Anonymous wrote:Previous poster here (from Austria) This is interesting. I am a little surprised at the "allowed to " language -- isn't the laboring woman in charge? I did not have any monitors -- the midwife just listened regularly on her stethoscope. is that the right word? Epidural in not common at the maternity center. I think those are for emergencies. I need to check with a friend who delivered in a hospital back home. I delivered lying mostly on my side both times and my midwife guided out my son. It was so painful but by the time I was pregnant with my 2nd son i had forgotten the pain of the first one -- well, almost!

I need to do more research.

If you want that kind of experience (and you have a low risk pregnancy) you probably need to do a home birth or maybe a pretty low intervention birthing center. I had a home birth attended by midwives and my experience was very similar to yours. I labored in the privacy of my home, used a tub part of the time. My midwife eventually encouraged me to switch positions into one that she thought would work for pushing and my son was born 3 pushes later. My husband caught him. DS nursed right away. Every friend who had a baby in the hospital had substantially more intervention by need or choice.

Honestly, while a home birth was the right choice for me at the time, I'm not sure I'd do it again because the contractions were waaaayyyyy worse than I expected and I would probably want pain relief next time.

Anonymous wrote:Previous poster here (from Austria) This is interesting. I am a little surprised at the "allowed to " language -- isn't the laboring woman in charge? I did not have any monitors -- the midwife just listened regularly on her stethoscope. is that the right word? Epidural in not common at the maternity center. I think those are for emergencies. I need to check with a friend who delivered in a hospital back home. I delivered lying mostly on my side both times and my midwife guided out my son. It was so painful but by the time I was pregnant with my 2nd son i had forgotten the pain of the first one -- well, almost!

I need to do more research.

You are in charge within the limits of what the hospital allows.

They don't do scopes here. No it's not a stetoscope, I forget the right word. Doppler! You will generally be hooked up to a monitor. You can unhook it for bathroom trips and if you want to move around but not for long.

If you have an epidural, you won't be allowed to get up. Epidurals are common at American hospitals and many many women choose them. They are for comfort not for emergencies. I had three children here and would not want to do it without an epidural.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:"Planned out-of-hospital birth was associated with a higher rate of perinatal death than was planned in-hospital birth (3.9 vs. 1.8 deaths per 1000 deliveries, P=0.003; odds ratio after adjustment for maternal characteristics and medical conditions, 2.43; 95% confidence interval [CI], 1.37 to 4.30; adjusted risk difference, 1.52 deaths per 1000 births; 95% CI, 0.51 to 2.54). The odds for neonatal seizure were higher and the odds for admission to a neonatal intensive care unit lower with planned out-of-hospital births than with planned in-hospital birth"

https://www.nejm.org/doi/full/10.1056/NEJMsa1501738?query=featured_home

NP. Very helpful article -- thanks for posting. Effectively says overall risk of complications is low, and absolute difference between home and hospital births is small; but likelihood of obstetric procedures is higher in hospital. They also briefly discuss ways to improve midwifery system in the US.

Seems like US has chosen to involve more obstetric interventions across the board to achieve a small improvement in outcomes.

Actually is says that risk of death is higher in home birth. Read.

I think you should take your own advice and read. What you quoted doesn't contradict your statement.

What part of "Planned out-of-hospital birth was associated with a higher rate of perinatal death than was planned in-hospital birth (3.9 vs. 1.8 deaths per 1000 deliveries" is unclear to you?

Now which line in the quoted paragraph contradicts that statement?

Was he named in the Post article? Paywall.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:"Planned out-of-hospital birth was associated with a higher rate of perinatal death than was planned in-hospital birth (3.9 vs. 1.8 deaths per 1000 deliveries, P=0.003; odds ratio after adjustment for maternal characteristics and medical conditions, 2.43; 95% confidence interval [CI], 1.37 to 4.30; adjusted risk difference, 1.52 deaths per 1000 births; 95% CI, 0.51 to 2.54). The odds for neonatal seizure were higher and the odds for admission to a neonatal intensive care unit lower with planned out-of-hospital births than with planned in-hospital birth"

https://www.nejm.org/doi/full/10.1056/NEJMsa1501738?query=featured_home

NP. Very helpful article -- thanks for posting. Effectively says overall risk of complications is low, and absolute difference between home and hospital births is small; but likelihood of obstetric procedures is higher in hospital. They also briefly discuss ways to improve midwifery system in the US.

Seems like US has chosen to involve more obstetric interventions across the board to achieve a small improvement in outcomes.

Actually is says that risk of death is higher in home birth. Read.

I think you should take your own advice and read. What you quoted doesn't contradict your statement.

