In the largest study of its kind, using Centers for Disease Control data on nearly 14 million linked infant birth and
neonatal death data, term singleton U.S. births, researchers at New York - Presbyterian / Weill Cornell Medical Center found the absolute risk of neonatal mortality was 3.2 / 10,000 births in midwife hospital births, and 12.6 / 10,000 births in midwife home births, and it further increased in first - time mothers to 21.9 / 10,000 births in midwife home deliveries.
Not exact matches
Last Summer, ACOG «leaked»
data from a study to be published in the American Journal of Obstetrics and Gynecology stating that planned home births carried a 2 - 3 fold increase in
neonatal death compared with hospital births.
And I emphasized to the interviewer that American women need to be aware of the biggest red flag of all: MANA (Midwives Alliance of North America), the trade and lobbying organization for homebirth midwives, has collected
neonatal death rates for homebirth since 2001 but they are hiding that
data from American women.
The second sentence in the abstract does state: «Analysis of combined
data from all 8 studies showed a three-fold increase in risk of
neonatal deaths for homebirth attended by midwives, compared to hospital births.»
I've used the CDC Wonder
data from 2003 - 2008 to demonstrate that in each year, planned homebirth with a homebirth midwives has a
neonatal death rate anywhere from 3 - 7X higher than hospital birth.
The best estimate that we can make based on CDC
data is a
neonatal death rate of 0.4 / 1000 in low risk, white women at term.
Determining the rate of perinatal
death for OOH births is pretty straightforward for this
data: we add the IP +
neonatal deaths and divide by the total number of births.
It started in 2005 with the Johnson and Daviss BMJ paper that claimed to show that homebirth was safe even though the
data showed that homebirth nearly tripled the risk of
neonatal death.
To address this issue WHO is today launching two new tools to help countries improve their
data on stillbirths and
neonatal deaths as well as a report on the global status of implementation of maternal
death surveillance and response (MDSR), a key strategy for reducing preventable maternal mortality.
It does not take a rocket scientist to suspect that their
data shows that homebirth dramatically increases the risk of
neonatal death.
First is that a the CDC (http://wonder.cdc.gov/), I can find
data on
neonatal death rate for low risk white women 2004 - 2009.
Therefor, if you compare MANA
data with hospital
data, you must exclude the MANA intrapartum fetal
death and only look at early and late
neonatal death.
If you do this, the rates of
neonatal death are similar to that of hospital
data (per the CDC).
These
data report intrapartum and early
neonatal death rates in full term women who intended to deliver out of hospital (and subsequently deliver either out of hospital or in hospital) at the start of labor compared with women who intended a hospital birth (thus «higher risk» pregnancies are included in this group) in 2012.
Intrapartum
death are not in the Wonder
data so it isn't appropriate to add intrapartum
death to
neonatal for one group for an overall
death rate of 2.06 / 1000 and compare it to the
neonatal death of.3 / 1000.
It doesn't take a rocket scientist to imagine that MANA's own
data shows that homebirth with direct entry midwife dramatically increases the risk of
neonatal death.
And we already know that MANA (the Midwives Alliance of North America) is withholding their own safety
data that almost certainly shows that homebirth dramatically increases the risk of
neonatal death.
0.41 / 1000 early
neonatal death rate in the MANA study compared to 0.46 / 1000 early
neonatal death rate from national
data; 0.35 / 1000 late
neonatal death rate in the MANA study compared to 0.33 / 1000 late
neonatal death rate from national
data.
Effect of early infant feeding practices on infection - specific
neonatal mortality: an investigation of the causal links with observational
data from rural Ghana Karen M Edmond, Betty R Kirkwood, Seeba Amenga - Etego, Seth Owusu - Agyei, and Lisa S Hurt Beginning Breastfeeding From First Day of Life Reduces Infection Related
Deaths in Newborns by 2.6 times.