When we compare the death
rate at homebirth of 2.06 / 1000 with the CDC death rate for low risk white women, ages 20 - 44, at term, with babies that are not growth restricted of 0.38, we find that homebirth has a death rate 5.5 X higher than hospital birth.
In other words, the death
rate at homebirth is 450 % higher than comparable risk hospital birth.
They compared the death
rate at homebirth with the death rate in tertiary [high risk] facilities, but that's not what we want to know.
In fact, the authors go so far as to deliberately obfuscate the increased neonatal death
rate at homebirth.
We want to know how the death
rate at homebirth compares with the death rate at all hospital births, not the death rate at tertiary facilities.
National mortality statistics for homebirth midwives are dismal and individual states like Colorado have truly appalling death
rates at homebirth.
They completely obliterate their existence by refusing to report the neonatal death
rates at homebirth.
Not exact matches
Rates of acute emergencies for low risk births
at planned attended
homebirth vs planned hospital birth:
They are very rare and not a single study documents the
rate at which these happen suddenly
at attended low risk
homebirth.
It happens so rarely that the
rate of death from AFE (1/1, 000,000) and cord prolapse (1/100, 000)
at homebirth is a miniscule fraction of the maternal mortality (1/5, 000) and perinatal mortality (1.7 / 1000) from elective cesarean surgery in hospital (34).
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.
The regulars here are pretty up on these things and the most recent studies of
homebirth have as far as I know have universally shown the
homebirth has
at least 3x the perinatal death
rate of similar risk hospital birth.
Just because YOU and YOUR babies were fine doesn't negate the mountain of data (including MANA's own study) that clearly indicates the dangers of
homebirth and the hideously higher death
rate at the hands of
homebirth midwives.
The death
rate at CNM attended
homebirth is double the death
rate of CNM attended hospital birth.
Simply put, the death
rate was not zero and until the difference (if any) between maternal deaths
at home and in the hospital is determined, we can not draw any conclusions about the safety of
homebirth for Dutch mothers.
In other words, there was no difference in severe acute maternal morbidity (SAMM) between home and hospital among nulliparous women and a slightly lower
rate of SAMM for parous women
at homebirth.
How many babies have to die before the Midwives Alliance of North America is forced to publicly acknowledge that they KNOW that
homebirth at the hands of a CPM dramatically increases the
rate of perinatal death?
If my sister should decide, after looking
at the risk
rates and her mitigating circumstances, she still wants to
homebirth, I would recognize that the absolute risk is still pretty low and not try to talk her into or out of anything.
What floors me is how people continue to ignore the glaringly obvious fact, that
homebirth, even under the best circumstances, continues to kill mothers and babies
at a
rate that is far higher than births that occur in hospital settings.
It's hardly surprising therefore that death
rates at the hands of
homebirth midwives are appalling.
The death
rate is horrific, even AFTER Rooks inappropriately eliminated the death of a baby
at homebirth who had congenital anomalies.
Yes, babies die in the hospital, but they die
at rates 3 - 10 times higher
at homebirth because HOMEBIRTH INJURES AND KILL
homebirth because
HOMEBIRTH INJURES AND KILL
HOMEBIRTH INJURES AND KILLS BABIES.
Will MANA, the organization that represents
homebirth midwives, review its requirements in light of the unacceptably high
rate of death and injury
at homebirth?
The problem is the
homebirth midwives cause this harm
at a
rate 3 - 10 time higher in hospital.
The overall all
rate of perinatal death
at planned
homebirth with a LICENSED midwife was 800 % higher than comparable risk hospital deaths.
Someone, probably, will say seriously, that it's ONLY the
homebirth midwives who are respecting a woman's right to a vaginal breech, twin, or post dates birth
at home, and HER right to the lower
rate of intervention
at home trumps the mythical rights of the baby, and that since it's the sisters in chains that are taking back a woman's right to physiologic birth where SHE wants it that IF there is an increased risk to the baby it's the mother's right to take that risk.
Or look
at this way: an increase in the
rate of
homebirth from 0.5 % to 1 % would constitute a doubling of the number of patients for HB midwives (a 100 % increase), and a drop of 1 patient for every 190 for OBs (a 0.5 % decrease).
Serge Bielanko wrote Don't Be Afraid, It's Just a Home Birth, and he apparently thinks its simply hilarious that people are warning him about the increased
rate of death
at homebirth.
The
rate occurring is much less then
at homebirth and can be checked by the CDC database.
