Why is
out of hospital birth in the US so deadly?
It is possible to have
an out of hospital birth in which everything is completely fine.
I have attended
out of hospital births in a birth center that is right across the street from the hospital.
Not exact matches
The only numbers
out there on UC include ALL unattended
births, such as precipitous
births, dumpster babies, and any
birth that occurred outside the
hospital and
in the absence
of a professional
birth attendant.
We simply can not say that because this one
birth did not turn
out as well as we could hope for, that this
in any way is a risk for anyone who wants to
birth outside
of a
hospital.
Education during pregnancy rarely has anything serious to do with breastfeeding, and since breastfeeding is perceived by most pre-parenthood women to be a natural, instinctive thing instead
of a learned behavior (on both mom & baby's part) if it doesn't go absolutely perfectly from the first moments they may feel something is wrong with THEM and clam up about it while quietly giving the baby the
hospital - offered bottle along with the bag
of formula samples they give
out «just
in case» even if you explicitly tell them you're breastfeeding (which was my experience with my firstborn
in 2004 and one
of the many highly informed reasons I chose to
birth my next two at home).
There are doulas
in the area that sometimes offer discounts to
out -
of -
hospital birth parents.
Within a few years, Jacqueline assisted
in managing a busy
birth center
in Los Angeles, while teaching Childbirth Education classes to
out -
of -
hospital birth families.
Within months
of my initial efforts, ACOG released their May 2007 statement on homebirth, acknowledging for the first time the safety
of birth in out -
of -
hospital birth centers that meet standards
of relevant accreditation organizations.
CNMs primarily work and have been trained
in hospitals and doctor's offices, however; some CNMs attend
out -
of -
hospital births (OOH).
Readers are therefore unaware if samples
in the intended home
birth group include those who were appropriately risked
out of home
birth during the antepartum period and later went on to have a high risk
hospital birth (Nove et al, 2012).
Standards outlined by the AAP for care
of the neonate are possible
in an
out -
of -
hospital settings, including homebirth, although because homebirth practices do not have an accreditation body similar to the American Association
of Birth Centers there is no way to assure that any particular homebirth midwife or practice provides any certain standard
of care.
This poses the question then if the Wax (2010) study is not specific to whether home
birth is safe
in comparison to
hospital birth, but if outcomes correlate with the type
of midwife (level
of training) and acceptance
of out -
of -
hospital birth in the larger healthcare system?
Instead
of excluding the high risk
births from both groups, they include the homebirth outcomes
of premature
births at 34 - 37 weeks gestation (13 - 17) breech and twins (13,14) lethal anomalies incompatible with life (13,14) unattended homebirths (15,16) unplanned homebirths (15,16) or women who became risked
out of homebirth by becoming high risk at the end
of pregnancy, had
hospital births, but are included
in the homebirth group.
Unfortunately, the authors did not reference this statement and the nurse - midwifery profession has grown to the point that it could potentially prove that the majority
of out -
of -
hospital births today are
in fact, attended by certified nurse - midwives.
However, a few years later, my daughter was taking an EMT course at the same
hospital and was told by her mentor that there is a «local midwife that brings women
in from
out of state to
birth here so she can sell their babies.»
The third article by Chang & Macones (2011), which the AAP uses to support their statement that neonatal mortality is increased
in out -
of -
hospital birth, was not as easily accessible.
Since 2
out of 3 babies who die at homebirth could have been saved
in the
hospital, hiring an attendant who is trained
in «normal
birth» is not going to save those babies.
Giving
birth in a
hospital with lots
of people walking
in and
out and poking around
in the woman will not have any positive effects.
With a mortality rate
of almost 5x higher than
hospital birth, this is not that far off the 6 - 8 times higher we saw for the Oregon data collection, even though the Oregon group almost surely had significantly fewer criteria for risking mothers
out (no criteria
in some places, I'm sure) as well as lower qualifications for the midwives as CPMs and DEMs.
Out of 66 separate citations
in Vedam's Guide, only 3 show that homebirth is as safe as
hospital birth, 2 from Canada and 1 from the Netherlands.
This is because the vast majority
of stillbirths delivered
in the
hospital are known to be antepartum and not intrapartum.29, 30, 31 On the other hand,
in out -
of -
hospital settings, most antepartum deaths
in planned home
births would be transferred to the
hospital.
Which may be why so many doctors intervene
in the
birth — they have this false sense
of a woman's inability, or they consider every
birth high - risk, or just because they want to get
out of the
hospital in time for dinner (it happens).
Assuming that all women who die attempting
out of hospital birth are stupid, and that their husband's aren't
in any way complicit, are we?
