Sentences with phrase «of women planning a home birth»

Experiences of Women Planning a Home Birth Who Require Intrapartum Transfer to Hospital: A Metasynthesis of the Qualitative Literature

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She also has a great understanding of women who planned to birth at home and were transferred to the hospital, as well as attachment parenting issues.

I appreciate that the AAP states that pediatricians should share with each woman planning a homebirth that some families require transfer to the hospital due to complications and this should be viewed «not as a failure of the home birth but rather as a success of the system» (AAP, 2013, p 1017, para 3).

The American College of Obstetricians & Gynecologists emphasized the results of the Wax study in its official statement on homebirth, siting that «Women inquiring about planned home birth should be informed of its risks and benefits based on recent evidence.

«While most pregnant women who choose to have planned home births are at lower risk of complications due to careful screening, planned home births are associated with double to triple the risk of infant death than are planned hospital births.

1.1.2 Explain to both multiparous and nulliparous women that they may choose any birth setting (home, freestanding midwifery unit, alongside midwifery unit or obstetric unit), and support them in their choice of setting wherever they choose to give birth: Advise low ‑ risk multiparous women that planning to give birth at home or in a midwifery ‑ led unit (freestanding or alongside) is particularly suitable for them because the rate of interventions is lower and the outcome for the baby is no different compared with an obstetric unit.

... [T] here was a significant excess of the primary outcome in births planned at home compared with those planned in obstetric units in the restricted group of women without complicating conditions at the start of care in labour.

A major study published in the UK (Birthplace in England Collaborative Group, 2011) has examined the risks of planned home births, comparing them against planned deliveries in hospitals and midwife units for low risk women.

Quote from the midwife site:» There was no evidence that planned home birth among low risk women leads to an increased risk of severe adverse maternal outcomes in a maternity care system with well trained midwives and a good referral and transportation system.»

We should also track women who plan a home birth but wind up going to the hospital for preterm labor or other emergency, or get «risked out» of home birth before the time comes.

Low risk women in primary care at the onset of labour with planned home birth had lower rates of severe acute maternal morbidity, postpartum haemorrhage, and manual removal of placenta than those with planned hospital birth.

I really do not care if a woman wants to squat out a baby in the comfort of her home — I care that she is doing so as an act of informed free will and that she has been apprised of the risks of doing so (including the risks of 3 times or more the mortality rate for her baby compared to hospital birth and the risks of planned vaginal delivery in general).

«NCT's own detailed review of home birth concluded that, although the quality of comparative evidence on the safety of home birth is poor, there is no evidence that for women with a low risk of complications the likelihood of a baby dying is any higher if they plan for a home birth compared with planning for a hospital birth.»

Women who planned a home birth were at reduced risk of all obstetric interventions assessed and were at similar or reduced risk of adverse maternal outcomes compared with women who planned to give birth in hospital accompanied by a midwife or physiWomen who planned a home birth were at reduced risk of all obstetric interventions assessed and were at similar or reduced risk of adverse maternal outcomes compared with women who planned to give birth in hospital accompanied by a midwife or physiwomen who planned to give birth in hospital accompanied by a midwife or physician.

Conclusions: Low risk women in primary care at the onset of labour with planned home birth had lower rates of severe acute maternal morbidity, postpartum haemorrhage, and manual removal of placenta than those with planned hospital birth.

For healthy nulliparous women with a low risk pregnancy, the risk of an adverse perinatal outcome seems to be higher for planned births at home, and the intrapartum transfer rate is high in all settings other than an obstetric unit

The target sample size was at least 57000 women overall: 17000 planned home births, 5000 planned alongside midwifery unit births, 5000 planned freestanding midwifery unit births, and 30000 planned obstetric unit births (of which we estimated 20000 would be low risk).

For the restricted sample of women without any complicating conditions at the start of care in labour, the odds of a primary outcome event were higher for births planned at home compared with planned obstetric unit births (adjusted odds ratio 1.59, 95 % confidence interval 1.01 to 2.52) but there was no evidence of a difference for either freestanding or alongside midwifery units compared with obstetric units.

«Women with planned home birth had lower rates of all adverse maternal outcomes, albeit not significantly so for nulliparous women.&rWomen with planned home birth had lower rates of all adverse maternal outcomes, albeit not significantly so for nulliparous women.&rwomen.»

In the subgroup analysis stratified by parity, there was an increased incidence of the primary outcome for nulliparous women in the planned home birth group (weighted incidence 9.3 per 1000 births, 95 % confidence interval 6.5 to 13.1) compared with the obstetric unit group (weighted incidence 5.3, 3.9 to 7.3).

