New landmark study shows that planed home births are safe.The largest stay of home births attended by Certified Certified Professional Midwives, as published in the British Medical Journal The British Medical Journal, or BMJ, is one of the most popular and widely-read peer-reviewed general medical journals in the world.[2] It is published by the BMJ Publishing Group Ltd (owned by the British Medical Association), whose other , has found that home that home birth is safe for low risk women and involves far fewer intervention than similar birth in hospitals. Safe & Healthy Outcomes * Results are consistent with most studies of planned home birth and low risk hospital births * Intrapartum and neonatal mortality Noun 1. neonatal mortality - the death rate during the first 28 days of life neonatal mortality rate death rate, deathrate, fatality rate, mortality rate, mortality - the ratio of deaths in an area to the population of that area; expressed per 1000 per year : 2.0 per 1000 intended home births (only 1.7 per 1000 intended home births when planned breech breech (brech) the buttocks. breech n. The lower rear portion of the human trunk; the buttocks. breech, britch the buttocks of an animal; the backs of the thighs. and twin births are excluded) * Immediate neonatal neonatal /neo·na·tal/ (ne?o-nat´'l) pertaining to the first four weeks after birth. ne·o·na·tal adj. Of or relating to the first 28 days of an infant's life. concerns resulted in just 2.4% newborns being placed in neonatal intensive care * At six weeks well over 90% of mothers were still breastfeeding their babies Low Rates of Medical Intervention * Much lower rates of interventions for intended home births compared to low risk hospital births:
Planned home Hospital birth
birth
Induction of labor (only 2.1 % * 21.0%
with oxytocin prostalandins
Simulation of labor (only 2.7 % * 18.9%
with oxytocin
electronic fetal monitoring 9.6% 84.3%
Episiolomy 2.1% 33.0%
Vacuum Extraction 0.6% 5.5%
Cesarean Section 3.7% 19.0%
* These numbers differ from the BMI article where for CPMs
included form of induction and stimulation only used by
midwives and not comparable to hospital births.
Satisfied Mothers * only 1.7% of the mothers they would choose a different type of career for a future pregnancy Few Transfers to Hospital Care * Only 12.1% transferred to hospital intraparturn or postpartum postpartum /post·par·tum/ (post-pahr´tum) occurring after childbirth, with reference to the mother. post·par·tum adj. Of or occurring in the period shortly after childbirth. * Five out six transfers were before delivery, most for failure to progress, pain relief or exhaustion * Midwife MIDWIFE, med. jur. A woman who practices midwifery; a woman who pursues the business of an account. 2. A midwife is required to perform the business she undertakes with proper skill, and if she be guilty of any mala praxis, (q.v. considered transfer urgent in only 3.4% of intended home births High Credibility * Included all home births involving Certified Professional Midwives in the year 2000 * 5,418 women in U.S. and Canada who intended to give birth at home as of the start of labor * Prospective--every planned home birth was registered in the study prior to labor and delivery * Outcomes of planned home births with certified professional midwives: large prospective study in North America North America, third largest continent (1990 est. pop. 365,000,000), c.9,400,000 sq mi (24,346,000 sq km), the northern of the two continents of the Western Hemisphere. ." Kenneth C Johnson and Betty-Anne Daviss. BMJ BMJ n abbr (= British Medical Journal) → vom BMA herausgegebene Zeitschrift 2005;.330:1416 (18 June). This article and related letter to the editor are available online, free, at http://www.bmj.com (Use the search feature and type Daviss for the author.) |
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