If you are having your birth in a hospital or a birthing center, take
a look at Hospital Births and Birthing Centers so you can know what to expect.
Jennifer Margulis has spent years
looking at hospital birth practices.
Not exact matches
(Sometimes, when I
look at all the
birth interventions and the
hospital routines that interfere and the misinformation and the formula advertising, I think it's a miracle that any mother is actually able to breastfeed!!
Private Midwifery
at Queen Charlotte's & Chelsea
Hospital, London, who is putting together a clinical trial
looking at how alternative therapies can help women giving
birth.
-- Doulas support all kinds of
birth choices, but if you are
looking to have a natural
birth at a
hospital, having a doula can help you «even up» the odds.
The filmmakers set out to
look at alternatives to
hospital births attended by a doctor, such as midwife deliveries in
hospitals, homes or
birth centers.
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.
Perhaps more importantly, though, homebirth advocates will be able to point to this study as evidence that opponents of homebirth disingenuously sliced and diced the data to make
hospital birth look good on
at least one criterion.
We walked to the
hospital (a 2 - block walk), holding hands, carrying our
birth ball and
looking at the stars in the sky.
We will
look closely
at hospital birthing practices and how technological interventions are influencing the primal process of gestation and
birth.
As time went on, and she learned more about the natural birthing process and the current state of maternity care (as well as reflecting on her unmedicated
hospital birth experience), she knew that she would not want to
birth another child in the
hospital, so as she and her husband Matt
looked forward to conceiving their second child she had already decided on hiring a licensed midwife and planning to
birth at home.
If you want to
birth at a certain
hospital, you will need to
look for a clinic that takes self - referrals or make sure your family doctor sends you in the right direction.
If you're
looking into water
birth in the Hudson Valley, the staff
at Hudson Valley
Hospital can give you the information you need to make confident decisions for your baby's big arrival.
I see it a bit differently — I can't see how a paper that didn't
look at causes of death, or comment on the neonatal death rate in comparison to low - risk
hospital birth, made it to publication.
We have had several home
birth babies die in our community over the past year, and
looking at the medical records it seems very unlikely that any of them would have died had they been born in a
hospital.
Is there data that we can
look at about home v
hospital birth in there?
Any way you
look at it, homebirth is more dangerous for mothers than
hospital birth.
In terms of premature
birth, most
hospitals in the United States
look at viability from the perspective of when a preemie has
at least some chance of surviving.
around midnight i began to question my decision to have a home
birth, & maria was getting tired... she called in a second midwife for support & my doula arrived from another
birth... i was afraid of the power - i hadn't felt it like this in kayenn's
birth... i was afraid that i would come apart - even though i had to - i know now that coming apart is a part of the process... someplace in the middle of this
birth i realized that i did not know how to do this - i was acting against the
birth process - literally & emotionally... i had a mental idea of what it should
look, sound, smell, be like... after some hours maria checked me again, i had been
at 9 cm for 4 hours... she said to me, «some babies can come through
at 9 cm, but yours will not, sokhna... sokhna, you are going to have to fight to bring this baby out... go into the bathroom, get in the shower & work it out... «so i did... i went in the cold bathroom alone & remembered every cold detail of kayenn's
birth... i wondered if i could get to the
hospital on time to have an emergency c - section & i began to cry... & as i cried i had to go to the bathroom - i sat on the toilet & the rushes came down like nothing i can explain - but they didn't hurt - it was just POWER!
That's important because many homebirth studies
look at actual place of
birth and thereby include homebirth transfers in the
hospital group, skewing the results.
Let's take a
look at the moment - to - moment truth and the experiences mom and baby will go through in a
hospital setting vs. a home
birth setting.
When figuring out the rate of perinatal death for in -
hospital births or out - of -
hospital births, there are four main numbers we're
looking at: total number of
births, total number of term deaths (past 37 weeks), intrapartum deaths (during labor), and neonatal deaths (first 6 days of life).
If you like aspects of both home
birth and
hospital birth, but neither one seems quite right, why not
look at what a
birth center offers?
«It wasn't until we were in the
hospital after the
birth that we
looked at each other and said, «Wow, that just happened,»» Williams told TODAY Parents.
They don't even include any references to the large - scale studies in Canada [6] and the Netherlands [7] that has found no increased risk for homebirth versus
hospital birth and one US study
looking at an integrated system (like those in Canada and the Netherlands) found the same outcome [8](nudge, nudge, USA).
