I believe that the majority of deliveries do not require a physician, but I also read several hundred medical journal articles a year, and it is clear that home deliveries are much less safe for the baby
than hospital deliveries.
Homebirth devotees often argue that it should be accepted or even promoted because at first glance it is cheaper
than hospital delivery.
Unless you research it, you are unlikely to learn that a planned homebirth with an experienced midwife is as - safe - as, if not safer,
than hospital delivery.
Not exact matches
Annually, more
than 14,000 babies are expected to be born at Winnie Palmer
Hospital, making it the busiest labor and
delivery unit in the state of Florida.
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.
Labor and
delivery went so smoothly, just exceeded all my expectations, and i was out of the
hospital in less
than 24 hours.
I was denied access to a VBAC with my second child because our crappy ass HMO (different
than with my first) a - discouraged them and then b - the
hospital my doctor / HMO contracted to disallowed them 2 months before my
delivery.
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.
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...
A more recent study showed that low risk birth (home or
hospital) with a Dutch midwife has a HIGHER perinatal mortality rate
than high risk
delivery with a Dutch obstetrician.
It has been suggested that purchasing a $ 15 Wind Power Card can offset the more
than 1,000 pounds of CO2 emissions that are used in
hospital deliveries.
Homebirth is safe or safer
than hospital birth because when you exlude women who midwives shouldn't have taken at all and those who doctors and real miwives couldn't save after homebirth clowns botched
deliveries — well, it totally works!
(Now, if there's a doctor who's doing mostly normal
deliveries and getting worse
than average outcomes, that's a matter for his colleagues,
hospital, etc..)
Mudiwah established and directed a lactation resource center at a tertiary care medical system
hospital that facilitated more
than 3000
deliveries per year,.
But you should still limit your intake of these fish to no more
than 12 ounces per week, says Laura Riley, MD, director of labor and
delivery at Massachusetts General
Hospital and author of You & Your Baby: Pregnancy.
The problem is that the risks of a VBAC are not in fact that much higher
than the risks of other kinds of
deliveries that do occur regularly in
hospitals.
The results offer support to the concept that home birth for low - risk pregnancies is not necessarily less safe
than conventional,
hospital - based
deliveries.
Nowadays, most
hospital deliveries are more likely to be in a «reclining» position, sitting partially up on a
hospital bed rather
than totally flat.
Jon Barrett, the chief of maternal - fetal medicine at Toronto's Sunnybrook Health Sciences Centre, says, «We should be working to make the environment of the
hospital conducive to the home birth experience, rather
than having more
deliveries at home» (3).
Out - of -
hospital births were also associated with a higher rate of unassisted vaginal
delivery and lower rates of obstetrical interventions and NICU admission
than in -
hospital births, findings that corroborate the results of earlier studies.3 - 5 These associations follow logically from the more conservative approach to intervention that characterizes the midwifery model of care8, 19 and from the fact that obstetrical interventions are either rare (e.g., induction of labor) 20 or unavailable (e.g., cesarean
delivery, whether at home or at a birth center) outside the
hospital setting.
Rates of obstetrical intervention are high in U.S.
hospitals, and we found large absolute differences in the risks of these interventions between planned out - of -
hospital births and in -
hospital births.38 In contrast, serious adverse fetal and neonatal outcomes are infrequent in all the birth settings we assessed, and the absolute differences in risk that we observed between planned birth locations were correspondingly small; for example, planned out - of -
hospital births were associated with an excess of less
than 1 fetal death per 1000
deliveries in multivariate and propensity - score - adjusted analyses.
After
hospital transfers were reclassified as belonging to the planned out - of -
hospital birth category, the rate of fetal death was higher (though not quite reaching the level of significance) among out - of -
hospital births
than among in -
hospital births (2.4 vs. 1.2 deaths per 1000
deliveries, P = 0.05)(Table 3).
Similarly, rates of perinatal and neonatal death did not differ significantly before transfers were reclassified (P > 0.1 for all comparisons) but were higher in the case of planned out - of -
hospital births
than in the case of planned in -
hospital births after reclassification (perinatal death, 3.9 vs. 1.8 deaths per 1000
deliveries, P = 0.003; neonatal death, 1.6 vs. 0.6 deaths per 1000
deliveries, P = 0.02).
Main worries about breech
deliveries are the cord becoming pinched or baby's head becoming stuck, so talk to a seasoned midwife rather
than a
hospital OB who's likely never handled either situation.
Planned out - of -
hospital birth was associated with a higher rate of perinatal death
than was planned in -
hospital birth (3.9 vs. 1.8 deaths per 1000
deliveries, P = 0.003; odds ratio after adjustment for maternal characteristics and medical conditions, 2.43; 95 % confidence interval [CI], 1.37 to 4.30; adjusted risk difference, 1.52 deaths per 1000 births; 95 % CI, 0.51 to 2.54).
Let's face it — the
hospital delivery room is more intense (and in some cases more action - packed)
than a Bruce Willis movie.
Considering most parents spend at least 24 hours in
hospital over the course of their labour,
delivery and recovery, it's surprising that more
hospitals don't provide the non-labouring spouse more
than just a stiff waiting room chair.
A Consumer Reports analysis of more
than 1,300
hospitals found that C - section rates for low - risk
deliveries among U.S.
hospitals vary dramatically, even in the same communities and among similar institutions, and that in most
hospitals the rates are above national targets.
