I have to first admit that I've been a little reticent to post about this, not because I'm not excited about it, but because homebirth in our culture is not seen as a safe or wise choice (though in reality it is as safe or safer
than hospital births in most cases — there are a number of studies that indicate as such).
I believe Homebirth has always been shown to have more risk
than hospital birth in every credible study.
Originally published on Gaia Health Home Birth Safer
Than Hospital Birth In The Netherlands, the majority of births occur at home, not in hospitals.
Not exact matches
Typical
birth in a US
hospital «costs» about 20 % more
than the Lindo Wing, a private, luxury wing
in London where the royal baby was born
Speaking purely from a who has to pay perspective —
birth control is FAR cheaper
than 9 months of prenatal care and a
hospital delivery, which these days is
in excess of $ 10,000.
They all lead to the conclusion that
birth defects account for more
than $ 2.5 billion
in hospital costs.
Catholic
hospitals MUST be held to the same standards as other
hospitals in the USA, that means if they must offer other options including
birth control, or morning after pill
than so be it.
They see it
in the
birth control legislation
in Massachusetts and Connecticut; they see it
in the Catholic pressure to remove welfare agencies that have
birth control clinics from local community chests elsewhere; they see it
in the Catholic objection to divorce laws that are much more flexible
than the law of the Church; they see it
in the attempts to have non-Catholic
hospitals adopt the Catholic ideas of medical ethics
in the field of obstetrics.
As I continue on this journey, I find the more I learn about
hospitals and standard procedures and doctors» timeframes, etc., the more I think women who elect to
birth in a
hospital are «brave» rather
than the women who do so
in their own homes.
Even when women are segregated
in maternity wards, infections are much more commonplace after
hospital births than homebirths.»
I live
in a state where I can not have a home
birth unless it is unattended and I live more
than an hour away from a
hospital and 1 / 2hour from a town.
Although I'm sure it's possible, I think that for the most part, these «orgasmic
births» are much more likely to occur
in a birthing center or home environment
than in the
hospital.
Birth centers provide an
in - between choice for parents who would like to deliver outside of a
hospital setting but with more help
than they would be able to get at home.
Australian researchers found that new mothers were more likely to be breastfeeding their newborns a few months after delivery if their
hospitals followed the Baby - Friendly
Hospital Initiative (BFHI) guidelines, than if they gave birth in a hospital accredited by the Ini
Hospital Initiative (BFHI) guidelines,
than if they gave
birth in a
hospital accredited by the Ini
hospital accredited by the Initiative.
At Advocate, the first
hospital in the area to feed low
birth weight babies and others at risk for the condition exclusively with breast milk, NEC is down by more
than half, said Jeffrey George,
hospital director of neonatology.
I have always believed
in my gut that it is safer to have a CNM attend a homebirth
in a low risk pregnancy
than give
birth in a
hospital.
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.
In Missouri, the risk of intrapartum death at homebirth is nearly 20 times higher
than hospital birth.
Low risk
birth in the Netherlands at home with a midwife is more likely to result
in a DEAD baby
than high risk
birth in a
hospital with a doctor.
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.
The «research» done to try and prove to people that home
birth would be more dangerous
than hospital birth is usually
in favor of
hospitals... Why?
With a mortality rate of almost 5x higher
than hospital birth, this is not that far off the 6 - 8 times higher we saw for the Oregon data collection, even though the Oregon group almost surely had significantly fewer criteria for risking mothers out (no criteria
in some places, I'm sure) as well as lower qualifications for the midwives as CPMs and DEMs.
I expect the data to be partial, and very slickly presented to put the best spin on it all [something like «90 + % of homebirths are uncomplicated», not that a certain percentage, much higher
than hospital births, result
in death or morbidity].
This is the 4th confirmed homebirth death
in NC this year for a rate that is a whopping TEN times higher
than the rate of death for comparable risk
hospital birth.
So then why,
in a country where most
births take place
in hospitals, are mothers dying more frequently
than other countries?
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.
The Canadian study has an unusual way of calculating perinatal mortality, and the Dutch study points out that homebirth is as safe as
hospital birth in the Netherlands without addressing the fact that the homebirth population is much lower risk
than the
hospital population.
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.
This new set of NICE guidelines concluded that healthy women with straightforward pregnancies are safer to give
birth at home, or
in a midwife - led
birth centre,
than at a
hospital with the care of an obstetrician.
It takes longer to recover from a caesarean section
than a natural
birth and most women stay
in hospital for around 3 - 4 days after the operation.
Studies there (sorry, don't have any references on hand, I'll try to get them posted later) show that home - birthing
in this setting is just as safe for mother and child for a first
birth, and safer for next
births,
than a
hospital setting.
Yet another study, this one consisting of every
birth in The Netherlands over two years, demonstrates that home
births are safer
than hospital births.
Working with June these last two
births has been so much more personal
than the 5
births in the
hospital.
The perinatal (around the time of
birth) death rate of babies born
in nonhospital settings is much higher
than for babies born
in a
hospital, even though their mothers are supposedly lower - risk.
The average cost of a birthing center is one third less
than in a
hospital, and some
birth centers often offer discount coupons for future
births.
Flint and colleagues suggested that when midwives get to know the women for whom they provide care, interventions are minimised.22 The Albany midwifery practice, with an unselected population, has a rate for normal vaginal
births of 77 %, with 35 % of women having a home
birth.23 A review of care for women at low risk of complications has shown that continuity of midwifery care is generally associated with lower intervention rates
than standard maternity care.24 Variation
in normal
birth rates between services (62 % -80 %), however, seems to be greater
than outcome differences between «high continuity» and «traditional care» groups at the same unit.25 26 27 Use of epidural analgesia, for example, varies widely between Queen Charlotte's
Hospital, London, and the North Staffordshire NHS Trust.
In Oregon, there have been at least 19 newborn deaths reported to the state over the past decade for a death rate more
than 4 times higher
than low risk
hospital birth.
Conclusions: 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.
In my area, we have a large plain population that will
birth at home regardless, so it's safer to have regulated CNMs with
hospital privileges doing it
than the underground midwives some would otherwise turn to.
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.
We have the data that shows homebirth mortality rates with CPMs is 5.4 / 1000 which is actually 7 - 9 xs greater
than in hospital births with similar co-factors.
Planned homebirth with a licensed homebirth midwife
in Oregon has a death rate 9X higher
than term
births in the
hospital.
The kind thing to say to someone considering a homebirth is: Choose homebirth if you like, but know that your baby is far more likely to die or be injured
than during a
birth in hospital.
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.
If ALL
births were done at home, you'd have five times as many dead babies
than you'd have when compared to ALL
births done
in a
hospital.
That's a maternal death rate at home
birth more
than 20 TIMES HIGHER
than the maternal death rate
in the
hospital.
But saying home
birth is safer
than giving
birth in a
hospital is just ignorant.
Dr Motha says her philosophy is that women should have gentler
births than occur now
in Western
hospitals.
By the way, a great book by another skeptical OBGYN is called «Born
in the USA» only he's skeptical of medicalized
birth because he's a clinical scientist as well, unlike our author here and he's realized that home
birth is safer
than hospital birth according to peer - reviewed large scale studies.
In Colorado, licensed homebirth midwives have a perinatal death rate more than double that of all hospital birth in the state (including premature babies
In Colorado, licensed homebirth midwives have a perinatal death rate more
than double that of all
hospital birth in the state (including premature babies
in the state (including premature babies).