The finding that the risk of PPH was lower if a home birth was intended even when «high - risk» births were included in the model raises the question of whether it is necessary for all women with «high - risk» pregnancies to be advised to
plan a hospital birth on the grounds of safety.
Not exact matches
And so I learned that the
hospital is not an evil place (though choose your
hospital wisely if youâ $ ™ re
planning to
birth there), that I am stronger than I thought (I sort of want to cross-stitch â $ œ12 hours
on pit with not pain medsâ $ into a pillow), and that even though it can sometimes appear as though they are, medical professionals are NOT the enemy (butâ $ ¦ do your research!
I had a doula, I had a
birth plan that my OB and I went over together and she signed off
on (and then faxed a copy to the nurse manager at the
hospital so they were aware), and I had a nurse who was happy to accommodate my wishes.
Authors Wax, Lucas, Lamont, Pinette, Cartin & Blackstone sought to systematically review the medical literature
on the maternal and newborn safety of
planned home verses
planned hospital birth, a level IV rating
on the Hierarchy of Evidence.
After the
birth she made sure to post her
birth plan on her
hospital room door.
while being coerced to push even though I wanted to breath the babies down, I didn't get to see them at all for 15 hours after they were born because the
hospital staff didn't get their act together, not because it was medically necessary, etc., so much so that the head of OB (my office doc) later admitted they had me
on suicide watch because what happened was so different than my
birth plan... I wasn't stuck
on exact details, especially because twins throw a loop in all of it, but it was nothing like I had hoped for, at all.
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.
All the women there are
planning on hospital births, and my friend basically told them repeatedly how they can / should resist various
hospital procedures (she is prejudiced toward homebirth).
The following quote from the article above puzzles me to no end: «The latest CDC figures (publicly available
on the CDC Wonder website) show that
planned homebirth with a non-nurse midwife has a mortality rate 600 % HIGHER than low risk
hospital birth.»
The latest CDC figures (publicly available
on the CDC Wonder website) show that
planned homebirth with a non-nurse midwife has a mortality rate 600 % HIGHER than low risk
hospital birth.
First, a little background
on the study, Outcomes of
planned home
birth with registered midwife versus
planned hospital birth with midwife or physician.
The second half is about the
birth process and the whole biological aspect, which is great for anyone even if you
plan on having a
hospital birth.
Something at least
on the order of five percent of the
births in our immediate area are
planned out - of -
hospital births.
Whether you are
planning to
birth at home, at a
birth center or at a
hospital, this class will empower you to know what questions to ask your care provider to confirm you are
on the same page for your
birth goals.
Kate was primary author for the NYSALM Position Statement
on Planned Home
Birth, outlining model behavior for both midwives and
hospital providers during transfers, the NYSALM Policy
on Complaints, and is currently chairing the committee developing Guidelines for Collaboration in
Planned Home
Birth Midwifery Practice.
Your
hospital may provide you with one when you pre-register, or you can check out this helpful post with things you should include
on your
birth plan.
As time went
on, and she learned more about the natural birthing process and the current state of maternity care (as well as reflecting
on her unmedicated
hospital birth experience), she knew that she would not want to
birth another child in the
hospital, so as she and her husband Matt looked forward to conceiving their second child she had already decided
on hiring a licensed midwife and
planning to
birth at home.
«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.»
Knowing I was a doula who had
planned on a home
birth, they were respectful and thoughtful with the decisions I was making and left me and my husband to labor
on our own (as much as a
hospital can allow).
The study adds to the body of large cohort studies of
planned home
births that have reported
on the relative safety of home versus
hospital births.
First time round, you
plan a water
birth with a doula and whale music - second time, you ask about booking an epidural
on your first
hospital visit.
All a
birth plan does is give the
hospital staff a general run - down
on your ideal labor options, your wishes, and any specific concerns or fears you might have beforehand.
If you are cared for by a midwife they come and assess you at home when you go into labor even if you are
planning on a
hospital birth (unless you choose to go right in and meet them there but most midwife clients want to be at home as long a possible from what I understand).
She was the lead author
on the paper Perinatal mortality and morbidity in a nationwide cohort of 529 688 low - risk
planned home and
hospital births back in 2009.
«What gave me the heads up
on hospital interference was Dr. Marsden Wagner (formerly of WHO) who wrote a great book:» Creating Your
Birth Plan.
Dear Mom - to - be currently
planning on an Out of
hospital birth, i can hear you tsk - tsking and I can see you shaking your head.
Depending
on the type of
birth you
plan to have (
hospital hypnobirth, induction, cesarean, home
birth,
birth center) the photographer should be able to show you samples of previous similar
births they have captured.
