Also, a mother with no medical history but a large weight gain would be assessed as low
risk by a midwife but high - risk by a doctor.
Not exact matches
What we need is a maternity care system in which ALL low -
risk pregnancies are followed
by midwives - and then we should be offering a choice for home, hospital or birth centre locations.
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.
After a diagnostic ultrasound with an OB at the delivery hospital, I was placed in the group that is low
risk enough to be cared for primarily
by midwives during delivery.
[The Coroner] said
midwife Fiona Hallinan had indirectly contributed to the baby's death
by failing to tell the mother of the
risks of home birth which had «sustained the misguided views of the mother, contributed to her disregarding the advice provided
by obstetric medical clinicians and facilitated in her a level of confidence that she may safely proceed to home birth».
Properly trained
midwives work to keep their moms healthy and maintain low -
risk pregnancies
by ensuring they're getting enough nutrients and getting to the root of problems (more often than not, it's caused
by diet and lifestyle), rather than masking them with medication (but again, recognizing when medication is needed).
Hence the inane claim
by MANA executive Jeannette McCulloch, in a recent post on the blog of the
Midwives Alliance of North America, that «no one knows» how to tell the difference between low
risk and high
risk.
«The sheer magnitude of numbers in de Jonge et al. — over half a million
midwife - attended low -
risk births, either at home or in the hospital — combined with a true comparison group (low -
risk, women who chose hospital birth but could have chosen a home birth; both home and hospital groups, attended
by the same group of
midwives) makes this a valuable study (Freeze, 2010, p 8).»
The safety of home birth for healthy, low -
risk women, when attended
by skilled
midwives and in a system that facilitates collaboration and timely transfer of care, is well supported
by the evidence.
Breastfeeding is challenged which introduces long - term
risk that is grossly under appreciated
by NICU staff, and never has a homebirth
midwife confused which newborn was born to which mother.
Women who planned a home birth were at reduced
risk of all obstetric interventions assessed and were at similar or reduced
risk of adverse maternal outcomes compared with women who planned to give birth in hospital accompanied
by a
midwife or physician.
Indeed a paper published earlier this year in the Journal of Perinatology analyzed homebirths attended
by a certified nurse
midwife (CNM) and found that they had double the
risk of neonatal death of CNM attended hospital births, even though the hospital birth cohort included high
risk patients.
If I hadn't joined the message boards at Mothering.com, I probably wouldn't have known that birth is inherently safe and that all that stuff about «
risk» was made up
by doctors trying to steal business from
midwives.
Midwives are licensed
by the California Medical Board to be the primary care providers for healthy, normal, and low
risk mothers and babies for an entire six weeks following the birth!
So
midwives need to market themselves or they
risk being eclipsed
by obstetricians who know more and can do more.
Is there data about low
risk births with OB's in the Netherlands or are the women always cared for
by midwives?
I stand
by my assertion that the vast majority of women would choose to give birth in a hospital if they could not find a
midwife willing to deliver high
risk patients at home.
The home birth community seems to be inhabited
by singularly callous people, who find that it is worth ostracising and ignoring loss parents, sacrificing other people's (and sometimes even their own) babies, and protecting dangerous
midwives, all for the sake of avoiding any kind of discussion whatsoever of the
risks and benefits of home birth.
Your
midwives saw to it that was maintained as well
by not warning you that all of the data on homebirth in the US show a 3 - 8x higher
risk of the baby dying in homebirth than in hospital birth.
The second sentence in the abstract does state: «Analysis of combined data from all 8 studies showed a three-fold increase in
risk of neonatal deaths for homebirth attended
by midwives, compared to hospital births.»
There is no way I would have ever been under the care of a
midwife (I was high
risk all the way) but it is still terrifying knowing my sweet healthy boy could have easily been a stillbirth without all the high tech and diligent monitoring
by my medical team.
We analyzed 8 outcomes of child health (neonatal deaths, prenatal deaths, Apgar...», or even «The findings suggest that homebirths attended
by midwives may be equally safe if not safer for women with low -
risk pregnancies», which could mean «safer for women» who have «low -
risk pregnancies» or equally «safer» for «women who have low -
risk pregnancies».
Pooled results indicated that homebirths attended
by midwives were associated with increased
risks for neonatal deaths [pooled OR (95 % CI): 3.11 (2.49, 3.89)-RSB-.
5) even the Johnson & Daviss study in 2000 which is quoted so much
by midwives shows an increased
risk when you compare the year 2000 Homebirth stats with the year 2000 hospital low
risk deliveries.
Results of the meta - analysis also revealed that homebirths attended
by midwives were associated with decreased
risk for postpartum hemorrhage > 500 ml and retained placenta [pooled ORs (95 % CI s 0.60 (0.44, 0.81) and 0.58 (0.40, 0.86) respectively.
