Nine studies were included in the meta - analysis of child health
outcome of births attended by midwives in homes or in hospitals.
Not exact matches
It was her understanding however, that these
outcomes supported the restriction
of attending vaginal breech
birth outside the hospital setting.
Simply: If hospital
birth were useful, the data would support it, but all homebirth studies (1 - 20), show better
outcomes of low risk women at planned
attended homebirth.
Outcomes of 11,788 planned home
births attended by certified nurse - midwives: a retrospective descriptive study.
This means that in the studies in which midwives with certification
of some kind
attended home
births, the
outcomes were the same except there was no increase in the neonatal death rate.
There were no significant differences in
outcome of home or hospital
births attended by midwives for the other child health measures.
The latest example is an analysis prepared by faculty at the College
of Public Health
of the University
of Arizona, Tucson and the Arizona Public Health Training Center for the Arizona Department
of Health Services entitled
Outcomes of Home vs. Hospital
Births Attended by Midwives: A Systematic Review and Meta - analysis.
And since it doesn't include intended place
of birth, only actual place
of birth, any crappy
outcomes from intrapartum transfers from midwife -
attended homebirth get heaped in the MD / hospital column.
Don't forget about the 2005 study that compared
outcomes of CPM
attended births and hospital
births, where the results showed similar IP and neonatal death rates for both, but CPM
attended births fared better in other categories.
When this 20 % risk
of death is compared to the 0.02 % rate
of cord prolapse during labor at homebirth that might have a better
outcome if it happened in hospital, this means that a low risk woman has a 1000 times higher chance
of having a life threatening complication either to her life or her fetus / newborns life at planned hospital
birth, than if she plans to have an
attended homebirth with a well - trained practitioner.
Physician - and midwife -
attended home
births: effects
of breech, twin, and post-dates
outcome data on mortality rates.
Like most home
birth midwives, she's
attending the healthiest
of women and getting terrible
outcomes.
This study describes the
outcomes of 11,788 planned home
births attended by certified nurse - midwives (CNMs) from 1987 to 1991.
Infant
outcomes of certified nurse midwife
attended home
births: United States 2000 to 2004.
A randomised control trial conducted in BC [30] found home visits in early labour to be more effective than telephone triage in reducing the number
of women
attending the hospital for assessment before they are in labour and those
attending before 3 cm cervical dilation, although the home visits had no impact on CS rates or
birth outcomes.
Outcomes of 11,788 planned home
births attended by certified nurse - midwives.
This means that looking only at the CNM -
attended births excludes all
of the
outcomes of the
births that were transferred to OBs, which would understandably have poorer
outcomes.
In order to address the issue
of safety
of home
birth in BC, we compared selected
outcomes for planned home
births attended by regulated midwives with those for planned hospital
births attended by midwives and by physicians.
Planned home
births attended by registered professional attendants have not been associated with an increased risk
of adverse perinatal
outcomes in large studies in North America, 1 — 3 the United Kingdom, 4 Europe, 5 — 8 Australia 9 and New Zealand.
The risk
of all adverse maternal
outcomes assessed was significantly lower among the women who planned a home
birth than among those who planned a physician -
attended hospital
birth (Table 3).
We compared the
outcomes of planned home
births attended by midwives with those
of planned hospital
births attended by midwives or physicians.
In the subgroup analysis in which we excluded women whose labour was induced by outpatient administration
of prostaglandins, amniotomy or both (118 [4.1 %]
of women in the home -
birth group, 344 [7.2 %]
of those who planned a midwife -
attended hospital
birth and 778 [14.6 %]
of those who planned a physician -
attended hospital
birth), the relative risks
of obstetric interventions and adverse maternal and neonatal
outcomes did not change significantly.
Our study showed that planned home
birth attended by a registered midwife was associated with very low and comparable rates
of perinatal death and reduced rates
of obstetric interventions and adverse maternal
outcomes compared with planned hospital
birth attended by a midwife or physician.
We compared them with the
outcomes of all planned hospital
births that met the criteria for home
birth and were
attended by the same cohort
of midwives.
In this study, we ascertained
outcomes of all planned home
births attended by registered midwives in an entire health region with a single - payer universal health care system.
We compared the
outcomes of 862 planned home
births attended by midwives with those
of planned hospital
births attended by either midwives (n = 571) or physicians (n = 743).
METHODS: We compared the
outcomes of 862 planned home
births attended by midwives with those
of planned hospital
births attended by either midwives (n = 571) or physicians (n = 743).
She co-authored the first study
of outcomes of licensed midwife -
attended births in Washington, published in
Birth in 1994.
The study found that the higher the number
of group visits
attended, the lower the rates
of adverse
birth outcomes.
Researchers examined
outcome data for more than 6,500 midwife -
attended water
births in the United States and found that newborns born in water were no more likely to experience low Apgar scores, require transfer to the hospital after
birth or be hospitalized in their first six weeks
of life, than newborns who were not born in water.
If one accepts the conclusions
of the enormous body
of literature that finds no difference in perinatal mortality rates or other adverse
outcomes between planned, midwife -
attended home
births and hospital
births, then the pursuit
of this line
of reasoning is a non-starter.
If the physician, midwife, or nurse
attending the
birth fails to handle this portion
of the baby's body properly when pulling out the baby during the
birth, the
outcome can be dire.