For example, in MANA Stats there are such a small number
of early neonatal deaths that it wouldn't be impossible for a researcher to figure out who some of the mothers and babies are in the sample.
Not exact matches
It's just so ironic that the only
early neonatal death they could think
of was a CPM attended homebirth.
The authors chose to evaluate the results by creating an index
of primary events comprising intrapartum stillbirths,
early neonatal deaths,
neonatal encephalopathy [brain damage] meconium aspiration syndrome, brachial plexus injury, and fractured humerus or clavicle.
There was a low rate
of caesarean section, postpartum haemorrhage and third degree perinatal tears as well as low rates
of stillbirth and
early neonatal death in this sample
of women and babies.
MEND.org (Mommies Enduring
Neonatal Death)-- A Christian, non-profit organization that reaches out to families who have suffered the loss of a baby through miscarriage, stillbirth, or early infant d
Death)-- A Christian, non-profit organization that reaches out to families who have suffered the loss
of a baby through miscarriage, stillbirth, or
early infant
deathdeath.
Indeed a paper published
earlier this year in the Journal
of Perinatology analyzed homebirths attended by a certified nurse midwife (CNM) and found that they had double the risk
of neonatal death of CNM attended hospital births, even though the hospital birth cohort included high risk patients.
Intrapartum stillbirths and
early neonatal deaths accounted for 13 %
of events,
neonatal encephalopathy for 46 %, meconium aspiration syndrome for 30 %, brachial plexus injury for 8 %, and fractured humerus or clavicle for 4 % (see appendix 8 on bmj.com for distributions by planned place
of birth).
Main outcome measure A composite primary outcome
of perinatal mortality and intrapartum related
neonatal morbidities (stillbirth after start
of care in labour,
early neonatal death,
neonatal encephalopathy, meconium aspiration syndrome, brachial plexus injury, fractured humerus, or fractured clavicle) was used to compare outcomes by planned place
of birth at the start
of care in labour (at home, freestanding midwifery units, alongside midwifery units, and obstetric units).
The primary outcome was a composite
of perinatal mortality and specific
neonatal morbidities: stillbirth after the start
of care in labour,
early neonatal death,
neonatal encephalopathy, meconium aspiration syndrome, brachial plexus injury, fractured humerus, and fractured clavicle.13 This composite measure was designed to capture outcomes that may be related to the quality
of intrapartum care, including morbidities associated with intrapartum asphyxia and birth trauma.
Rates were low for caesarean section, postpartum haemorrhage, third degree perineal tears, stillbirth and
early neonatal death in this sample
of women and babies.
Most studies
of homebirth in other countries have found no statistically significant differences in perinatal outcomes between home and hospital births for women at low risk
of complications.36, 37,39 However, a recent study in the United States showed poorer
neonatal outcomes for births occurring at home or in birth centres.40 A meta - analysis in the same year demonstrated higher perinatal mortality associated with homebirth41 but has been strongly criticised on methodological grounds.5, 42 The Birthplace in England study, 43 the largest prospective cohort study on place
of birth for women at low risk
of complications, analysed a composite outcome, which included stillbirth and
early neonatal death among other serious morbidity.
An additional analysis separating multiparous and primiparous women was undertaken as well as an analysis
of stillbirth and
early neonatal death.
The number you want for that is perinatal and
neonatal mortality — perinatal is fetal
deaths during labor and
neonatal is
deaths in either the first 8 days
of life («
early neonatal») or
deaths between day 8 and day 28 («late
neonatal»).
Even if we just take
early and late
neonatal stats, leaving out HALF
of the homebirth
deaths (22/44) it's 1.29 / 1000 for MANA's almost all white, majority college educated, mostly singleton, mostly low - risk healthy women in their 20s and 30s, vs. 0.81 for EVERYONE delivering at term in the hospital.
We have experiences
of early miscarriage, recurrent loss, stillbirth,
neonatal death, prematurity, preeclampsia, and twin loss.
[2] Our combined
early and late
neonatal death rates, or total
neonatal death rate,
of 0.77 per 1000 is statistically congruent with the rate reported by Hutton et al. [12]
There was one
early and one late
neonatal death, so a total
of 5 breech births.
You have to add up intrapartum (1.3),
early neonatal (0.41) and late
neonatal deaths (0.35) to get the total
death rate
of 2.06 / 1000.
(
early neonatal death means the baby was born alive but died sometime in the first seven days), a baby is three times more likely to die at a home birth in the USA with a mortality rate
of 1.71 / 1000 versus only 0.64 / 1000 babies dying in the Netherlands.
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.
Study shows significantly increased baby
death after home births, especially for women
of 41 weeks or longer and first - time moms:
Early and total
neonatal mortality in relation to birth setting in the United States, 2006 - 2009
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.
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).
«Our research indicates that insertion
of cervical pessary at around 22 weeks in both randomly selected women pregnant with twins and in patients with a short cervix
of less than 25 millimeters does not reduce the rate
of spontaneous
early preterm birth, perinatal
death, adverse
neonatal outcome, or need for
neonatal therapy.»
The UK was shown to have the worst outcomes compared with nearly every other western European nation for
early neonatal deaths (
death between 0 and 6 days), post-
neonatal deaths (
death between 29 and 364 days), and the worst outcomes
of any country for childhood
deaths (
death between 1 and 4 years).