The chance of needing it after a home birth is slimmer, since the births are gentler and have less
interventions than hospital births.
Not exact matches
According to BabyCenter, the average cost of a
birth - center labor is about a third less
than a
hospital birth, due to less
interventions and a shorter stay.
Flint and colleagues suggested that when midwives get to know the women for whom they provide care,
interventions are minimised.22 The Albany midwifery practice, with an unselected population, has a rate for normal vaginal
births of 77 %, with 35 % of women having a home
birth.23 A review of care for women at low risk of complications has shown that continuity of midwifery care is generally associated with lower
intervention rates
than standard maternity care.24 Variation in normal
birth rates between services (62 % -80 %), however, seems to be greater
than outcome differences between «high continuity» and «traditional care» groups at the same unit.25 26 27 Use of epidural analgesia, for example, varies widely between Queen Charlotte's
Hospital, London, and the North Staffordshire NHS Trust.
The FACT is... more women DO die in
hospital births (from things that could be prevented, or from unnecessary
interventions)
than in home
births, and that women were NOT «dying in droves» from home
births back in the day... death during
birth was fairly uncommon until women were forced into dirty
birth centers with doctors knocking them out and delivering their babies without being held to any sanitation standards because promiscuity was on the rise and we had to keep the «dirty women» separate from the rest of the
hospital.
«An overwhelming amount of studies show that home
birth (
birth without unnecessary
intervention) is safer
than birthing in a
hospital.»
Most first
births are slower
than actively managed maternity units would like and so labours in
hospitals get hurried along by either physical or chemical means, and whilst most babies can cope well with this artificial speeding up of the labour, some find it a challenge and become distressed requiring further
interventions.
Out - of -
hospital births were also associated with a higher rate of unassisted vaginal delivery and lower rates of obstetrical
interventions and NICU admission
than in -
hospital births, findings that corroborate the results of earlier studies.3 - 5 These associations follow logically from the more conservative approach to
intervention that characterizes the midwifery model of care8, 19 and from the fact that obstetrical
interventions are either rare (e.g., induction of labor) 20 or unavailable (e.g., cesarean delivery, whether at home or at a
birth center) outside the
hospital setting.
Rates of obstetrical
intervention are high in U.S.
hospitals, and we found large absolute differences in the risks of these
interventions between planned out - of -
hospital births and in -
hospital births.38 In contrast, serious adverse fetal and neonatal outcomes are infrequent in all the
birth settings we assessed, and the absolute differences in risk that we observed between planned
birth locations were correspondingly small; for example, planned out - of -
hospital births were associated with an excess of less
than 1 fetal death per 1000 deliveries in multivariate and propensity - score - adjusted analyses.
Thousands of women who underwent home
births using midwives had lower rates of medical
interventions such as epidural pain relief, forceps delivery and Caesarean section
than similar women who give
birth in
hospitals.
A meta - analysis of observational studies have suggested that planned home
birth may be safe and with less
interventions than planned
hospital birth.
According to the American Congress of Obstetricians and Gynecologists, while home
birth is associated with fewer maternal
interventions compared to a planned
hospital birth (such as labor induction and c - sections), it holds more
than twice the risk for perinatal death — or death within the first week of life.
Personally, I think that
hospital births (even though I do believe women are often forced into
interventions that are unnecessary) are on average safer
than homebirths because of the conditions that can happen all of a sudden, even though some would say those conditions are rare.
Rather
than heralding this life - saving medical
intervention as progress, she says, «
Hospitals tend to turn
birth into an organised, sanitised affair over which the professionals, rather
than mothers have control.»
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.
Women in the planned home -
birth group were significantly less likely
than those who planned a midwife - attended
hospital birth to have obstetric
interventions (e.g., electronic fetal monitoring, relative risk [RR] 0.32, 95 % CI 0.29 — 0.36; assisted vaginal delivery, RR 0.41, 95 % 0.33 — 0.52) or adverse maternal outcomes (e.g., third - or fourth - degree perineal tear, RR 0.41, 95 % CI 0.28 — 0.59; postpartum hemorrhage, RR 0.62, 95 % CI 0.49 — 0.77).
This study, which tracked more
than 5,000 mothers in the United States and Canada, also reported that home
births with low - risk mothers resulted in much lower rates of medical
interventions when compared to the
intervention rates for low - risk mothers giving
birth in
hospitals.
Increasingly better observational studies suggest that planned
hospital birth is not any safer
than planned home
birth assisted by an experienced midwife with collaborative medical back up, but may lead to more
interventions and more complications.
Like you, my first
birth experience in a
hospital had more medical
interventions than I would have liked.
Medical
intervention rates included epidural (4.7 %), episiotomy (2.1 %), forceps (1.0 %), vacuum extraction (0.6 %), and caesarean section (3.7 %); these rates were substantially lower
than for low risk US women having
hospital births.
Planned out - of -
hospital birth also had a statistically significant association with higher rates for 5 - minute Apgar scores of less
than 7, neonatal seizures, neonatal ventilator support, maternal blood transfusion, and unassisted vaginal delivery but with lower rates of both admission to neonatal intensive care units and obstetrical
interventions, including induction and augmentation of labor, operative vaginal delivery, cesarean delivery, and severe perineal lacerations.
If you read the part you quoted in context, you will see that it is a call for more studies in light of the fact that «Increasingly better observational studies suggest that planned
hospital birth is not any safer
than planned home
birth assisted by an experienced midwife with collaborative medical back up, but may lead to more
interventions and more complications.»
I had researched this option carefully and knew that in low - risk pregnancies homebirth was often times safer
than hospital birth with much less risk of
interventions.
While a
hospital birth can provide peace of mind by providing ready help for emergencies, chances are good you will also see more
interventions and
birth complications
than home
birth.