After controlling for background, we found no difference in perinatal outcome between planned home birth and
planned hospital birth in primiparous women.
Hutton EK, Reitsma AH, Kaufman K. Outcomes associated with planned home and
planned hospital births in low - risk women attended by midwives in Ontario, Canada, 2003 — 2006: a retrospective cohort study.
Over 40,000
planned hospital births in Oregon in 2012, and not one intrapartum death.
One of my favorite doulas in south Florida, Lisa Raynor (right) who works with expecting moms
planning hospitals births in Broward and Palm Beach county, she is well known by nurses, OBGYNS and midwives in Boca Raton Regional Hospital, Northwest Medical Center, Broward Health Medical Center, and far far more.
Planned home compared with
planned hospital births in the Netherlands: intrapartum and early neonatal death in low - risk pregnancies.
Hutton et al: Quite literally, the trend continued, in that the next study was also Canadian: «Outcomes associated with planned home and
planned hospital births in low - risk women attended by midwives in Ontario, Canada, 2003 - 2006,» not surprisingly shows similar results to the Janssen study.
Nevertheless, despite the model controlling for parity and many other known confounders, there remains a greatly elevated risk of PPH for women who have
planned hospital births in comparison to those who plan a home birth (odds ratio, 2.5, 95 % confidence interval, 1.7 to 3.8).
Conclusions: The outcome of planned home births is at least as good as that of
planned hospital births in women at low risk receiving midwifery care in the Netherlands.
Percentage non-optimal characteristics in the perinatal background index among planned home and
planned hospital births in primiparous and multiparous women
Not exact matches
I'm not pregnant now, but believe
in planning ahead, and I was mistreated at my daughter's
hospital birth.
We
plan to have our children at home, and Iâ $ ™ d have to be
in a pretty dire situation
in order to want to give
birth in a
hospital.
I had to endure three
hospital births that never went according to «
plan» even with our Bradley teacher
in attendance.
Sometimes, a woman writes a
birth plan and literally get laughed at
in the
hospital.
«Maternal and newborn outcomes
in planned home
birth vs
planned hospital births: a metaanalysis» by Joseph R. Wax, MD; F. Lee Lucas, PhD; Maryanne Lamont, MLS; Michael G. Pinette, MD; Angelina Cartin; and Jacquelyn Blackstone, DO, appeared
in the American Journal of Obstetrics & Gynecology, Volume 203, Issue 3 (September 2010) published by Elsevier.
Last Summer, ACOG «leaked» data from a study to be published
in the American Journal of Obstetrics and Gynecology stating that
planned home
births carried a 2 - 3 fold increase
in neonatal death compared with
hospital births.
In addition to getting to know each other over the course of the mom's pregnancy — learning about her hopes, fears, and wants for her birth experience — home birthing moms also have birth plans to clarify things like which post-birth procedures the family does and doesn't want (like vitamin K shot, eye ointment, etc.), and preferred hospitals and care providers to call in case of transfe
In addition to getting to know each other over the course of the mom's pregnancy — learning about her hopes, fears, and wants for her
birth experience — home birthing moms also have
birth plans to clarify things like which post-
birth procedures the family does and doesn't want (like vitamin K shot, eye ointment, etc.), and preferred
hospitals and care providers to call
in case of transfe
in case of transfer.
If you
plan to visit your friend
in the
hospital after
birth, know that there are some polite rules you should follow:
Although tragic, cord prolapse and AFE occur rarely at homebirth, 1/5000 and 1/500, 000 respectively, when balanced with the dozens of acute emergency conditions endangering the health of mother and baby that occur at
planned hospital birth caused by intervening
in the
birth process, the scales tip easily
in favor of
planned attended homebirth for low risk women.
Wax JR, Lucas FL, Lamont M, Pinette MG, Cartin A, Blackstone J. Maternal and newborn outcomes
in planned home
birth vs
planned hospital births: a metaanalysis.
Outcomes of
planned home
births versus
planned hospital births after regulation of midwifery
in British Columbia.
Another 5 studies (13 - 17) claim homebirth to have a higher perinatal mortality rate compared to
hospital birth but they all include high risk
births in the
planned homebirth group.
Planned attended homebirth outshines
hospital birth for low risk women
in every category of acute emergency.
As your best guarantee of having a normal vaginal
birth once you're
in the
hospital, we suggest that you
plan in advance to have helpers — mate, doula, and perhaps a monitrice (your personal ob nurse)-- with you.
Maternal and newborn outcomes
in planned home
birth vs
planned hospital births: a metaanalysis.
Research reveals that there are only 2 acute conditions that might occur at homebirth
in which the mother or baby may have a better outcome had they
planned a
hospital birth, namely: Cord prolapse and Amniotic Fluid Embolism (AFE).
Perinatal mortality rates for
hospital births of low risk women are similar to outcomes of
planned homebirth
in general, but the maternal morbidity at
planned hospital births is much higher.
