Sentences with phrase «with out of hospital birth»

Not exact matches

I'm hoping I can finish «Natural Hospital Birth» before the end of the month, but I'm finding out that if I have 5 minutes to sit down with my Intel Tablet that I am much more likely to try to catch up on emails than I am to read a book.

Education during pregnancy rarely has anything serious to do with breastfeeding, and since breastfeeding is perceived by most pre-parenthood women to be a natural, instinctive thing instead of a learned behavior (on both mom & baby's part) if it doesn't go absolutely perfectly from the first moments they may feel something is wrong with THEM and clam up about it while quietly giving the baby the hospital - offered bottle along with the bag of formula samples they give out «just in case» even if you explicitly tell them you're breastfeeding (which was my experience with my firstborn in 2004 and one of the many highly informed reasons I chose to birth my next two at home).

Out - of - Hospital Birth is not a good option for a person with preexisting disease or condition making pregnancy and birth high - Birth is not a good option for a person with preexisting disease or condition making pregnancy and birth high - birth high - risk.

This poses the question then if the Wax (2010) study is not specific to whether home birth is safe in comparison to hospital birth, but if outcomes correlate with the type of midwife (level of training) and acceptance of out - of - hospital birth in the larger healthcare system?

Instead of excluding the high risk births from both groups, they include the homebirth outcomes of premature births at 34 - 37 weeks gestation (13 - 17) breech and twins (13,14) lethal anomalies incompatible with life (13,14) unattended homebirths (15,16) unplanned homebirths (15,16) or women who became risked out of homebirth by becoming high risk at the end of pregnancy, had hospital births, but are included in the homebirth group.

Giving birth in a hospital with lots of people walking in and out and poking around in the woman will not have any positive effects.

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.

We paid completely out of pocket for our elective HB (attempts) and I am fine with that, even though we were low income and qualified for Medicaid (which is what paid for the hospital births after transfer).

In truth, most hospitals and birth centers are not this bad, but there are still some out there with very strict protocols about who can attend the birth of your baby.

While it remains unclear how much of that lock down was requested by the Carters, or if it was the hospital acting in what it considered the best interests of it's patients, what is clear is that regular protocol goes out the window when you're dealing with such a high - profile pregnancy and birth.

March 2014 — Centers for Disease Control and Prevention, National Center for Health Statistics data brief presents updated data on trends and characteristics of out - of - hospital births in the United States, with detail on ethnicity, geographic region and risk profile.

It is important to ask about the availability of the water birth at the hospital you are planning to go to and to ask any questions about giving birth in water; you may find it useful to find out how many women choose to have water births at the hospital, how many staff are trained to deal with water births and find out about the potential risks of giving birth in the water.

Previously, she was the Executive Director of the California Maternal Quality Care Collaborative (CMQCC), which is a state - wide initiative with approximately 300 hospitals where 560,000 births a year occur (one out of eight US births).

I came by natural birth honestly - my mom had unmedicated births and three of those were out - of - hospital births with midwives.

For some, they walk out of the hospital with their brand new bundle of joy and look like they did not just give birth or...

Doctoral thesis comparing safety and costs of natural out - of - hospital birth with in - hospital obstetric births.

While we'd opted out of the eye drops with my son (born Jan 2007), we were told this time around that they were required by state law and there was no way to get out of it (and we were told this by the self - proclaimed «most natural birth friendly L&D nurse at the hospital»).

Turns out a birth center was basically the best of both worlds — homey and less clinical than a traditional hospital, but still bustling with medical professionals who could ease my mind.

Or is this number skewed by mothers who chose out of hospital births who then are transferred to the hospital as a virtually unknown entity with no doctor charts when the sh*t has hit the fan?

In my limited experience with trying to talk sense into a group of people who were strong believers in out - of - hospital birth, I learned that even if you do inform them, they reject it.

With out - of - hospital birth, we assess the baby's vital signs and do a full physical exam after the birth, however, midwives and even OBs who practice outside of the hospital are not specialists in pediatric care.

Intrapartum and neonatal death rates were compared with those in other North American studies of at least 500 births that were either planned out of hospital or comparable studies of low risk hospital births.

If it was a Bones episode, she could reach the conclusion that out of hospital birth isn't worth the risks, that she was just lucky, and any further progeny will be born... in her lab with a OB or two.

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?

Oh, I know the whole «free will» stuff and all, but then again, if jumping out of an airplane with a parachute isn't an affront to God, why should giving birth in a hospital be?

The FACT is... more women DO die in hospital births (from things that could be prevented, or from unnecessary interventions) than in home births, and that women were NOT «dying in droves» from home births back in the day... death during birth was fairly uncommon until women were forced into dirty birth centers with doctors knocking them out and delivering their babies without being held to any sanitation standards because promiscuity was on the rise and we had to keep the «dirty women» separate from the rest of the hospital.

