I don't think it matters what the studies say. Op's sister can make her own decision.

Had my 3 boys at home. Lots for you to fight about. .

Terror?? You ned a therapist.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:OP, I’m physician and I am so sorry. People on this thread making these statements and citing all the stats are ignoring so many confounding variables. They’ve obviously never had to comfort women who lost their infants bc they waited too long to go to the hospital.

That being said, you don’t get to make this decision. The best thing you can do is be there for your niece or nephew and if things start going south encourage proper care.

Tragically, many more maternal and infant deaths occur before/during/after hospital births than home births.

Are you talking in absolute terms? Because i hope you understand that there are millions more births in hospitals than home births.

Obviously.

My point is that hospitals can be and often are unsafe places to give birth.

This is straight up propaganda.

Nope. Hospitals are increasingly understaffed. We have horrible maternal and infant mortality rates in the US and the vast majority of births are in hospitals.

I have nothing specifically against hospital births, I myself had my daughter in a hospital but I think it's completely insane to bash women who choose an alternative setting for their birth, given how appalling the hospital outcomes are.

the only place more understaffed than a hospital is your house. no doctors or nurses there.

Actually having a professional trained in facilitating childbirth who is with you continuously is more than most people get in the hospital. People have had babies the hospital without a single medical attendant in the room.

Yes, there are bad midwives and bad OBs out there. A good midwife knows when a transfer to the hospital is needed.

you're describing the least ideal hospital birth and the most ideal home birth.

if we could guarantee a highly-qualified midwife at every home birth I would feel better, but we can't... We do have a lot more ability to monitor the staff and ensure proper ones at a hospital. This is absurd to even discuss.

+1. And it does not matter how great your midwife is - if there is an emergency, care for your baby and yourself is going to be at least 30 minutes away at home.

Sometimes the emergencies are caused by the interventions in the hospital. Our C-section rates are absurdly high. That's not because women need so many c-sections, it's because our maternal health care system is fundamentally broken.

For nearly everyone who goes, having a birth at a hospital is an incredible medical miracle that defies millions of years of human experience.

Are you trying to argue that before the advent of hospital births, "nearly everyone" died in childbirth? That's patently false. The overwhelming majority of childbearing women did not die in childbirth. Modern medicine (some of which is available during home births and if the pregnancy is high risk the midwife should refer to an OB or MFM) has absolutely reduced maternal mortality but no need to exaggerate.

No. Weird you got that.

Studies showing that planned midwife births at home have significantly higher death rates:

https://pubmed.ncbi.nlm.nih.gov/32044310/

https://pubmed.ncbi.nlm.nih.gov/37164501/

And one from Italy looking at post-natal ER admission for home births:
https://pubmed.ncbi.nlm.nih.gov/40004712/

Also, you can't just look at overall adverse outcomes in hospitals, as that will include all the very high risk patients (drug addicts, women with serious health conditions, twins or larger, breech presentation, placenta previa, etc.) and also likely will include rural hospitals that don't have real OB departments, and ERs receiving women transferred in after failed attempt at labor in birthing centers or at home.

I really disagree that at this point hospitals are giving a lot of unnecessary interventions. My sisters had 9 kids in hospital with zero intervention and zero pain medications. Gone are the days when they just gave you pitocin so the doctor could make his tee time, or did unnecessary episiotomies. Most OBs are women and care a lot about women's health. If they are saying a C is necessary, it's because they are worried about possible brain damage to the baby, or death/disability to you.

But hospitals are like flying -- a significant number of people have irrational anxiety about it and so they will make choices that are statistically less safe (like driving across country instead of flying -- both probably will work out fine, but one has a greater likelihood of adverse outcome).

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:OP, I’m physician and I am so sorry. People on this thread making these statements and citing all the stats are ignoring so many confounding variables. They’ve obviously never had to comfort women who lost their infants bc they waited too long to go to the hospital.

That being said, you don’t get to make this decision. The best thing you can do is be there for your niece or nephew and if things start going south encourage proper care.

Tragically, many more maternal and infant deaths occur before/during/after hospital births than home births.

Are you talking in absolute terms? Because i hope you understand that there are millions more births in hospitals than home births.

Obviously.

My point is that hospitals can be and often are unsafe places to give birth.

This is straight up propaganda.

Nope. Hospitals are increasingly understaffed. We have horrible maternal and infant mortality rates in the US and the vast majority of births are in hospitals.