For nulliparous women the rate for planned home versus planned hospital birth was 2.3 versus 3.1 per 1000 births (adjusted odds ratio 0.77, 95 % confidence interval 0.56 to 1.06), relative risk reduction 25.7 % (95 % confidence interval − 0.1 % to 53.5 %), the rate of postpartum haemorrhage was 43.1 versus 43.3 (0.92, 0.85 to 1.00 and 0.5 %, − 6.8 % to 7.9 %), and the rate of manual removal of placenta was 29.0 versus 29.8 (0.91, 0.83 to 1.00 and 2.8 %, − 6.1 % to 11.8 %).

The study was a prospective cohort study with planned place of birth at the start of care in labour as the exposure (home, freestanding midwifery unit, alongside midwifery unit, or obstetric unit).12 Women were included in the group in which they planned to give birth at the start of care in labour regardless of whether they were transferred during labour or immediately after birth.

For parous women the rate of severe acute maternal morbidity for planned home versus planned hospital birth was 1.0 versus 2.3 per 1000 births (0.43, 0.29 to 0.63 and 58.3 %, 33.2 % to 87.5 %), the rate of postpartum haemorrhage was 19.6 versus 37.6 (0.50, 0.46 to 0.55 and 47.9 %, 41.2 % to 54.7 %), and the rate of manual removal of placenta was 8.5 versus 19.6 (0.41, 0.36 to 0.47 and 56.9 %, 47.9 % to 66.3 %).

There was no difference overall between birth settings in the incidence of the primary outcome (composite of perinatal mortality and intrapartum related neonatal morbidities), but there was a significant excess of the primary outcome in births planned at home compared with those planned in obstetric units in the restricted group of women without complicating conditions at the start of care in labour.

For nulliparous women, there is some evidence that planning birth at home is associated with a higher risk of an adverse perinatal outcome.

When the analysis was restricted to units or trusts with a response rate of at least 85 %, the higher odds of the primary outcome for nulliparous women in the planned home birth group remained, and the strength of this association increased (appendix 5 on bmj.com).

Compared with the obstetric unit group, women planning to give birth at home were more likely to be older, white, have a fluent understanding of English, and live in a more socioeconomically advantaged area.

The proportion of women with a «normal birth» (birth without induction of labour, epidural or spinal analgesia, general anaesthesia, forceps or ventouse delivery, caesarean section, or episiotomy9 10) varied from 58 % for planned obstetric unit births to 76 % in alongside midwifery units, 83 % in freestanding midwifery units, and 88 % for planned home births; the adjusted odds of having a «normal birth» were significantly higher in all three non-obstetric unit settings (table 5 ⇓).

There was no evidence that planned home birth among low risk women leads to an increased risk of severe adverse maternal outcomes in a maternity care system with well trained midwives and a good referral and transportation system.

Despite a wealth of evidence supporting planned home birth as a safe option for women with low risk pregnancies, 1 — 4 the setting remains controversial in most high resource countries.

Plenty of respected research supports the safety of planned home birth (most recent large prospective trial published in the British Medical Journal), but for women who need to deliver in a hospital due to a complication, the midwife stays by your side and adopts a doula role.

Of women in the study who planned further children, 91 % (136/149) said they would opt for a home birth again (including four who were delivered by caesarean section).

Characteristics of 5418 women planning home births with certified professional midwives in the United States, 2000, compared with all singleton, vertex births at > = 37 weeks» gestation in the United States, 2000.

: a Critical History Of Maternity Care by Marjorie Tew Easy Exercises For Pregnancy by Janet Balaskas Home Birth: Comprehensive Guide to Planning Childbirth at Home by Nicky Wesson Morning Sickness: a Comprehensive Guide to the Causes and Treatments by Nicky Wesson Every Woman's Birthrights by Pat Thomas Giving Birth by Sheila Kitzinger Spiritual Midwifery by Ina May Gaskin Our Babies, Ourselves: How Biology and Culture Shape the Way We Parent by Meredith Small Becoming a Grandmother by Sheila Kitzinger Not Too Late: Having a Baby After 35 by Gill Thorn Natural Baby by Janet Balaskas Child Birth Doesn't Have to Hurt by Nikki Bradford and Geoffrey Chamberlain Birth Your Way by Sheila Kitzinger The Birth Book by Carol Barbar and Jane Palmer The Complete Baby and Toddler Meal Planner by Annabel Karmel Breastfeeding by Sheila Kitzinger

The aim of our study was to determine firstly, whether a retrospective linked data study was a viable alternative to such a design using routinely collected data in one Australian state and secondly, to report on the outcomes and interventions for women (and their babies) who planned to give birth in a hospital labour ward, birth centre or at home.

This combined care, also called «shared care», is an option for women availing of public, semi-private or private care, and for women planning a home birth.