Homebirth and midwifery advocates point with pride to a recent study that showed that homebirth with a midwife
in the Netherlands is as safe as
hospital birth with a midwife (Perinatal mortality and morbidity
in a nationwide cohort of 529 688 low - risk
planned home and
hospital births).
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.
What the authors should have told us was that there were two neonatal deaths (0.11 %) among women
planning a home
birth and four (0.03 %) from women
planning to give
birth in the
hospital.
The coroner has concluded Midwives should not attend HBs alone, the emergency services should be notified and given prior warning when a HB occurs, and «that the distance of a home
birth from the local maternity
hospital should be factored
in whenever home deliveries are
planned.»
Most prospective parents are familiar with what's involved
in preparing for a
birth — attending antenatal classes, packing a
hospital bag, perhaps writing a
birth plan, and certainly bidding a wistful farewell to sleep.
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.
In the latest paper discussed in that post, Severe adverse maternal outcomes among low risk women with planned home versus hospital births in the Netherlands: nationwide cohort study, de Jonge conclude
In the latest paper discussed
in that post, Severe adverse maternal outcomes among low risk women with planned home versus hospital births in the Netherlands: nationwide cohort study, de Jonge conclude
in that post, Severe adverse maternal outcomes among low risk women with
planned home versus
hospital births in the Netherlands: nationwide cohort study, de Jonge conclude
in the Netherlands: nationwide cohort study, de Jonge concluded:
Planned home
birth ending
in hospital transfer should be its own category, so we can stop arguing about transfers screwing up the statistics either way.
A major study published
in the UK (Birthplace
in England Collaborative Group, 2011) has examined the risks of
planned home
births, comparing them against
planned deliveries
in hospitals and midwife units for low risk women.
In yet another example of a strikingly robust finding, planned homebirth in NZ had more than triple the neonatal death rate of planned hospital birt
In yet another example of a strikingly robust finding,
planned homebirth
in NZ had more than triple the neonatal death rate of planned hospital birt
in NZ had more than triple the neonatal death rate of
planned hospital birth.
There were two maternal deaths
in the
planned home
birth group (2 per 100,000) and three
in the
planned hospital birth group (6 per 100,000).
Low risk women
in primary care at the onset of labour with
planned home
birth had lower rates of severe acute maternal morbidity, postpartum haemorrhage, and manual removal of placenta than those with
planned hospital birth.
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).
Planned Hospital Birth versus Planned Home Birth Observational studies of increasingly better quality and in different settings suggest that planned home birth in many places can be as safe as planned hospital birth and with less intervention and fewer complic
Planned Hospital Birth versus Planned Home Birth Observational studies of increasingly better quality and in different settings suggest that planned home birth in many places can be as safe as planned hospital birth and with less intervention and fewer compli
Hospital Birth versus Planned Home Birth Observational studies of increasingly better quality and in different settings suggest that planned home birth in many places can be as safe as planned hospital birth and with less intervention and fewer complicat
Birth versus
Planned Home Birth Observational studies of increasingly better quality and in different settings suggest that planned home birth in many places can be as safe as planned hospital birth and with less intervention and fewer complic
Planned Home
Birth Observational studies of increasingly better quality and in different settings suggest that planned home birth in many places can be as safe as planned hospital birth and with less intervention and fewer complicat
Birth Observational studies of increasingly better quality and
in different settings suggest that
planned home birth in many places can be as safe as planned hospital birth and with less intervention and fewer complic
planned home
birth in many places can be as safe as planned hospital birth and with less intervention and fewer complicat
birth in many places can be as safe as
planned hospital birth and with less intervention and fewer complic
planned hospital birth and with less intervention and fewer compli
hospital birth and with less intervention and fewer complicat
birth and with less intervention and fewer complications.
Observational studies of increasingly better quality and
in different settings suggest that
planned home
birth in many places can be as safe as
planned hospital birth and with less intervention and fewer complications.
Something at least on the order of five percent of the
births in our immediate area are
planned out - of -
hospital births.
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.
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.
Thank you for your interest
in endorsing the Best Practice Guidelines: Transfer from
Planned Home
Birth to
Hospital.
In this instance, how far you live from a
hospital can make an enormous difference, so it is worth considering this as a safety aspect before you
plan a home
birth.
I have to admit I was nervous about this and contemplated a
hospital birth, but I was so attached to my midwives, and I was confident
in their
plan.
If you are delivering
in a
hospital, you will also need to have a strong
birth plan.
While it's not at all vital to select a pediatrician that has «rights» at the
hospital or
birth center where you are delivering, it is something you'll be asked when you arrive
in Labor & Delivery so they can properly
plan for your baby's medical care
in the
hospital - e.g., if your pediatrician does make rounds at the
hospital, baby won't be seen by the staff pediatrician and vice versa.
SS, I am sure any midwife would have sent you to the
hospital as well even
in a
planned home
birth situation.