This recent article concludes that planned attended homebirth 2007 - 2010 had 10 times the rate of intrapartum deaths (1/600) during
labor than hospital births (1/6000) during the same period.
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.
I have very fast (less
than 2 hour
labors) and have arrived at the
hospital at 8 and 7 centimeters with my first two
births.
A
birth center has more of a home - like feeling to it
than a
hospital labor ward, with access to food, music, the ability to have friends and family present, and furnishings that look and feel more like home
than a
hospital room.
When this 20 % risk of death is compared to the 0.02 % rate of cord prolapse during
labor at homebirth that might have a better outcome if it happened in
hospital, this means that a low risk woman has a 1000 times higher chance of having a life threatening complication either to her life or her fetus / newborns life at planned
hospital birth,
than if she plans to have an attended homebirth with a well - trained practitioner.
You have a higher chance of complications during
labor and
birth than a woman delivering a single baby, so you should plan to deliver in a
hospital.
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.
Obstetrical procedures were more common among women who had planned in -
hospital births than among women who delivered out of the
hospital (30.4 % vs. 1.5 % for induction of
labor and 26.4 % vs. 1.1 % for augmentation of
labor, P < 0.001 for both comparisons)(Table 3).
The problem I see is that direct entry midwives in the United States will often attend home
births that do not fit these criteria; while insisting that home
birth is at least as safe as
hospital birth, many will attend twin
births, breech
births,
births after 41 weeks,
births of women who have pre-existing or pregnancy - induced disease,
births after two or more previous caesarean sections, and
births of women whose
labor has been jump - started rather
than begun spontaneously (whether by herbs, prolonged nipple stimulation, the breaking of her water, or illicit use of medications).
Exactly how it sounds, a home
birth is the decision to go through
labor and childbirth at home rather
than the
hospital.
Inclusion criteria were as follows: the study population was women who chose planned home
birth at the onset of
labor; the studies were from Western countries; the
birth attendant was an authorized mid-wife or medical doctor; the studies were published in 1985 or later, with data not older
than from 1980; and data on transfer from home to
hospital were described.
On average, a smooth home
labor can cost up to 60 % less
than birth in a
hospital.
Improvements in medicine have made it safer to enjoy
laboring at home, and now many women are choosing an alternative birthing plan
than the stereotypical
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.
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.
A number of non-invasive, non-pharmocological solutions have been shown scientifically to be as effective as active management in lowering cesarean section rates: a companion in
labor in the
hospital (Thornton and Lilford 1994), midwives rather
than doctors as the principle
birth attendants in
hospital births of women without complications (Wagner 1994), out - of -
hospital birth centers (Rooks et al. 1990), and planned home
birth (Wagner 1994).