Since 2
out of 3 babies who die at homebirth could have been saved
in the
hospital, trusting
birth is a bizarre and deadly strategy.
The
hospital birthing center where I had my baby offers it... My midwife was actually excited that I wanted to do water labor but no water
birth... I was the only one
of her patients who DID N'T intend to
birth in the water and she needed people birthing
out of the tub for a control group
in a waterbirth infection study she was contributing to.
In truth, most
hospitals and
birth centers are not this bad, but there are still some
out there with very strict protocols about who can attend the
birth of your baby.
I think a lot
of these women are acting
out of fear
of the kind
of «
hospital birth experience» that hasn't been common
in over a generation.
The company's statement that low - risk
births can devolve into emergencies «at
hospitals and at birthing centers» is stunning
in its attempt to link
hospitals and
out -
of -
hospital birth centers as equal
in some way.
The Canadian study has an unusual way
of calculating perinatal mortality, and the Dutch study points
out that homebirth is as safe as
hospital birth in the Netherlands without addressing the fact that the homebirth population is much lower risk than the
hospital population.
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).
While it remains unclear how much
of that lock down was requested by the Carters, or if it was the
hospital acting
in what it considered the best interests
of it's patients, what is clear is that regular protocol goes
out the window when you're dealing with such a high - profile pregnancy and
birth.
If I didn't suck at math I'd at least attempt to figure
out the odds
of Danielle Fisher and Nicole Fisher, 23 - year - old twin sisters, giving
birth just 13 minutes apart
in adjoining
hospital rooms.
Refer to the CDC web site for the full report: Trends
in Out -
of -
Hospital Births in the United States, 1990 — 2012.
Something at least on the order
of five percent
of the
births in our immediate area are planned
out -
of -
hospital births.
March 2014 — Centers for Disease Control and Prevention, National Center for Health Statistics data brief presents updated data on trends and characteristics
of out -
of -
hospital births in the United States, with detail on ethnicity, geographic region and risk profile.
It is important to ask about the availability
of the water
birth at the
hospital you are planning to go to and to ask any questions about giving
birth in water; you may find it useful to find
out how many women choose to have water
births at the
hospital, how many staff are trained to deal with water
births and find
out about the potential risks
of giving
birth in the water.
She has a strong interest
in interdisciplinary maternity care,
out of hospital birth and safe transfer to the
hospital when needed.
Although they gave me 10 % dextrose water at the
hospital to give baby till my breast starts producing milk but ahe refused to take it.She will always spit it
out then coming to the breast, she will suck then remove her mouth cos she wasn't sucking anything
out & wasn't even producing any urine at all
in the first 72hours
of birth plus my nipple was inverted.
August 2010 — Centers for Disease Control and Prevention, National Vital Statistics System report examines trends and characteristics
of out -
of -
hospital and home
births in the United States from 1990 - 2006.
While
out -
of -
hospital births represent a small percentage
of all
birth in the United States, they have been on the rise since 2004.
I realized that our... One
of our missions is to be
of service to the community and
in our community
in Portland, you saw that Oregon has a high rate
of out -
of -
hospital birth.
MAWS (Midwives Association
of WA) Info on safety
of home
birth and a directory
of out of hospital midwives
in WA
The latest scandal
in American midwife attended
birth out of hospital birth is occurring
in Cary, NC.
The program to encourage breastfeeding seemed to work - by three months
out, 43 percent
of mothers who gave
birth at intervention
hospitals were still exclusively breastfeeding, compared to six percent
of women
in the comparison group.
In 2006, there were 38,568 out - of - hospital births in the United States, including 24,970 home births and 10,781 births occurring in a freestanding birthing cente
In 2006, there were 38,568
out -
of -
hospital births in the United States, including 24,970 home births and 10,781 births occurring in a freestanding birthing cente
in the United States, including 24,970 home
births and 10,781
births occurring
in a freestanding birthing cente
in a freestanding birthing center.
Increase
in out of hospital births from the CDC 2014 data brief on
out of hospital births at the highest level
in 37 years View website
Doctoral thesis comparing safety and costs
of natural
out -
of -
hospital birth with
in -
hospital obstetric
births.
After a gradual decline from 1990 to 2004, the percentage
of out -
of -
hospital births increased by 3 % from 0.87 %
in 2004 to 0.90 %
in 2005 and 2006.
In 2006, out - of - hospital births represented 0.90 % of the 4,265,555 births in the United State
In 2006,
out -
of -
hospital births represented 0.90 %
of the 4,265,555
births in the United State
in the United States.