The one study they included to try and argue that travel time matters even in highly integrated areas was based in the Netherlands and
looked at travel time for all
births (not home versus
hospital) and was based on travel time of 20 minutes or less versus more than 20 minutes [9].
If you were to
look at national statistics — which includes high - risk women who give
birth in the
hospital — it would not be appropriate, for example, to compare your c - section rate to Vital Records data on c - section rates.
If I had to take a guess
at why you are distorting the truth to make
hospital births look safer than they are is because you are scared.
If you
look at non-anomalous
births only the neonatal mortality was 0.15 % for home
birth, 0.04 % for
hospital.
And this inflammatory use of a «relative percentage risk» rather than relative risk or absolute risk... for example, even if assuming the writer's awkward data is valid, you can to
look at infant living rates and see 99.6 % vs 98.4 %, which means there's only a 1.2 % higher risk of bad outcome from
at - home
birth than
hospital.
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.
But too many people out there are
looking at your press release and saying they knew all along that Homebirth was as safe as
hospital birth.
The researchers, who reported their findings in a recent issue of Child: Care, Health and Development,
looked at these factors during pregnancy and one month after
birth in more than 3,000 women, 18 to 35 years old, who gave
birth at 78
hospitals in Pennsylvania between January 2009 and April 2011.
As a result, this study provides a much - needed
look at the outcomes of women who intended to give
birth at home (regardless of whether they ultimately transferred to
hospital care).
To truly address the reasons why women choose potentially unsafe home
birth situations and attendants, we need to
look as their — usually unconscious — drive to protect their mental health, when faced with disrespectful, intrusive and abusive medical environments (I'm not saying that all
hospitals are like that
at all, mine isn't, but it can be a major factor).
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.
One study in the Netherlands
looked at almost 530,000 low - risk planned
births and found that with the proper services in place (such as a well - trained midwife and good transportation), home
births are just as safe as
hospital births.
The study
looked at 2,292 women who gave
birth at an upstate New York
hospital over a nine - year period.
Director Abby Epstein, and Executive Producer Ricki Lake's film takes a closer
look at:
hospital births, why -LSB-...]
Now
looking at the rates of these complications, which are on par with the risk level of rupture, we have to wonder why ALL
hospitals offering
birth services are not required to have immediate access to a cesarean.
A closer
look at the background characteristics shows that multiparous women with a complicated previous pregnancy, including instrumental delivery in our study, were more likely to opt for
hospital birth than for home
birth.
You know, the real problem is the fact that this sort of thing has become so accepted and commonplace, that no one even wants to
look at a lawsuit involving
hospital birth issues.
I'm no expert, but in addition to the vast amount of research I did before my 2nd child (homebirth), my experience with an ob before I switched to a midwife with that same child, my experience with a medicated vaginal
hospital birth w / my first child, my experience in talking to dozens of women that have had surgical
births, in addition to all that anecdotal «wisdom», I have taken a graduate level Sociology of Medicine class that was an in depth
look at our current medical system from a sociological perspective and we spent a couple of weeks talking about the medical model of
birth and the alternatives.
Maybe I'm wrong
looking at the increased neonatal death rate in MANA's study, the increased risk of HIE in January 2014 ACOG, the increased risk of Apgars of 0
at 5 minutes (Grunebaum 2014)
at homebirth as compared to
hospital birth.
So I
looked at my husband, who was in favor of
hospital birth and said quietly
at first, «something's wrong.
I'm
looking at birth statistics in Canada (rough, rough numbers)-- and it
looks like the risk of having a stillbirth (never mind early neonatal death or those who transferred to
hospital and had a subsequent still
birth)-- is nearly double with home
birth (81/6247 =.01296) compared to
hospital birth (2734 / 380454).
Dr. Wanigaratne's research, published in the Journal of Epidemiology and Community Health
looked at Ontario immigration and
hospital records housed
at the Institute for Clinical Evaluative Sciences (ICES) from more than 120,000
births between 2002 and 2010, comparing
births of refugee and non-refugee women.
Prior studies have found that patients admitted to
hospitals on weekends have a higher risk of death, but there have been conflicting results from studies
looking at birth outcomes and day of
birth.
I had most of my kids
at planned home
birth with midwives (5 kids)-- feel free to contact me for any questions and what to
look out for if giving
birth in the
hospital.
Failure to carry out these screenings can be
looked at as medical negligence, making it possible to pursue a
birth injury lawsuit against the
hospital or medical doctor.