Unfortunately, child protective services authorities in Illinois disagree about
the safety of home births, as this birth also involved a breech presentation.
The debate about
the safety of home births continues in the literature, professional policy and practice.
The continued use of studies using higher mean or high cut - off 5 min Apgar scores, and a bias of high Apgar score, to advocate
the safety of home births is inappropriate.
Home birth advocates have cited several studies supporting
the safety of home births among low - risk women.
The study did not compare the relative
safety of home births against low - risk women who opted for doctor rather than midwife - led care.
The authors concluded that perinatal
safety of home births may be improved substantially by better adherence to risk assessment, timely transfer to hospital when needed, and closer fetal surveillance.
While stressing the study was the most comprehensive yet into
the safety of home births, they also acknowledged some caveats.
Inspired by a discussion amongst the writers on Eco Child's Play about our births and
the safety of home births in particular, we decided to share our labor experiences with our readers.
«The highly charged debate over
the safety of home birth was inflamed by the publication of a meta - analysis by Joseph R. Wax and coworkers, [1] which concluded that «less medical intervention during planned home birth is associated with a tripling of the neonatal mortality rate.»
The expert on water birth is Dr. M. Odent the famous french OB and overwhelming supporter of
the safety of home birth.
MAWS (Midwives Association of WA) Info on
safety of home birth and a directory of out of hospital midwives in WA
«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.»
As it has been shown that conducting a randomised controlled trial is not possible, the best evidence about
the safety of home birth can only come from good quality, routine registrations such as the one we used in our study.
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.
As far as we know, this is the largest study into
the safety of home birth.
This research should add confidence to
the safety of home birth in a context such as Canada's in which registered midwives have a baccalaureate degree or equivalent and are an integral part of the health care system.
The safety of home birth is well documented, but childbirth by its nature is a threshold passage for the mom, and the baby.
That book is full of misinformation, for example he cites the Johnson & Daviss study saying «any remaing doubts about
the safety of home birth were conclusively erased» by said study — which isn't even remotely true (the home birth data from that study actually shows that neonatal mortality is 3 TIMES higher at home):
Don't make ignorant statements about my luck when you haven't even looked into
the safety of home birth yourself.
But what it brings up for me that I think is really good about the coverage is that it brings out a lot of issues that need to be addressed around birth and choices and training of providers and
safety of home birth and the safety of hospital birth.
«The continuity of the care I offer throughout pregnancy, knowing that I will be there for a family during pregnancy, the labour the birth and afterwards when they are adjusting to motherhood is one of the factors that contribute to
the safety of home birth.
And there have been many, many studies that have shown
the safety of home birth that it's safe or safer to have a low - risk birth in your home as it is in the hospital, and especially in the D.C. area.
Asked about safety concerns of her planned home birth, Surette - Nelson explains: «Because this was my second uncomplicated pregnancy, my familiarity with the labouring and birthing process left me with few major concerns about
the safety of a home birth.»
Olsen: The third study used by Leslie and Romano for perinatal mortality comparison is also the last study in section I: Olsen from 1997, «Meta - analysis of
the safety of home birth.»
MANA had provided me with the 24 best studies to prove
the safety of home birth.
I suggest that Warfield consult medical journals to read the many studies that support
the safety of home birth before accusing those who choose one of risking the health and safety of their babies.
The safety of home birth is a controversial topic and this episode includes a lot of research on whether home birth is safe and what some of the risks are.
But the key to
the safety of home birth depends on midwives» ability to transfer a small percentage of clients to a higher level of care when needed.
A new study tracking
the safety of home birth in the United States has taken a major step in that direction, its authors believe, finding that outcomes among women who had planned, midwife - led home births were «excellent,» and that the women experienced relatively low rates of intervention.
Therefore, this study makes a novel and valuable contribution to what was previously known about
the safety of home birth.
New Studies Published by Oregon State University Professor Confirm
Safety of Home Birth With Midwives in the U.S.
This study provides women with the information needed to make decisions regarding
the safety of home birth.
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.
It should add confidence to
the safety of home birth in a context such as ours in which registered midwives have a baccalaureate degree or equivalent and are an integral part of the health care system.
Yet, when I analyzed all of the studies that the Midwives» Alliance of North America (MANA) says comprise the best evidence for
the safety of home birth, I found that every study that looked at nonhospital birth in the United States (and many of the studies that looked at other countries, as well) reported much higher death rates for babies when compared to similar hospital births.
There is a lot of research that supports
the safety of home birth.
Actually, hard numbers on
the safety of home birth are surprisingly difficult to nail down.
The Midwives Alliance Division of Research continues to work hard to demonstrate
the safety of home birth and the realities of evidence based care.
In addition, the summary you provided about
the safety of home birth was very helpful and valuable.
Not exact matches
In any case, there are no studies done on the relative
safety of UC, so it can not be unequivocally stated that UC is more dangerous than midwife - assisted
home birth.
Despite the publication
of statements and commentaries querying the reliability
of the findings, [2 - 6] this faulty study now forms the evidentiary basis for an American College
of Obstetricians and Gynecologists Committee Opinion, [7] meaning that its results are being presented to expectant parents as the state -
of - the - art in
home birth safety research.
The methodological challenges
of attempting to compare the
safety of home and hospital
birth in terms
of the risk
of perinatal death.
Random control trials with regards to
home birth verses hospital delivery are not ethical, and the methodological challenges
of attempting to compare the
safety of home and hospital
birth are exceptionally tricky which is why the
home birth debate has yet to be resolved.
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.
And most
of all, because there are NO guarantees, one way or the other - the numbers on
safety and well being with
home births are better than those in the hospital.
Current research includes: co-leading organisational case studies in Birthplace in England, a national study
of birth outcomes in
home, midwife led, and obstetric led units; investigating the relationship between measures
of safety climate and health care quality in A and E and intrapartum care; and conducting nested process evaluations
of two trials
of obesity in pregnancy behavioural interventions.
She evaluated the
safety of home vs. hospital
birth in the Province
of British Columbia, Canada and published her findings in the Canadian Medical Association Journal.
In the
safety and privacy
of your
home, and following your preferences, The Midwives Model
of Care ™, and my practice guidelines, I will provide care during your labor and the
birth of your baby.
Kate has been instrumental in promoting a
safety, quality agenda in health care for women and infants, and developing collaborative models between midwives and obstetricians to engender integration
of home birth into the maternity care system.
However, they sometimes draw different conclusions about the
safety of home,
birth center or hospital
birth, even when they read the same studies.