A Few More Studies Examining Hospital v. Home Births

As most birth advocates will say, it is a personal decision about what is comfortable for each individual mother/woman/family. ❤

Well done studies will always show that there is risks and benefits for each birth setting and it is up to each individual to decide what is best for them and their family.

What we need now is a study about how and why care providers have “God complexes” and mistreat, lie and coerce women during their childbearing years.

Hopefully that will happen soon instead of beating the dead horse of studies about the risks and benefits of home v. hospital.

An excerpt:

“A tiny fraction of United States births occur outside hospitals, but theyhave been increasing, partly because some women want to avoid interventions like induced labor or cesarean sections. In 2012, according to federal data, births at home and birth centers amounted to 1.28 percent of all American births, up from 0.79 percent in 2004.

That growth has drawn attention to issues of safety, midwife training and licensing, coordination between midwives and doctors, and arrangements for transferring women to hospitals if problems arise.

The study was strengthened by key information recently added to Oregon birth certificates: where women planned to give birth, not just where they ended up delivering. That disclosure allowed researchers to separate out births that started at home or birthing centers but had to be transferred to hospitals.

The study team, based at Oregon Health and Science University and including two obstetricians, a nurse, an epidemiologist and a certified nurse midwife, also adjusted for women’s race, age, and pregnancy risks like diabetes or hypertension, so those factors could be ruled out as explanations for delivery problems.”

See the entire article here:
http://www.nytimes.com/2015/12/31/health/as-home-births-grow-in-us-a-new-study-examines-the-risks.html?partner=rss&emc=rss&_r=0

 

Second, a similar article:

http://www.npr.org/sections/health-shots/2015/12/30/461290691/giving-birth-outside-a-hospital-is-a-little-riskier-for-the-baby?utm_medium=RSS&utm_campaign=childrenshealth

An excerpt:

“The bottom line is, childbirth in the United States is very safe regardless of where you decide to do it,” says Dr. Michael Greene, who directs obstetrics at the Massachusetts General Hospital in Boston. Greene co-authored an editorial accompanying the studyin the New England Journal of Medicine but was not involved in the research.

Out of every 1,000 babies whose mothers planned to deliver at home or at a birthing center, 3.9 died just before, during or in the month after labor, the study found. In comparison, 1.8 out of every 1,000 babies died when the births were planned for a hospital, the study found.

Roughly 99 percent of American women give birth to their infants in a hospital. But the number of women delivering babies at home or in a birthing center has beenincreasing dramatically in recent years — up nearly 30 percent between 2004 and 2009, for example. So scientists at the Oregon Health and Science University decided to try to get a better idea of how risky that is.

The researchers took advantage of the fact that Oregon recently started requiring all birth certificates to list whether the mother had intended to give birth inside or outside a hospital. That designation helped researchers tease out births that were intended for home, but ended up in the hospital when something went awry. The study also excluded twins and other pregnancies designated as higher risk; hospital deliveries are more likely to be planned for pregnancies deemed higher risk.

“I think this is the best data we’ve had in our country on this question because where the woman intended to deliver really matters,” says Dr. Aaron Caughey, who heads the university’s department of obstetrics and gynecology.”

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