«The MIHOPE - Strong Start study offers the HFA network an opportunity to better understand home visiting's impacts
on birth outcomes when families are enrolled prior to 32 weeks gestation.
Not exact matches
There may be a few more bad
outcomes in the homebirth groups depending
on how you look at the data, but
when you consider the number of
births we are looking at, the absolute number is so very few that the argument is a little ridiculous.»
This risk is overlooked
when considering safe
outcomes for
birth based
on birth site, which is an incredible oversight considering the U.S. Department of Health and Human Services» has recently concluded that 9.5 % of all deaths each year in the U.S. stems from a medical error.
The relative benefits and risks of
birth in different settings have been widely debated in recent years.1 2 3 4 5 6 7 A problem
when trying to evaluate the effect of
birth setting
on perinatal
outcomes has been the use of actual place of
birth rather than planned place of
birth to define comparison groups.
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).
Personally, I find it rather ironic that you're lecturing the blog author
on the rigor of language,
when, faced with the need to support the claims made by a documentary that has faced absolutely no real standards of intellectual rigor or merit (the kind of evidence you apparently find convincing), you have so far managed to produce a study with a sample size too small to conclude anything, a review paper that basically summarized well known connections between vaginal and amniotic flora and poor
outcomes in labor and
birth before attempting to rescue what would have been just another OB review article with a few attention grabbing sentences about long term health implications, and a review article published in a trash journal.
When we analysed the effects of planned place of
birth on maternal
outcomes, all shifts to non-obstetric unit settings were associated with significant cost savings and significant improvements in terms of maternal morbidity avoided (table 5 ⇓) or additional normal
birth (table 6 ⇓).
Our data
on students» adult
outcomes include earnings, college attendance, college quality (measured by the earnings of previous graduates of the same college), neighborhood quality (measured by the percentage of college graduates in their zip code), teenage
birth rates for females (measured by claiming a dependent born
when the woman was still a teenager), and retirement savings (measured by contributions to 401 [k] plans).
HFA had a favorable effect
on low
birth weight.41 The standard implementation of NFP with nurse home visitors did not demonstrate any effects
on birth weight or preterm
births.35, 42 — 47 However,
when paraprofessional home visitors were used, a favorable effect
on low
birth weight was shown.46 EIP demonstrated no effects
on birth weight or the percentage of infants born premature.23 The remaining 9 programs, most of which were offered postnatally and thus would not be expected to affect
birth outcomes, did not report any results in this area.
Decades of research
on brain development and
outcomes from early learning interventions have clearly demonstrated that children thrive
when they have consistent access to high - quality early childhood programs starting at
birth or even before and continuing until they enter kindergarten.
The
outcome of this investigation leads to the question that if there are cross-cultural differences in how couples are affected by the transition to parenthood, based
on the presence or absence of traditional roles, then what happens
when traditional roles are manifested by federal policy that facilitates more opportunity for traditional roles after the
birth of a child through parental leave?