The findings suggest that homebirths attended
by midwives may be equally safe if not safer for women with low -
risk pregnancies.
What is particularly infuriating about the situation is that
BY DEFINITION, homebirth
midwives should ONLY be attending to women with no
risk factors, yet again and again we read about
midwives who refuse to transfer women out of their care when red flags develop.
Midwives» Clinics for Antenatal Care Midwife - managed antenatal clinics, available under public care, are staffed by experienced midwives and are an option for women with normal, low - risk pregnancies, as assessed by the con
Midwives» Clinics for Antenatal Care
Midwife - managed antenatal clinics, available under public care, are staffed
by experienced
midwives and are an option for women with normal, low - risk pregnancies, as assessed by the con
midwives and are an option for women with normal, low -
risk pregnancies, as assessed
by the consultant.
But deep down I knew I wanted to be attended
by midwives, who are experts in normal, low -
risk birth.
Home births (relative
risk [RR], 10.55) and births in free - standing birth centers (RR, 3.56) attended
by midwives had a significantly higher
risk of a 5 - minute Apgar score of 0 (P <.0001) than hospital births attended
by physicians or
midwives.
How can you trust that homebirth is safe when the most comprehensive study ever done of homebirth (and analyzed
by a
midwife) found that PLANNED homebirth with a LICENSED
midwife has a death rate approximately 800 % higher than comparable
risk hospital birth, and even MANA can't figure out how to criticize it?
One that shows the reality of the
risks of home birth, the truth about lay
midwives, and exposes all of the lies and damage perpetrated
by Ricki Lake.
Yet time and time again I have read and written about homebirth loss mothers praising deadly
midwives, praising the «experience» of a vaginal birth of a dead child, refusing to cooperate in disciplining the
midwife responsible, advocating for more «freedom» for homebirth
midwives, and, most grotesque of all, choosing to
risk their next child's life
by having a homebirth.
As uncomfortable as I was with being categorised as «high
risk» and monitored
by substance misuse specialist
midwives / social workers, I absolutely understood the need to monitor me and my baby.
Women who are labelled as high -
risk and whose births are managed
by OB's have better outcomes than the low -
risk women who give birth in the
midwife - led part of the delivery ward.
These two units have Midwifery Led Units in which low
risk women are cared for
by midwives and in which there are options of labouring and birthing in water.
The problem with insisting that a woman is low
risk and so being attended during pregnancy and birth
by a CPM is that those
midwives aren't trained to spot when there is something amiss.
Homebirth in the UK for women * who have never had a baby * but whose current pregnancy has no
risk factors of any kind and who are being cared for
by highly educated and highly trained
midwives increases the
risk of perinatal death and brain damage.
Uk birthplace study «Homebirth in the UK for women who have had a previous completely uncomplicated pregnancy, whose current pregnancy has no
risk factors of any kind, and who are being cared for
by highly educated and highly trained
midwives may be safe, so long as those
midwives adhere to the very strict criteria in the study.
Unfortunately, the stories here tend to include high -
risk women who were encouraged
by (usually) under - qualified
midwives to deliver at home.
They may not have chosen to report one absolute
risk because they look to have had two low -
risk hospital birth cohorts, those attended
by OBs and those attended
by hospital
midwives.
The absolute
risk of a baby having a 5 minute Apgar of zero is 0.16 per 1000 for those delivered
by MDs in hospital, and 1.63 per 1000 for babies delivered
by «home
midwife» (CPM in most cases).
Our services are recommended
by OBGYN's,
Midwives and High
Risk Medical Practitioners all over the world.
Twin Love Concierge's expertise has been recognised
by OBGYN's,
Midwives and High
Risk Medical Practitioners all over the world.
Fact: Assisted home births may be beneficial to some women with
midwives by their side; however, if you are a high
risk pregnancy then you may be advised to give birth at the hospital where facilities are easily accessible to monitor the baby.
If all low
risk women were being cared for
by midwives in out of hospital settings, we would see better outcomes, healthier mamas and babies, and women would be able to tell their birth story with confidence that they had control.
Our renowned services are recommended
by leading Ob / Gyn's,
Midwives, High
Risk Doctors and are 100 % guaranteed to alleviate the feeling of being completely overwhelmed or you will receive a full refund.
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.
Women who choose nonhospital birth are not a random sample of the overall birthing population; they are self - selected, and (supposedly) carefully screened
by their
midwives to ensure they are «low
risk.»
But
midwives say women are not encouraged
by their doctors to explore alternatives such as birthing centers, where low -
risk women can give deliver naturally, balancing technology with a home - like environment.