A study published in the British Medical Journal (July 2005) of the outcomes of 5,418 planned home births concluded that homebirth is a reasonable and safe choice for healthy women.

Our certified nurse - midwives offer prenatal care, birth services, postpartum care, well - woman gyn care, family planning, breastfeeding / early parenting assistance, and intrauterine insemination, all in the comfort of your home.

In this significant study, which analyzed nearly 17,000 planned home births, nearly 96 % of women delivered their babies vaginally, and only 4.5 % required pitocin to start or augment their labor.

I know some women who turned to home birth bc of a history of trauma, and others who have or plan for unassisted childbirth.

Benefits and harms of planned hospital birth compared with planned home birth for low ‐ risk pregnant women.

All women and families planning a home or birth center birth have a right to respectful, safe, and seamless consultation, referral, transport and transfer of care when necessary.

Packed with vital and cutting - edge information on everything from building the ultimate birth plan, to your choices and rights in the birth room; from optimal cord clamping, to seeding the microbiome; from the inside track on breastfeeding, to woman - centred caesarean, The Positive Birth Book shows you how to have the best possible birth, regardless of whether you plan to have your baby in hospital, in the birth centre, at home or by elective caesabirth plan, to your choices and rights in the birth room; from optimal cord clamping, to seeding the microbiome; from the inside track on breastfeeding, to woman - centred caesarean, The Positive Birth Book shows you how to have the best possible birth, regardless of whether you plan to have your baby in hospital, in the birth centre, at home or by elective caesabirth room; from optimal cord clamping, to seeding the microbiome; from the inside track on breastfeeding, to woman - centred caesarean, The Positive Birth Book shows you how to have the best possible birth, regardless of whether you plan to have your baby in hospital, in the birth centre, at home or by elective caesaBirth Book shows you how to have the best possible birth, regardless of whether you plan to have your baby in hospital, in the birth centre, at home or by elective caesabirth, regardless of whether you plan to have your baby in hospital, in the birth centre, at home or by elective caesabirth centre, at home or by elective caesarean.

The study reviewed the births of nearly 17,000 women and found that, among low - risk women, planned home births result in low rates of birth interventions without an increase in adverse outcomes for mothers and newborns.

Meaning, for every 10,000 births of low risk women, there are 6 - 7 babies that die in the USA during planned, midwife - attended home births that would have lived if the mothers were giving birth at home in the Netherlands.

In a previous study where we explored women's preferences for aspects of intrapartum care regarding planned place of birth we reported that women with a preference for a hospital birth — both midwife - led and obstetrician - led — found the possibility of pain relief treatment much more important compared to women with a preference for a home birth [18].

Studies of place of birth have consistently shown lower rates of intervention in labor and birth for women with low - risk pregnancies who planned their birth at home [1 - 7].

A total of 75,923 women (95.2 %) planned to deliver in the hospital and did so, 3203 women (4.0 %) chose and completed out - of - hospital birth (1968 at home and 1235 at a birth center), and 601 women (0.8 %) planned out - of - hospital birth but delivered in the hospital after intrapartum transfer.

In 2012, the home birth rate in Oregon was 2.4 %, which was the highest rate of any state; another 1.6 % of women in Oregon delivered at birth centers.11 Before licensure became mandatory in 2015, Oregon was one of two states in which licensure was not required for the practice of midwifery in out - of - hospital settings.12 Although the 2003 revision of the U.S. Standard Certificate of Live Birth distinguishes planned home births from unplanned home births, at the national level there is still no way to disaggregate hospital births that were intended to occur at a hospital and those that had not been intended to occur at a hospbirth rate in Oregon was 2.4 %, which was the highest rate of any state; another 1.6 % of women in Oregon delivered at birth centers.11 Before licensure became mandatory in 2015, Oregon was one of two states in which licensure was not required for the practice of midwifery in out - of - hospital settings.12 Although the 2003 revision of the U.S. Standard Certificate of Live Birth distinguishes planned home births from unplanned home births, at the national level there is still no way to disaggregate hospital births that were intended to occur at a hospital and those that had not been intended to occur at a hospbirth centers.11 Before licensure became mandatory in 2015, Oregon was one of two states in which licensure was not required for the practice of midwifery in out - of - hospital settings.12 Although the 2003 revision of the U.S. Standard Certificate of Live Birth distinguishes planned home births from unplanned home births, at the national level there is still no way to disaggregate hospital births that were intended to occur at a hospital and those that had not been intended to occur at a hospBirth distinguishes planned home births from unplanned home births, at the national level there is still no way to disaggregate hospital births that were intended to occur at a hospital and those that had not been intended to occur at a hospital.

Planned birth at home in low risk women without complicating conditions at the start of care in labour was associated with significant cost savings and a significant decrease in adverse perinatal outcomes avoided.