Neither our sales pitch nor our informed consent forms spoke of the increased risk to babies that every study of
nonhospital birth in the U.S. indicates.
Ricki Lake's documentary The Business of Being Born had come out the previous year, and interest
in nonhospital birth was on the upswing.
It doesn't mean that you are an exception to the statistical realities: when babies are born in
nonhospital settings in the U.S., they are 2 - 10 times more likely to either die or suffer brain damage.
I found that 87 % of women who
planned nonhospital birth agreed with the statement, «Generally speaking, giving birth in a non-hospital setting is at least as safe as giving birth in a hospital for low - risk women» (69 % strongly agreed).
Most mothers who
choose nonhospital birth strongly agree; according to a research study I did in Spring 2015, here is the breakdown: Yet,
I felt I had «done my research» regarding the safety
of nonhospital birth when I opted to give birth to my second daughter in a warm bathtub at a freestanding birth center, attended by two licensed midwives and two student midwives.
Nearly half — 45 percent — of all abortions in the first nine weeks of gestation were performed using pills, and the percentage of such
nonhospital abortions increased from 24 percent in 2011 to 31 percent in 2014.
Babies born at home at over ten times the risk of having no signs of life at five minutes of age; babies born
at nonhospital birth centers at over 3.5 times the risk: Apgar score of 0 at 5 minutes and neonatal seizures or serious neurologic dysfunction in relation to birth setting
It is illegal for
nonhospital midwives to use Cytotec for any reason during pregnancy, but it is legal in some states to use it for treatment of postpartum hemorrhage.
However, circumcision is also done in doctor's offices, homes, and
other nonhospital settings, so the actual numbers are probably higher.
If nonhospital birth were just as safe for low - risk women, it ought to be beating all - risk hospital birth hands - down in every aspect of safety.
The literature
on nonhospital birth in the United States is downright frightening.
In the winter of 2015 I conducted an online survey of 1,057 women regarding their experiences, attitudes, and beliefs
regarding nonhospital births.
The women who chose
nonhospital consulted most with a midwife, followed closely by their spouse or partner.
(«
Nonhospital VBAC and the Risk of Uterine Rupture,» by Diana Korte, Mothering Magazine, Issue 89, July / August 1998)
Although nonhospital births (births that occur in a home, free - standing birth center, or other location that is not inside or attached to a hospital) account for less than 2 % of births in the United States, they have substantially increased since 2004.
This brilliantly done, emotionally compelling documentary helped
propel nonhospital birth into the public consciousness.
That idea is what drives a lot of women
toward nonhospital birth in the first place, but it's far from true.
In Oregon, baby death when
using nonhospital midwives shown to be 6 - 8 times higher than hospital birth: Judith Rooks» report to the Oregon State Legislature
Eighty percent of
nonhospital facilities provided information on early medication abortion, 60 % provided information on self - induced abortion and 63 % answered items about lost service days.
Of the women who
planned nonhospital birth, only 36 % agreed with this statement, and 50 % disagreed (remainder neutral).
The procedure can also be done at home by a trained practitioner or in a doctor's office or other
nonhospital setting, so the actual percentage of boys circumcised is probably higher.
53 % of women who
chose nonhospital birth indicated that they had consulted scientific journals when making their decision, compared with only 33 % of hospital birthers.
While the overall number of abortions declined in the country, the proportion of
nonhospital abortions that were medication abortions increased from 24 % in 2011 to 31 % in 2014.
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.
The overall mortality rate for all - risk term pregnancies across the board ought to be significantly higher than the mortality rate for the «low - risk» women who decide
on nonhospital birth.
The perinatal (around the time of birth) death rate of babies born
in nonhospital settings is much higher than for babies born in a hospital, even though their mothers are supposedly lower - risk.
The study estimated that 87 %
of nonhospital abortion providers offered medication abortion as an option, and 23 % offered only medication abortion.
56 of the planned
nonhospital births transported to the hospital during labor and are counted in both groups.
Of the women who planned
a nonhospital birth, 78.7 % reported being «Very Satisfied» with their first nonhospital birth experience, increasing to 87.9 % at the second nonhospital birth.
In addition, women who plan
a nonhospital birth are highly likely to recommend nonhospital birth to other women, with 59 % reporting they would «definitely» recommend it and an additional 20 % reporting they would «probably» recommend nonhospital birth.
At least 447
nonhospital births were planned.
One might suppose that experiencing complications at
a nonhospital birth might change women's perspectives, but I did not find this to be the case.
People who picked the birth center, like most people who choose home birth, believed that
nonhospital birth was «at least as safe» as giving birth in the hospital.
I'm here to serve women who choose
nonhospital birth even though they know that it is not as safe, and my ability to manage complications is very limited compared to what she would have access to in a hospital.»
By contrast, only 43 % of women who had never planned
a nonhospital birth agreed that nonhospital birth was «at least as safe.»
Among participants who chose
nonhospital birth, the top reasons included a desire to avoid interventions, wanting more comfortable surroundings, a belief that birth does not require hospitalization, and the feeling that nonhospital birth was the safest choice.
Women who choose
nonhospital birth are overwhelmingly satisfied with their experience.
Midwives often say that
nonhospital birth is «at least as safe» as giving birth in the hospital.
Of the 575 planned
nonhospital births, 465 occurred at home and the others were in clinics or birthing centers.
Dr. M. Ward Hinds and colleagues in the state health department found that among 575 planned
nonhospital births, the weight of the babies, a key factor in overall health, was about the same as in hospital births.
It seems as if women are trading their low - risk status in for
a nonhospital birth, and thereby actually becoming higher in risk than the general population.
The Leslie and Romano study found that
nonhospital birth results in far fewer interventions, such as cesarean sections, use of intravenous fluids, and use of medical pain control.
Leslie & Romano: The second study listed was a systematic review of
nonhospital birth studies by Leslie and Romano, published in the Journal of Perinatal Education in 2007.
I have decided that it is high time that I did the legwork and read for myself the scientific literature regarding the safety of giving birth in
a nonhospital setting.