If you gave birth to your own child in a hospital, you know the enormous symbolism of walking out of the hospital and into your new lives with your newborn cradled in your arms.

I think this illustrates the problem with that fact that some hospital births are so traumatizing to some women that they end up seeking out alternatives for subsequent births that aren't in the best interests of themselves or their babies.

But when ACOG came out with that opinion, and, it was only an opinion, water birth programs actually stopped in a lot of our hospital systems immediately.

ACOG came out with an opinion statement a few years ago and it still feels like there are lots of questions about water birth and a lot of women seeking water birth, but they are still getting some push back from their hospitals.

The birth of baby Luna at Boca Raton Regional Hospital in Boca Raton, FL with midwives Courtney McMillian and Polina Goldenberg of Boca Midwifery, who work with Dr. David Lubetkin, filmed and edited by Paulina Splechta of Paulina Splechta Photography, birth photographer and film maker based out of Boca Raton, FL..

We know from the UK Birthplace study that, with fully trained MWs cooperating within the health system, tight risk - out and 40 % transfer rate, the babies of first - time mothers still die at 3X the rate of similar hospital births (quite aside from hypoxic and physical injury).

With out - of - hospital birth, parity is a HUGE risk factor for neonatal deaths, and if you break it out by cause, most of the excess is labor complications.

Having a home birth because the risk is there, but it's low and you figure most births are uncomplicated and since your wife is low risk, choosing the more cost efficient home birth route makes more sense since you MAY have problems with at home, but paying out of pocket for hospital care is for sure an expense you can't afford when everything is most likely going to be ok anyway.

«The planned category of out - of - hospital births is seen to be a generally low - risk group for neonatal mortality, with very few low - birth - weight births and fewer teenage, low - educational levels and unwed mothers than found statewide, «the researchers said.

While the NICE guidelines make it clear that women should be free to choose the birth setting they are most comfortable with, they point out that the risks of over-intervention in the hospital may outweigh the risks of under - intervention at a birth center or at home for the majority of expecting mothers.

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.

The odds of cesarean section among women planning out - of - hospital birth were lower among multiparous women than among nulliparous women and among women with 12 years of education or less than among women with more than 12 years of education (Figure 1).

Outcomes for Hospital vs. Out - of - Hospital Births, with and without Reclassifying Transfers as Planned Out - ofHospital Births.

Planned out - of - hospital birth was also strongly associated with unassisted vaginal delivery (93.8 %, vs. 71.9 % with planned in - hospital births; P < 0.001) and with decreased odds for obstetrical procedures.

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.

We stratified planned out - of - hospital births according to eventual place of delivery to enable the comparison between completed out - of - hospital births and planned out - of - hospital births that took place in the hospital after the mother's intrapartum transfer and to better characterize differences between the women with these two types of birth experiences.

We compared planned hospital births with planned out - of - hospital births (an aggregate group of planned home births and planned birth - center births), including the out - of - hospital - to - hospital transfers.

Planned out - of - hospital birth remained strongly associated with decreased odds of induced labor (adjusted odds ratio, 0.11; 95 % CI, 0.09 to 0.12), cesarean delivery (adjusted odds ratio, 0.18; 95 % CI, 0.16 to 0.22), and other obstetrical procedures and increased odds of unassisted vaginal delivery (adjusted odds ratio, 5.63; 95 % CI, 4.84 to 6.55).

An odds ratio of more than 1 indicates that the risk of the outcome is increased with planned out - of - hospital birth as compared with planned hospital birth.

Planned hospital births included all births that occurred in the hospital with the exception of births that occurred after intrapartum transfer to the hospital of a woman who had planned an out - of - hospital delivery.

To assess the robustness of the results of our regression analysis, we performed covariate adjustment with derived propensity scores to calculate the absolute risk difference (details are provided in the Supplementary Appendix, available with the full text of this article at NEJM.org).14, 15 To calculate the adjusted absolute risk difference, we used predictive margins and G - computation (i.e., regression - model — based outcome prediction in both exposure settings: planned in - hospital and planned out - of - hospital birth).16, 17 Finally, we conducted post hoc analyses to assess associations between planned out - of - hospital birth and outcomes (cesarean delivery and a composite of perinatal morbidity and mortality), which were stratified according to parity, maternal age, maternal education, and risk level.

Planned out - of - hospital birth was associated with increased odds of perinatal death (adjusted odds ratio, 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 per 1000) and neonatal death (adjusted odds ratio, 2.87; 95 % CI, 1.10 to 7.47; adjusted risk difference, 0.63 deaths per \ 1000 births; 95 % CI, 0.03 to 1.24 per 1000), but there was no significant increase in the odds of infant death.

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).

Perinatal mortality was higher with planned out - of - hospital birth than with planned in - hospital birth, but the absolute risk of death was low in both settings.