At home, anyone is allowed to be present at the birth rather
than just one or two people permitted in a
hospital delivery room.
Planned out - of -
hospital birth was associated with a higher rate of perinatal death
than was planned in -
hospital birth (3.9 versus 1.8 deaths per 1,000
deliveries, p = 0.003; OR after adjustment for maternal characteristics and medical conditions, 2.43; 95 % CI: 1.37 to 4.30; adjusted risk difference, 1.52 deaths per 1,000 births; 95 % CI: 0.51 to 2.54).
Initial care, per day, for evaluation and management of normal newborn infant seen in other
than hospital or birthing center [not covered for planned
deliveries at home]
The author concluded that
deliveries at home attended by CNMs and «other midwives» were associated with higher risks for mortality
than deliveries in -
hospital by CNMs.
Research also suggests that women who use
hospital - based birthing centers are more likely to have a normal vaginal birth and more likely to be breast - feeding six to eight weeks after
delivery than those who give birth in a typical
hospital setting, said Ellen Hodnett, a professor of nursing at the University of Toronto and a review author for the Cochrane Collaboration Pregnancy and Childbirth Group.
Thousands of women who underwent home births using midwives had lower rates of medical interventions such as epidural pain relief, forceps
delivery and Caesarean section
than similar women who give birth in
hospitals.
In the end, the child «s birth was attended by more doctors, nurses and paramedics
than usually are present in a
hospital delivery room.
The results of this study showed no evidence of an increased risk associated with home confinements but indicated that there were fewer problems
than were encountered in the
deliveries in mothers confined in
hospital.
«We opened up Novant Health midwifery services about two years ago and that was all
hospital based
deliveries by a midwife, but what we were hearing from our moms was, «Gosh, I really wish I could deliver somewhere other
than a
hospital,»» said Kirsten Royster, service line leader for OBGYN in Novant Health's Winston - Salem market.
Still, a growing number of mothers are opting for a home
delivery rather
than heading to a
hospital.
One paper in Britain claims that for a select group of very low risk women who have had at least one successful vaginal
delivery home birth is no more dangerous
than hospital birth.
I think that childbirth is safer nowadays because of the prenatal care that women receive, not so much because women are giving birth in
hospitals (even though I am aware that there are problems that come up during
delivery, which would make a
hospital birth safer
than, say, a homebirth).
In a previous study of 24 healthy women, vaginal microbiome composition became less diverse between the second and third trimesters of pregnancy and just before
delivery was enriched with Lactobacillus species, likely contributing to vertical transmission of these bacteria during vaginal birth.21 In a study of 10 newborns in Venezuela, within hours of
delivery, the intestinal tracts of infants born vaginally were colonized by Lactobacillus and Prevotella, whereas infants delivered operatively acquired bacteria present on the mother's skin and the
hospital environment, such as Staphylococcus, Proprionibacterium, and Corynebacterium.15 Quiz Ref ID Our findings, based on a large group of 6 - week - old infants, indicated that Lactobacillus also contributes to the microbial environment of the gut but to a lesser extent
than Bifidobacteria, Bacteroides, and Streptococcus.
This is an important finding because it helps us interpret the case reports of poor outcomes with water birth — poor outcomes do occur with water birth, but they are no more likely to occur with water birth
than with conventional
hospital delivery.
Women in the planned home - birth group were significantly less likely
than those who planned a midwife - attended
hospital birth to have obstetric interventions (e.g., electronic fetal monitoring, relative risk [RR] 0.32, 95 % CI 0.29 — 0.36; assisted vaginal
delivery, RR 0.41, 95 % 0.33 — 0.52) or adverse maternal outcomes (e.g., third - or fourth - degree perineal tear, RR 0.41, 95 % CI 0.28 — 0.59; postpartum hemorrhage, RR 0.62, 95 % CI 0.49 — 0.77).
Currently more
than 800
hospitals in this country will not allow a woman to attempt a vaginal birth after a prior cesarean
delivery (VBAC).
Recovery from the surgery can take longer
than a vaginal
delivery and you will probably be in the
hospital for a day or longer.
They told me they even do more natural
deliveries in a month
than some other local
hospitals do all year.
Planned out - of -
hospital birth also had a statistically significant association with higher rates for 5 - minute Apgar scores of less
than 7, neonatal seizures, neonatal ventilator support, maternal blood transfusion, and unassisted vaginal
delivery but with lower rates of both admission to neonatal intensive care units and obstetrical interventions, including induction and augmentation of labor, operative vaginal
delivery, cesarean
delivery, and severe perineal lacerations.
By the late 1970s, a woman arriving on the labor and
delivery floor of a U.S. tertiary care
hospital with a nonmalformed, living, singleton fetus at term had a risk of intrapartum fetal death of 1 in 1000.1 At that time the U.S. cesarean
delivery rate was approaching 15 %.2 Since then, the rate of cesarean sections has more
than doubled, 3 but the intrapartum fetal death rate in major U.S. centers remains unchanged.
A closer look at the background characteristics shows that multiparous women with a complicated previous pregnancy, including instrumental
delivery in our study, were more likely to opt for
hospital birth
than for home birth.
I was introduced to Carmen, our nurse (Cheshire provides one - on - one nursing care during labor and
delivery, rather
than one nurse in charge of several rooms like at many urban
hospitals).