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Tag Archives: pregnancy

Wise Words on Home Birth vs Hospital Birth from an OB/GYN Herself!

Here is a great article from OB/GYN Aviva Romm, who was once a Midwife and incorporates the midwifery model of care into her practice today. She makes some very interesting points and explains why she chose to have her four children at home and why she would still choose home births today. I have posted a few quotes from her article but please, go read the whole article! 

 http://avivaromm.com/choosing-home-birth

 

 

There are very real health reasons for women to consider birthing at home.  These include mom’s safety, baby’s safety, and the economic sustainability of our health care system.”

“Now, having been through obstetrics training I can honestly say that I’d feel even more concerned about having my baby in the hospital – unless absolutely medically necessary.”

“There are not only immediate risks to the mother; we know that babies born by cesarean section miss out on the benefits of exposure to the vaginal flora that they’d otherwise come in contact with if born vaginally – and this lack of exposure can predispose a baby to disrupted gut flora and significant consequent health problems. Additionally, babies born by cesarean get a dose of antibiotics before birth via mom’s system, adding to the double hit on gut flora!”

“Obstetric Evidence Is Reliable Only 30% of the Time”

I wasn’t brave at all – I was simply terrified of having my babies in the hospital!”

“I was just having a baby, not an emergency appendectomy! I didn’t want all of these potentially dangerous interventions for something that was almost always natural and safe. It sort of reminds me of those commercials for a medication for something benign like a foot fungus. You know, you’ve got a little athlete’s foot so treat it with something that can cause “heart problems, coma, and death.” It’s just overkill for something that’s usually just not that big a deal in a healthy person.”

“As a midwife I’d observed the loss of autonomy that too often occurred when a woman set foot in the hospital – the transformation that occurred with the ritual of shedding her “real person” clothes in favor of the hospital johnnie, and with it the shift of going from being an independent, capable woman into “a patient” – which culturally equates with being dependent, helpless, and sick – qualities that are a far cry from feeling empowered and strong”

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The Midwives Alliance of North America Statistics Project , 2004 to 2009 Results on Care of Planned Home Births

From the abstract of the Outcomes of Care for 16,924 Planned Home Births in the United States: The Midwives Alliance of North America Statistics Project, 2004 to 2009 article:

“Among 16,924 women who planned home births at the onset of labor, 89.1% gave birth at home. The majority of intrapartum transfers were for failure to progress, and only 4.5% of the total sample required oxytocin augmentation and/or epidural analgesia. The rates of spontaneous vaginal birth, assisted vaginal birth, and cesarean were 93.6%, 1.2%, and 5.2%, respectively. Of the 1054 women who attempted a vaginal birth after cesarean, 87% were successful. Low Apgar scores (< 7) occurred in 1.5% of newborns. Postpartum maternal (1.5%) and neonatal (0.9%) transfers were infrequent. The majority (86%) of newborns were exclusively breastfeeding at 6 weeks of age. Excluding lethal anomalies, the intrapartum, early neonatal, and late neonatal mortality rates were 1.30, 0.41, and 0.35 per 1000, respectively.”

Here is a link to the full article.

Here is a link to the Development and Validation of a National Data Registry for Midwife-Led Births: The Midwives Alliance of North America Statistics Project 2.0 Dataset article

 

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