This class is great for couples who are
planning a
hospital specific
birth and want more information
on interventions, comfort techniques, and plenty of tips and fun.
Views are particularly polarised in the United States, with interventions and costs of
hospital births escalating and midwives involved with home
births being denied the ability to be lead professionals in
hospital, with admitting and discharge privileges.5 Although several Canadian medical societies6 7 and the American Public Health Association8 have adopted policies promoting or acknowledging the viability of home
births, the American College of Obstetricians and Gynecologists continues to oppose it.9 Studies
on home
birth have been criticised if they have been too small to accurately assess perinatal mortality, unable to distinguish
planned from unplanned home
births accurately, or retrospective with the potential of bias from selective reporting.
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.
Per our
birth plan as well as
hospital policy, we wanted the baby to be placed immediately
on my chest, but that could not happen if meconium was present.
For comparison, data
on births planned to occur in
hospitals is provided in the bottom row of the table.
Oregon now has the most complete, accurate data of any US state
on outcomes of
births planned to occur in the mother's home or an out - of -
hospital birth center.
In discussing how to avoid a cesarean, make sure you know if the
hospital where you are
planning to give
birth is
on the high or low end of the national average.
There is no research
on the rate of infection at low risk
planned attended homebirths, but in theory homebirth prevents infection and
hospital birth increases the risk of infection.
We sought to systematically review the medical literature
on the maternal and newborn safety of
planned home vs
planned hospital birth.
Baby A's Arrival Mama: Debbie F. Type of
Birth: Cesarean Birth Location: Hospital Primary Care: Midwife I had been planning on a home birth my entire
Birth: Cesarean
Birth Location: Hospital Primary Care: Midwife I had been planning on a home birth my entire
Birth Location:
Hospital Primary Care: Midwife I had been
planning on a home
birth my entire
birth my entire life.
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 caesa
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 caesa
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 caesa
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 caesa
birth, regardless of whether you
plan to have your baby in
hospital, in the
birth centre, at home or by elective caesa
birth centre, at home or by elective caesarean.
But, well, by that point our
birth plan lay in tatters
on the
hospital room floor.
With this second aim, we used new data
on planned birth setting to improve the interpretation of studies in which investigators could not disaggregate in -
hospital births that had been
planned to be out - of -
hospital births from
births that had been
planned to be in -
hospital births.
Information
on the total number of
births outside
hospital was available each year from the Office of Population Censuses and Surveys but it was not known how many of these were
planned home
births.
Charlie Rae: I went into the
birth of my daughter feeling very educated and at peace with my decisions
on my care provider and
plan to have a natural
birth in a
hospital setting.
Perinatal mortality and morbidity up to 28 days after
birth among 743,070 low - risk
planned home and
hospital births: A cohort study based
on three merged national perinatal databases.
An UpToDate review
on «
Planned home birth» (Declercq and Stotland, 2015) stated that «Large cohort studies using intent - to - treat analysis of midwife - attended, planned, out - of - hospital birth of low - risk women in developed countries have reported reduced rates of cesarean birth, perineal lacerations, and medical interventions, and similar rates of maternal and early perinatal morbidity and mortality compared to planned hospital
Planned home
birth» (Declercq and Stotland, 2015) stated that «Large cohort studies using intent - to - treat analysis of midwife - attended,
planned, out - of - hospital birth of low - risk women in developed countries have reported reduced rates of cesarean birth, perineal lacerations, and medical interventions, and similar rates of maternal and early perinatal morbidity and mortality compared to planned hospital
planned, out - of -
hospital birth of low - risk women in developed countries have reported reduced rates of cesarean
birth, perineal lacerations, and medical interventions, and similar rates of maternal and early perinatal morbidity and mortality compared to
planned hospital
planned hospital birth.
In a meta - analysis, Wax and colleagues (2010) reviewed the medical literature
on the maternal and newborn safety of
planned home versus
planned hospital birth.
Inclusion criteria were as follows: the study population was women who chose
planned home
birth at the onset of labor; the studies were from Western countries; the
birth attendant was an authorized mid-wife or medical doctor; the studies were published in 1985 or later, with data not older than from 1980; and data
on transfer from home to
hospital were described.
You can do this by having conversations with your practitioner, asking
on your
hospital tour, and including this in your
birth plans.
The ACOG Committee
on Obstetric Practice's opinion
on planned home
birth (2011) noted that although the Committee believes that
hospitals and birthing centers are the safest setting for
birth, it respects the right of a woman to make a medically informed decision about delivery.
Take a class or two at the
hospital and hire a doula to help educate you
on birth plans, comfort measures during labor and postpartum care.
I'm
planning to go all natural, I really wanted a home
birth, but we live
on a smaller rural island quite a distance from a
hospital and midwives will not attend
births where we live.