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July 8th, 2013 08:04 PM #26Senior Member
Mother to: Patrick Werner (3/10) and Mary Claire (06/12)
- Join Date
- Jul 2013
July 8th, 2013 10:07 PM #28Senior Member
- Join Date
- Aug 2009
- Midwest, US
I have seen studies that are studies that dispute safety of hospital births.
Here's one that suggests that homebirth is MUCH safer for the mother (particularly 2nd+ time moms) than hospital birth: http://www.bmj.com/press-releases/20...ng-home-births
I will be having a homebirth with a midwife (certified nurse midwife, not a CPM or DEM). I am well-educated on my options and this is my second low-risk birth. After 2 full days on pitocin in the hospital with an OB for my first (no epidural TYVM), I'm 100% confident that the best place for my baby to be born this time is right at home. I'm a trained doula myself and have attended numerous home births. I have no reservations about them for the right birth and with the proper support. My midwife and her staff are fully trained in neo-natal resuscitation and carry all the necessary supplies such as masks and O2 tanks. I also live about 5 minutes from a major trauma center.
Women need to know their options and know their health history and risks. I also find it critical that parents-to-be prepare themselves with a comprehensive childbirth course over several weeks such as Bradley Method or Informed Beginnings. Informed consent cannot be given for procedures if mom is not actually informed first and only fear is used to sway her towards the decision that the doctor wants her to make. Hospital classes do not prep new moms as well as they should.
IMO, Posts like this only breed fear and are biased, particularly when it's unknown what the provider's credentials actually are.
Last edited by smismar; July 8th, 2013 at 10:17 PM.Mom to Sylvia Caron and Linus Roman
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July 9th, 2013 02:35 AM #30
Blade said homebirth midwives in the US are all completely unqualified (which isn't actually true, there are both lay and qualified midwives who handle homebirths there) vs professional, qualified midwives who work in hospitals. Any country which has lay midwives operating is going to have completely different homebirth stats than countries which don't. And actually, I think it's a big shame they didn't differentiate between the qualified and unqualified midwives. I agree that having an unqualified midwife attend your birth is unsafe (wherever you birth), but that doesn't make *homebirth* intrinsically unsafe, it makes your midwife unsafe.
From the body of the paper:
"Patients delivering at home attended by midwives were significantly more likely to be
multiparous, non-Hispanic white, ≥30 years of age, delivering beyond 41 and 42 weeks,
and having macrosomic infants over 4,000 and 4,500 grams (p<.0001)."
It seems biased to me to exclude small and premature babies (more likely to be born in a hospital) but not to exclude large and post-dates babies (more likely to be born at home).
Also worth noting:
"The CDC data on seizures or serious neurologic dysfunction include those
of genetic, prenatal, intrapartum, and neonatal origin that might not be related to birth
Finally... aside from some basic exclusions (premature, low birthweight, multiple gestations) I can't find any qualifier about how many of the births were classed as low risk. Given that nearly all health providers only recommend homebirth for low risk pregnancies - but often homebirth stats include high risk women who birthed at home anyway - that seems like a pretty serious oversight. Studies that compare only low risk births often find little difference in outcome between hospital and home.
Last edited by milasmama; July 9th, 2013 at 02:56 AM.Mother to miss Mila Arden and her brand new brother, Cato Bennett
July 9th, 2013 02:38 AM #32
July 9th, 2013 08:55 AM #34Senior Member
- Join Date
- Mar 2012
It seems fairly self-evident to me that giving birth in a setting with medical intervention on-hand is going to be "safer" for complicated births (and of course you never know whether this will be the case until it is too late).
However, I still believe that there are other factors to consider that would sway some mothers towards a home birth, despite the need to travel to hospital if things go horribly wrong: the comfort of being at home, having complete control over the birth setting and the birth. For instance, if you have had an uncomplicated first birth, some women may be willing to trade the risk of a 15 minute ambulance ride for the security of knowing that they won't receive any unnecessary intervention (I've heard that my closest hospital will transfer a woman from the midwife led unit to the delivery suite for medical intervention if her labour is not progressing quickly enough after four hours - I don't like the idea of being on a stop watch, and all medical intervention carries its own risks).
So, the statistics around safety are only one factor (if arguably the most important) in making a decision about where to give birth.