Reply to Story about the "free birthers." Anyone read it?

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Reply to "Story about the "free birthers." Anyone read it?"

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Question for the home Birthers:  what happens if a woman is discovered to need an emergency c-section while doing a home birth?  Can an ambulance get the mom to the hospital in time?  [/quote]
Yes. The premise of home birth is there is a midwife monitoring you closely and recommends a transfer before something progresses to a full-blown complication.[/quote]

well, that's the fantasy of homebirth.  homebirth has a higher rate of death and disability precisely because it's difficult to identify and manage a complication in time.  Obviously.  [/quote]
And yet other wealthy countries seem to manage getting good outcomes with home birth. In the U.S. you are correct that outcomes are worse, likely because of the lack of professionalization in midwifery, persistent bias in the medical community against the midwife profession, and total lack of integration of models of care within the healthcare system. There are ways around those things in some areas, and home birth is slowly becoming more accepted so hopefully that will bring about improvements in home birth outcomes.[/quote]

Actually that's also a fantasy.  For example, the Dutch homebirth rate is plummeting due to safety concerns (and desire for pain relief).

https://brightthemag.com/dutch-moms-are-choosing-hospitals-over-home-births-and-maybe-thats-a-good-thing-23d2d304c7ed

[/quote]
Hmm, this lady was angry at being transferred to the hospital - which her midwife did out of valid concern for the baby's safety. This is exactly how it's supposed to happen. If you're high risk of you develop a complication then it's not safe to give birth at home, period. I didn't see mention of the safety rate plummeting.

Anyway there's plenty of evidence of the safety of home birth in countries where it's more accepted and the system is equipped for it.[/quote]

The Dutch homebirth rate is falling, and the Dutch infant mortality rate is improving.

https://www.washingtonpost.com/news/wonk/wp/2015/07/08/why-home-births-are-safer-for-rich-women/?utm_term=.fc9b82df0e46

[/quote]
Okay, that study found home birth neonatal mortality increased only for low-income women. It also only looked at where the women actually gave birth, rather than where they planned to. So if you choose a hospital birth and plan for that, and then you have an accidental home birth, that is generally a less safe scenario. All of the other home birth studies (including the one by de Jong et al that uses the same source data as the one in this article and concludes home birth is just as safe for low-risk pregnancies) recognize the confounding effect of using actual birth place and use only planned birth place.[/quote]

So the outcomes of low income women don't matter to you??? [/quote]

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