Home Birth

[Anonymous]

Anonymous wrote:By “know six moms who died of sepsis” they mean they read about it on one of those Facebook groups that demonizes hospitals.

Listen, guys, we actually have this thing called “statistics” so we actually do know what is safer, which in the United States is hospital births. It’s not some unknowable mystery. If you want to play Russian roulette have at it but don’t pretend it’s a logic-based decision.

Maternal mortality risk is not spread evenly across the US geographically or demographically. If you're white and have healthcare, your maternal mortality odds are the same as in other developed nations, but if you're black and especially if you live in states like Louisiana and Alabama and/or you're from a lower SES, chances are pretty good you'll personally know women who've died in childbirth.

[Anonymous]

Anonymous wrote:

Anonymous wrote:By “know six moms who died of sepsis” they mean they read about it on one of those Facebook groups that demonizes hospitals.

Listen, guys, we actually have this thing called “statistics” so we actually do know what is safer, which in the United States is hospital births. It’s not some unknowable mystery. If you want to play Russian roulette have at it but don’t pretend it’s a logic-based decision.

Maternal mortality risk is not spread evenly across the US geographically or demographically. If you're white and have healthcare, your maternal mortality odds are the same as in other developed nations, but if you're black and especially if you live in states like Louisiana and Alabama and/or you're from a lower SES, chances are pretty good you'll personally know women who've died in childbirth.

Six women?

[Anonymous]

Just had my 2nd at home 2 weeks ago! Same midwife as my first 2 years ago. Like others, we set up the birthing tub in our bedroom. My sister was here this time as she is expecting her first in 6 months. She lives in the West and says you need to book a midwife out there as soon as you know you are pregnant -- kind of like finding daycare!

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:By “know six moms who died of sepsis” they mean they read about it on one of those Facebook groups that demonizes hospitals.

Listen, guys, we actually have this thing called “statistics” so we actually do know what is safer, which in the United States is hospital births. It’s not some unknowable mystery. If you want to play Russian roulette have at it but don’t pretend it’s a logic-based decision.

Maternal mortality risk is not spread evenly across the US geographically or demographically. If you're white and have healthcare, your maternal mortality odds are the same as in other developed nations, but if you're black and especially if you live in states like Louisiana and Alabama and/or you're from a lower SES, chances are pretty good you'll personally know women who've died in childbirth.

Six women?

And not just six women but six women who died of sepsis after giving birth. Uh huh.

[Anonymous]

My second was born at home with Birthcare in Alexandria. Highly recommend them- such amazing care and presence at the birth.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Even though baby and I had no risk factors, my third would be dead if I had him at home. Don’t.

This is absolutely ridiculous and just the kind of histrionics I'd expect on this board. You have no idea what the issues were with her 3rd or if she really even needed medical intervention. Do you see how many women here claim they needed an "emergency cesarean", yet they weren't placed under general anesthesia? Here's a newsflash, that's called an unplanned cesarean, almost always done unnecessarily.

I've had a free standing birth center birth, homebirth and I'm planning another homebirth. I'm a big advocate for birthing at home.

I will say, it's not for the faint of heart. I doubt many of my friends have the pain tolerance to handle it. They'd likely demand a hospital transfer after a few mins of transition. I do believe it's almost always healthier for the baby and mother to deliver in the home environment. Also brings baby into a calm and loving environment, that's a much better way to be welcomed onto the earth side.

Earth side?

Lemme guess...you didn’t have labor pains or contractions, you had “rushes”, amirite?

The baby doesn’t have a freaking clue where it is when it comes out. It’s a baby. [/quote]

There are longitudinal studies that refute this. You're one of those types, though.

Please share links!

[Anonymous]

Anonymous wrote:Just NO. I was driving by the Birthcare place in Alexandria last week and it had 3 ambulances outside. NO NO NO. Look at what happened to poor Kara Keough.

The birth care place looks like a dump inside and outside. Like civil war era horror show medicine.

