual place of birth, any crappy outcomes from intrapartum transfers from midwife - attended homebirth get heaped in the MD / hospital column.
I find it interesting that one of Gordon's objections to using birth certificate data is that it doesn't capture
intended place of birth.
Only those studies that used
the intended place of birth, as opposed to the actual place of birth, are included.
The figure provides an overview of why women left care before labour and
their intended place of birth at the start of labour.
Wanted to let you know that because of the work of Sara Snyder of Safer Midwifery for Michigan the newly updated Michigan birth certificates will track
intended place of birth and intended attendant.
We also investigated the potential risk role of
intended place of birth.
Multivariate stepwise logistic regression was used to investigate the potential risk role of
intended place of birth.
The study looked at
intended place of birth to rule out improperly assigning transferred patients to the hospital group, and included only the lowest possible risk women.
Not exact matches
It will now be easier for hospitals, physicians, midwives, and epidemiologists to sort out the stats and outcomes by
place of birth,
intended, and actual.
So, what can you do to put in
place the kind
of birth that will support you and your baby to come into the world as nature
intended?
Beginning in 2014 all
birth certificates will detail who provided prenatal care, who attended the labor and / or
birth, where the mother began labor
intending to give
birth, and her actual
place of birth.
We categorized out -
of - hospital and in - hospital
births in Oregon according to the
intended place of delivery and in comparing outcomes found that the risks for some adverse neonatal outcomes were increased among planned out -
of - hospital
births.
A woman choosing
place of birth is autonomous if she receives all relevant information on available choices, risks and benefits, is capable
of understanding and processing the information and choosing
place of birth in the absence
of coercion, provided she
intends no harm to others and is accountable for the outcome.
It could be argued that unplanned home
births are similar to planned home
births which were transferred to hospital during labour (because
birth did not take
place in the
intended location), and that not getting to hospital in time is a risk
of planning a hospital
birth, and for this reason we have run the analysis both with and without unplanned home
births (see «results» section).
Previous studies have relied on
birth certificate data, which only capture the final
place of birth (regardless
of where a woman
intended to give
birth).
Once the baby is delivered, the
intended parents» names will be
placed on the baby's
birth certificate and the surrogate mother will receive the balance
of her payment according to the surrogacy contract.
The majority
of intended parents and surrogates have a
birth plan in
place for where the baby will be delivered.
The interpretation
of studies conducted to assess the safety
of out -
of - hospital
births has been limited by the fact that
births intended to take
place outside
of a hospital frequently occur in a hospital when something has gone awry, and such
births are often misclassified simply as hospital
births.4
If you are concerned that your partner or former partner
intends placing your child for adoption without letting you know, you can ask the Adoption Authority
of Ireland to notify you by recording your details on the
Birth Father Register.