What part of "Planned out-of-hospital birth was associated with a higher rate of perinatal death than was planned in-hospital birth (3.9 vs. 1.8 deaths per 1000 deliveries" is unclear to you?

Anonymous wrote:
Man hid his coronavirus symptom to visit wife in hospital maternity ward and infected her. Later he fessed up to hiding his symptoms. Stupid POS. Wonder if his newborn also has it now. I am glad that hospitals are not allowing people, because some people act like ANIMALS.

https://people.com/health/new-york-man-hid-coronavirus-symptoms-to-visit-wife-in-hospital-maternity-ward/

:

Also in the Post: https://www.washingtonpost.com/nation/2020/04/01/coronavirus-symptoms-hospital-mother/

Man hid his coronavirus symptom to visit wife in hospital maternity ward and infected her. Later he fessed up to hiding his symptoms. Stupid POS. Wonder if his newborn also has it now. I am glad that hospitals are not allowing people, because some people act like ANIMALS.

https://people.com/health/new-york-man-hid-coronavirus-symptoms-to-visit-wife-in-hospital-maternity-ward/

Anonymous wrote:

Anonymous wrote:"Planned out-of-hospital birth was associated with a higher rate of perinatal death than was planned in-hospital birth (3.9 vs. 1.8 deaths per 1000 deliveries, P=0.003; odds ratio after adjustment for maternal characteristics and medical conditions, 2.43; 95% confidence interval [CI], 1.37 to 4.30; adjusted risk difference, 1.52 deaths per 1000 births; 95% CI, 0.51 to 2.54). The odds for neonatal seizure were higher and the odds for admission to a neonatal intensive care unit lower with planned out-of-hospital births than with planned in-hospital birth"

https://www.nejm.org/doi/full/10.1056/NEJMsa1501738?query=featured_home

NP. Very helpful article -- thanks for posting. Effectively says overall risk of complications is low, and absolute difference between home and hospital births is small; but likelihood of obstetric procedures is higher in hospital. They also briefly discuss ways to improve midwifery system in the US.

Seems like US has chosen to involve more obstetric interventions across the board to achieve a small improvement in outcomes.

NP
Of course, the fact that only low-risk births are accepted by midwives for planned out-of-hospital births, and high-risk births are overrepresented in planned in-hospital births, is going to skew greatly which group would have more actual medical need for interventions, too. But I'm sure we are all in agreement on that.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:"Planned out-of-hospital birth was associated with a higher rate of perinatal death than was planned in-hospital birth (3.9 vs. 1.8 deaths per 1000 deliveries, P=0.003; odds ratio after adjustment for maternal characteristics and medical conditions, 2.43; 95% confidence interval [CI], 1.37 to 4.30; adjusted risk difference, 1.52 deaths per 1000 births; 95% CI, 0.51 to 2.54). The odds for neonatal seizure were higher and the odds for admission to a neonatal intensive care unit lower with planned out-of-hospital births than with planned in-hospital birth"

https://www.nejm.org/doi/full/10.1056/NEJMsa1501738?query=featured_home

NP. Very helpful article -- thanks for posting. Effectively says overall risk of complications is low, and absolute difference between home and hospital births is small; but likelihood of obstetric procedures is higher in hospital. They also briefly discuss ways to improve midwifery system in the US.

Seems like US has chosen to involve more obstetric interventions across the board to achieve a small improvement in outcomes.

Actually is says that risk of death is higher in home birth. Read.

I think you should take your own advice and read. What you quoted doesn't contradict your statement.

All these negative nellies rallying around hospital birthing. I will be sure to avoid them -- and the hospital.

Anonymous wrote:

Anonymous wrote:"Planned out-of-hospital birth was associated with a higher rate of perinatal death than was planned in-hospital birth (3.9 vs. 1.8 deaths per 1000 deliveries, P=0.003; odds ratio after adjustment for maternal characteristics and medical conditions, 2.43; 95% confidence interval [CI], 1.37 to 4.30; adjusted risk difference, 1.52 deaths per 1000 births; 95% CI, 0.51 to 2.54). The odds for neonatal seizure were higher and the odds for admission to a neonatal intensive care unit lower with planned out-of-hospital births than with planned in-hospital birth"

https://www.nejm.org/doi/full/10.1056/NEJMsa1501738?query=featured_home

NP. Very helpful article -- thanks for posting. Effectively says overall risk of complications is low, and absolute difference between home and hospital births is small; but likelihood of obstetric procedures is higher in hospital. They also briefly discuss ways to improve midwifery system in the US.

Seems like US has chosen to involve more obstetric interventions across the board to achieve a small improvement in outcomes.

Actually is says that risk of death is higher in home birth. Read.