[Anonymous]

I delivered all 4 of my kids vaginally, without an epidural, and with crunchy midwives, in the hospital. I was low risk for all of them. I would not intentionally deliver at home —in my opinion, the risk that something can go wrong, and when it does, go wrong fast, is too high for me to roll the dice.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:By “know six moms who died of sepsis” they mean they read about it on one of those Facebook groups that demonizes hospitals.

Listen, guys, we actually have this thing called “statistics” so we actually do know what is safer, which in the United States is hospital births. It’s not some unknowable mystery. If you want to play Russian roulette have at it but don’t pretend it’s a logic-based decision.

Maternal mortality risk is not spread evenly across the US geographically or demographically. If you're white and have healthcare, your maternal mortality odds are the same as in other developed nations, but if you're black and especially if you live in states like Louisiana and Alabama and/or you're from a lower SES, chances are pretty good you'll personally know women who've died in childbirth.

Six women?

And not just six women but six women who died of sepsis after giving birth. Uh huh.

It's not that common, unless you are including women who came INTO the hospital with infection already underway (like chorioamnionitis). Do you know how many women in the US die of puerperal sepsis in the US every year, even including those that came in with infection already brewing?

I'll wait for your answer.

[Anonymous]

According to the CDC about 87 post-partum women in the US a year. So you think this poster happened to know six of them? In a country of 300 million? I’m not saying it’s an acceptable number. I’m saying it’s vanishingly unlikely that this poster is telling the truth unless they work in the field. (In which case they’d know home births are still statistically more dangerous.)

[Anonymous]

Anonymous wrote:According to the CDC about 87 post-partum women in the US a year. So you think this poster happened to know six of them? In a country of 300 million? I’m not saying it’s an acceptable number. I’m saying it’s vanishingly unlikely that this poster is telling the truth unless they work in the field. (In which case they’d know home births are still statistically more dangerous.)

Another way of looking at is is sepsis is a complication in about 1 in 3333 births, and sepsis-related death in the post-partum period occurs in about 1 in 105,263 deliveries.

[Anonymous]

PS: also, the death rate of babies in home births is about twice the rate of hospital deliveries. That's even though home births are selected as the lower risk ones.

[Anonymous]

To the woman up thread who wants a home birth so that she won’t be surrounded by nurses and doctors in face masks and shields- are you saying that midwives who deliver at home do not wear personal protective equipment? Because if they don’t, that’s a huge risk right there.

[Anonymous]

They wear it, of course. They are utmost professionals.

-- Mom of 2 home- births

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:OP would be well served to read the Failure to Deliver series. https://stories.usatodaynetwork.com/failuretodeliver/about-the-investigation/.

Also, Kara Keogh was 4 blocks from a hospital. Proximity to
the hospital doesn’t mean anything in a critical situation. Seconds matter.

Yep infant rescusitation procedures are meant to be timed in seconds, with hospital equipment and drugs only a MD can administer on hand, and with multiple professionals involved.

'

exactly. even if midwives can do some of those procedures, they in no way have the set-up to be able to do it as effectively as in the hospital (infant warmer standing by, good lighting, all the instruments to measure pulse & O2), and all the trained people to help them.

+1 Kara Keough should have had csection given all the risk factors and her baby was over 11 lbs. But even if she tried to deliver naturally, in a hospital with a hospital-based midwife, her baby probably would have made it because of the procedures and resources in place that can be activated in secodns. In the hospital, the protocol is that the VERY first thing you do when shoulder dystocia is suspected/apparent is to call for help and get the neonatologist and other professionals to be at the ready to rescuscitate the baby as soon as it's delivered at the bed. Seconds count if the baby's air has been cut off while s/he is stuck in the birth canal. The OBGYN will also be hand to perform emergency surgery or other maneuvers because in circumstances where the baby is stuck for too long and can't be freed through maneuvers/episiotomy/breaking the collarbone etc, one thing they can decide to do to save the child is to force the baby back in and have an emergency C-section to deliver it as quickly as possible.