The choice of an Apgar score of zero and the primary outcome measurement is particularly apt, since severe neurologic injury is particularly likely
at homebirth, because
homebirth midwives do not monitor the fetal heart
rate appropriately.
The two larger hospitals have lower c - section
rates than the smaller hospital closest to me and they also boast women's clinics with multiple midwives on staff, but my
homebirth midwife recommended an OB
at the closer hospital — a personal friend of hers — who had given birth her own child
at The Farm (with Ina May as a back - up midwife!)
At this point, the only relevant thing about the MANA data is that it is proof that Melissa Cheyney has known all along that the death rates at CPM attended homebirth are horrific and that she has knowingly and deliberately hidden the
At this point, the only relevant thing about the MANA data is that it is proof that Melissa Cheyney has known all along that the death
rates at CPM attended homebirth are horrific and that she has knowingly and deliberately hidden the
at CPM attended
homebirth are horrific and that she has knowingly and deliberately hidden them.
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.
The three recent papers published in American Journal of ObGyn: Wax metaanalysis (2010), Chervenak (2013), Grunebaum **** (see note
at bottom)(Apgar 0, 2013) and the U.K. Birth Place study (2013) report perinatal death
rates from
homebirth as 3 times or 10 times higher than perinatal death
rates in the first week than hospital birth.
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.
When compared with babies born vaginally in the hospital, babies born
at homebirth had a
rate of hypoxic brain damage 32 times higher, suggesting that C - sections dramatically decreased the risk of hypoxic brain injury.
The public discussion
at ICAN 2011 demonstrates two things: MANA is appallingly cynical in its willingness to boast about a low C - section
rate while refusing to acknowledge how many dead babies CPMs left in their wake, and
homebirth advocates are pathetically gullible.
This paper documents a
rate of 99 % intact perineums, 1 % sutured perineums, in a group of 80 primipara in their early 20s
at attended
homebirths, average birth weight 3150 gm.
They know that birthing
at home or in a birth center with a trained midwife is a very safe option with lower
rates of interventions and high patient satisfaction but now you no longer have to search and search for studies regarding
homebirth which are often buried by cultural anecdotes and message boards.
.8 / 1000 was the mortality
rate for low risk women
at homebirth according to the MANA data.
MANA's own results are telling you the
RATE of mistakes that are made with Homebirth are higher than the rate of mistakes that are made at the hospi
RATE of mistakes that are made with
Homebirth are higher than the
rate of mistakes that are made at the hospi
rate of mistakes that are made
at the hospital.
So, I'm looking
at the actual article, and on p. 6 (table 3), it says that for the breech (intended)
homebirths, there was a c - section
rate of 42.8 %.
because a study showing a higher
homebirth death
rate should * absolutely * be spun in a way to encourage women to give birth
at home.
I'm sure that Cheyney will do something to hide the hideous death
rate at CPM attended
homebirth.
He's the guy who apparently thinks it's simply hilarious that people are warning him about the increased
rate of death and brain injury
at homebirth.
Yesterday I gave a brief overview of the new MANA statistics paper (
Homebirth midwives reveal death rate 450 % higher than hospital birth, announce that it shows homebirth is safe) and pointed out that the fact that MANA waited 5 years to release the results demonstrates that Cheyn
Homebirth midwives reveal death
rate 450 % higher than hospital birth, announce that it shows
homebirth is safe) and pointed out that the fact that MANA waited 5 years to release the results demonstrates that Cheyn
homebirth is safe) and pointed out that the fact that MANA waited 5 years to release the results demonstrates that Cheyney
at el.
Also, when looking
at c - section
rates for OOH midwives — a comparison of c - section
rates between OOH midwives and CNMs in the hospital is probably better
at determining how much a
homebirth reduces the chance of a c - section.
We can also be sure that the authors understood that their data showed that
homebirth has a horrifically high death
rate, because they try to hide the number of deaths for the past 5 years, released the data only under pressure, and then proceeded to draw a conclusion entirely
at odds with what their own data showed.
Obstetricians «hate»
homebirth midwives (to the extent that they think of these fringe «providers»
at all) because they are uneducated, untrained lay «birth junkies» who have horrifically high death
rates.
Maybe I'm wrong looking
at the increased neonatal death
rate in MANA's study, the increased risk of HIE in January 2014 ACOG, the increased risk of Apgars of 0
at 5 minutes (Grunebaum 2014)
at homebirth as compared to hospital birth.