12 responses to “Homebirth Safe After All”

  1. Amamember

    The AMA has much to say about these news articles as it did as about the Fiona Connolly (Daily Telegraph 7/4/09) article. They are just news articles. Some might include catchphrases from some study but the articles themselves are no surrogate for evidence.

  2. Lisa Barrett

    Please, AMA member, give us the evidence. Oh and forget Bastien.
    WA stats have been well spoken about too and we all know that the deaths were unavoidable as the conclusion of the report said.
    How about you use your name for us all to see you put your money where your mouth is. As you can tell from this blog, mine is.

    Don’t you people believe in the womans right to chose, don’t you understand informed consent.

    Have you or any of your cronies ever even attended a homebirth?
    Of course not, you’d have to stay around, you couldn’t nip off to play golf or go home for tea. You couldn’t have 20 other women on your books for the same time. You would have to listen to what women want, understand their needs and realise that antenatal care includes more than BP and fetal heart. Oh and the manditory, baby is too big, too small, you are too fat, too thin, too short, pelvis is too small. blah blah.
    We would love to hear more from you. I’d be happy to turn it into a whole post in iself.
    in anticipation.,,,,,…..

  3. Carey

    Yes I’ll line up to hear this “evidence”, yes please! How about the study on which the article is based? Or the other many studies into the safety of homebirth? Care to address those or do you prefer lies and manipulation to try and scare people into staying into your model of “care”? Some of us use science and evidence to choose where and how we birth. What a shame doctors don’t apply a bit of those.

    Come on, share, please, we’re all waiting eagerly!

  4. Anonymous

    This is the first time an a study with the ability to detect significant differences in perinataloutcomes has indicated comparative safety of planned home and planned hospital birth for low risk women cared for by midwives. Although there are some methodological weaknesses which could be highlighted
    I suppose we can all (obstetricians and home birth enthusiasts)learn from this.
    Why are Dutch home birth outcomes apparently better than those found elsewhere around the world, and especially Australia? Perhaps achieveing a low interventiopn birth is seen in Holland as a matter of fact desirable outcome, but not one to be achieved in the face of warnings of emerging complications. It would be interesting to have seen the figures on the number of women who initially planned a home birth, but were ultimately transferred to hospital care, both during pregnancy, and after onset of labour.
    Without wanting to labour the point, perinatal mortality rates in Holland are the highest in Europe, and significantly higher than Australia's for babies born at >28 weeks. How do we copy the desirable outcomes of the Dutch experience, without risking importing the undesirable ones?
    If both sides of the home birth debate can face up to these facts, perhaps some dialogue can be achieved.

  5. Amamember

    You don’t need me to point out the evidence as you obviously read and quote from the latest and greatest. How accurately you interpret them is your business. Your standard defence to anyone with a different conclusion is to mix fictional assumptions with abuse.

    I don’t play golf, I don’t have women in my books, in fact being a microbiologist, I don’t even really have patients. And if I want to be a credible challenger to the scientific findings of my peers, I would not be promoting homeopathy and other remedies in the same forum.

  6. Lisa Barrett

    We do need you to point out the evidence. You claim the articles are surrogate for the evidence. Please present us with the evidence that we are vitally missing out on.

    As a mircobiologist I can see you would be a specialist in every aspect of womens health.

    promoting homeopathy is certainly not the main stay of this blog. Taking vit C and 12 to boost your immune system isn’t really under dispute. Accepting antibiotics when all else has been tried is recommended.

    I would love to understand what you feel is a fixtional assumption or absuse. I have worked in a large private hospital in South Australia as the midwife in charge as part of my initial entry into Australia a number of years ago. I can promise that everything said in my previous comment is absolutely true. No exaggeration no added insults. Talk to a few women who have had private care. Inductions for holiday. weekends off when a woman is due and a unknown face at the birth. Section rates way up at 7.30am 5pm 10.30pm. Please check this out for yourself.

    I am totally open to any evidence you would use.

    I would like to remind you that in South Australia Independent midwives have a good working relationship with the tertiary unit. Some Obs are supportive and the whole midwifery unit very supportive to our work in the community. Communication is good and transfer can be very smooth.

    Choice for women is just that. A woman should quite legally be able to birth at home with an independent midwife.

    a section carries a much bigger risk than any normal birth. This option is high supported for women to chose without a blink of an eye. Regardless to your personal uniformed opinion it is a human right of a woman to chose her place of birth.

  7. Joy Johnston

    I wonder why the Netherlands has a higher perinatal mortality rate than other countries? Is it related to the low caesarean rate, or something else. I don’t see any reason to believe it has any relation to homebirth, as the risk management criteria that the Dutch midwives follow mean that anyone planning homebirth who develops a complication is taken to hospital. Is there a greater acceptance of death in certain situations? Are babies whose lives would be heroically protected, and therefore not part of the statistics in this country ‘allowed’ to die in the Netherlands.

  8. Anonymous

    Thanks Joy,

    the higher rate is made up of both higher foetal death rate, and higher neonatal death rate. Part of the difference is thought to be a higher proportion of older mothers and multiple births, but these factors don’t appear to fully explain higher pernatal death rates. I also believe that it might be due to lower intervention rates for all births, but at this stage we just don’t know.

  9. maria

    This is why the ACOG will not be swayed by this study:

    http://www.facebook.com/ext/share.php?sid=100650912208&h=hb0EK&u=QQmF0&ref=mf

    I suspect the same will be true for any other country.

    It is not hard to get a hold of the study itself for those of you who are interested by the way.

    Joy, being Dutch, I do believe that Dutch people tend to accept the hard facts of life easier than Americans (and Australians?) If this is related to the numbers I don't know, but I am sure the different attitudes have something to do with it. Also, I wonder if when we look at infant death rate, we may see an evening out f the numbers in some way. I think for insurance reasons, a hospital in the US may do much more to keep a newborn alive until past 27 days. In Holland, there is no such huge litigation issues.

    Also, our health care is available to all, so one would think that it has nothing to do with screening or in this case, lack there. There is no big group of people who do not have access to medical care.
    Like above poster mentioned, multiple births and older women might have something to do with it as well.

    Anyway, it is indeed an interesting fact.

  10. Lisa Barrett

    Sorry Maria, can’t edit the comments on this blog. Please everyone go to this link not the facebook one above.
    giving birth with confidence

  11. pinky

    Women who have undergone IVF seem to have more pregnancy complications also.

    I cannot imagine the USA and ACOG embracing homebirth anytime soon. I think the most we could hope for is a birth center across the street from a busy OB hospital. That would be nice. Especially if you could have all your prenatal visits in the same building so you are familiar with the place. I would like to see that happen.

  12. Mount Belly Mama

    Hey, if you get a chance read my post on my hospital tour… you might find it, uh.. interesting.

    http://hotbellymama.blogspot.com/2009/04/am-i-high-or-low-photos.html