Newborns whose mothers planned a home birth were at similar or reduced risk of fetal and neonatal morbidity compared with newborns whose
mothers planned a hospital birth, except for admission to hospital (or readmission if born in hospital), which was more likely compared with newborns whose mothers were in the physician - attended cohort.
Not exact matches
Practice Guidelines for California Licensed Midwives Best Practice Guidelines: Transfer from
Planned Home
Birth to
Hospital Citizens for Midwifery Home
Birth Facts Canadian Medical Association Journal: Outcomes of
Planned Home
Birth Solace for
Mothers: Informed Consent Questions to Consider when Interviewing a Doctor or Midwife
One more thought Penny... wouldn't it be ideal if a
mother planning the
birth of a breech baby could opt for
hospital TOL with her midwife?
Although tragic, cord prolapse and AFE occur rarely at homebirth, 1/5000 and 1/500, 000 respectively, when balanced with the dozens of acute emergency conditions endangering the health of
mother and baby that occur at
planned hospital birth caused by intervening in the
birth process, the scales tip easily in favor of
planned attended homebirth for low risk women.
Research reveals that there are only 2 acute conditions that might occur at homebirth in which the
mother or baby may have a better outcome had they
planned a
hospital birth, namely: Cord prolapse and Amniotic Fluid Embolism (AFE).
A private effort, the Idaho Perinatal Project run by St. Luke's, documented 138 instances between 2005 and 2011 where
mothers who
planned a home
birth were transported to a
hospital.
«Kenneth C Johnson and Betty - Anne Daviss's Outcomes of
planned home
births with certified professional midwives: large prospective study in North America, BMJ 2005; 330:1416 (18 June), found that the outcomes of
planned homebirths for low risk
mothers were the same as the outcomes of
planned hospital births for low risk
mothers, with a significantly lower incident of interventions in the homebirth group.»
The most recent large scale study comparing outcomes for
mother and baby reported in the British Medical Journal last month showed that for women who had previously given
birth, adverse outcomes were less common among
planned home
births (1 per 1,000) than among
planned hospital births (2.3 per 1,000).
Oregon now has the most complete, accurate data of any US state on outcomes of
births planned to occur in the
mother's home or an out - of -
hospital birth center.
«The
planned category of out - of -
hospital births is seen to be a generally low - risk group for neonatal mortality, with very few low -
birth - weight
births and fewer teenage, low - educational levels and unwed
mothers than found statewide, «the researchers said.
We stratified
planned out - of -
hospital births according to eventual place of delivery to enable the comparison between completed out - of -
hospital births and
planned out - of -
hospital births that took place in the
hospital after the
mother's intrapartum transfer and to better characterize differences between the women with these two types of
birth experiences.
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
hospital.
Planned home births are less risky than planned hospital births, particularly for second - time mothers, says research in the British Medical J
Planned home
births are less risky than
planned hospital births, particularly for second - time mothers, says research in the British Medical J
planned hospital births, particularly for second - time
mothers, says research in the British Medical Journal.
But a comparison of «low - risk» women who
planned to give
birth at home with those who
planned to give
birth in
hospital with a midwife found no difference in death or serious illness among either baby or
mother.
They compared them to
planned hospital births attended by registered midwives or physicians in which the
mothers met the criteria for home
birth.
The MANA Stats data reflects not only the outcomes of
mothers and babies who birthed at home, but also includes those who transferred to the
hospital during a
planned home
birth, resolving a common concern about home
birth data.
Instead, they should look for signals from the infant that feeding isn't going well, assess a
mother's risk factors before
birth and set up a care
plan for new parents to make sure someone is following up with them after short
hospital stays.
When compared with newborns of women who
planned a
hospital birth attended by a physician, those whose
mothers planned a home
birth were similarly at reduced risk of
birth trauma (RR 0.33, 95 % CI 0.15 — 0.74), resuscitation at
birth (RR 0.56, 95 % CI 0.32 — 0.96) and oxygen therapy behond 24 hours (RR 0.38, 95 % CI 0.24 — 0.61)(Table 4, Appendix 1).
Our programme is suitable for
mothers who wish to have a home or
hospital birth and also for
mothers who
plan to give
birth by C - section.
For a low - risk pregnancy, with a registered midwife who is part of the healthcare system, studies have shown that a
planned homebirth is as safe as a
planned hospital birth for both
mothers and babies.
In case of transfer to a
hospital, know the way to the back - up
hospital, be sure your car's gas tank is full, and include in the
Birth Plan the
mother's preferences in case of transfer (see «Review the Mother's Birth Plan,» pag
mother's preferences in case of transfer (see «Review the
Mother's Birth Plan,» pag
Mother's
Birth Plan,» page 20).
If the
mother is
planning a home
birth, be sure to visit the backup
hospital so that you won't be confused if a transfer to the
hospital becomes necessary.
Although having to go through IVF and gestational diabetes and 2 c - sections and Joey's NICU / nursery stays and both kids self weaning were all huge emotional and physical traumas for me (and my husband), now that they're in the past and I'm a mommy to two amazing toddlers, I can see that it all worked out how it was supposed to.And my advice to all new
mothers who hope /
plan to nurse take a breastfeeding class when pregnant, have a breastpump in the house before the baby is born, buy nursing bras that have front panels that you can open easily (and bring some to the
hospital with you when you go to give
birth), don't be afraid to pump and let someone else give the baby a bottle of your milk when you need to sleep, hold off on introducing baby food until much closer to 1 year old than 6 ohtnms, and be prepared for it to be hard and possibly painful at first (think cracked, bleeding nipples and breasts that are so full of milk you think they will explode so also have lanolin and / or nipple cream in the house, and nurse or pump well before you let yourself become engorged and in pain).
Inclusion criteria: all
mothers who had booked into the single maternity
hospital (> 97 % of all
births) serving the city of Dunedin, New Zealand, between May 2009 - November 2010, as well as
mothers who
planned to give
birth at home and were invited to participate by their midwife.
The
hospital plan can be changed by the
birth mother at any time, including during the
hospital stay.
Step Six: Design a
hospital plan with the
birth mother.
Guidance in making a
hospital plan and support throughout the
birth mother's time in the
hospital