I have nothing specifically against hospital births, I myself had my daughter in a hospital but I think it's completely insane to bash women who choose an alternative setting for their birth, given how appalling the hospital outcomes are.

the only place more understaffed than a hospital is your house. no doctors or nurses there.

Actually having a professional trained in facilitating childbirth who is with you continuously is more than most people get in the hospital. People have had babies the hospital without a single medical attendant in the room.

Yes, there are bad midwives and bad OBs out there. A good midwife knows when a transfer to the hospital is needed.

you're describing the least ideal hospital birth and the most ideal home birth.

if we could guarantee a highly-qualified midwife at every home birth I would feel better, but we can't... We do have a lot more ability to monitor the staff and ensure proper ones at a hospital. This is absurd to even discuss.

+1. And it does not matter how great your midwife is - if there is an emergency, care for your baby and yourself is going to be at least 30 minutes away at home.

Sometimes the emergencies are caused by the interventions in the hospital. Our C-section rates are absurdly high. That's not because women need so many c-sections, it's because our maternal health care system is fundamentally broken.

For nearly everyone who goes, having a birth at a hospital is an incredible medical miracle that defies millions of years of human experience.

Are you trying to argue that before the advent of hospital births, "nearly everyone" died in childbirth? That's patently false. The overwhelming majority of childbearing women did not die in childbirth. Modern medicine (some of which is available during home births and if the pregnancy is high risk the midwife should refer to an OB or MFM) has absolutely reduced maternal mortality but no need to exaggerate.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:OP, I’m physician and I am so sorry. People on this thread making these statements and citing all the stats are ignoring so many confounding variables. They’ve obviously never had to comfort women who lost their infants bc they waited too long to go to the hospital.

That being said, you don’t get to make this decision. The best thing you can do is be there for your niece or nephew and if things start going south encourage proper care.

Tragically, many more maternal and infant deaths occur before/during/after hospital births than home births.

Are you talking in absolute terms? Because i hope you understand that there are millions more births in hospitals than home births.

Obviously.

My point is that hospitals can be and often are unsafe places to give birth.

This is straight up propaganda.

Nope. Hospitals are increasingly understaffed. We have horrible maternal and infant mortality rates in the US and the vast majority of births are in hospitals.

I have nothing specifically against hospital births, I myself had my daughter in a hospital but I think it's completely insane to bash women who choose an alternative setting for their birth, given how appalling the hospital outcomes are.

the only place more understaffed than a hospital is your house. no doctors or nurses there.

Actually having a professional trained in facilitating childbirth who is with you continuously is more than most people get in the hospital. People have had babies the hospital without a single medical attendant in the room.

Yes, there are bad midwives and bad OBs out there. A good midwife knows when a transfer to the hospital is needed.

you're describing the least ideal hospital birth and the most ideal home birth.

if we could guarantee a highly-qualified midwife at every home birth I would feel better, but we can't... We do have a lot more ability to monitor the staff and ensure proper ones at a hospital. This is absurd to even discuss.

+1. And it does not matter how great your midwife is - if there is an emergency, care for your baby and yourself is going to be at least 30 minutes away at home.

Sometimes the emergencies are caused by the interventions in the hospital. Our C-section rates are absurdly high. That's not because women need so many c-sections, it's because our maternal health care system is fundamentally broken.

For nearly everyone who goes, having a birth at a hospital is an incredible medical miracle that defies millions of years of human experience.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:OP, I’m physician and I am so sorry. People on this thread making these statements and citing all the stats are ignoring so many confounding variables. They’ve obviously never had to comfort women who lost their infants bc they waited too long to go to the hospital.

That being said, you don’t get to make this decision. The best thing you can do is be there for your niece or nephew and if things start going south encourage proper care.

Tragically, many more maternal and infant deaths occur before/during/after hospital births than home births.

Are you talking in absolute terms? Because i hope you understand that there are millions more births in hospitals than home births.

Obviously.

My point is that hospitals can be and often are unsafe places to give birth.

This is straight up propaganda.

Nope. Hospitals are increasingly understaffed. We have horrible maternal and infant mortality rates in the US and the vast majority of births are in hospitals.

I have nothing specifically against hospital births, I myself had my daughter in a hospital but I think it's completely insane to bash women who choose an alternative setting for their birth, given how appalling the hospital outcomes are.

the only place more understaffed than a hospital is your house. no doctors or nurses there.

Actually having a professional trained in facilitating childbirth who is with you continuously is more than most people get in the hospital. People have had babies the hospital without a single medical attendant in the room.

Yes, there are bad midwives and bad OBs out there. A good midwife knows when a transfer to the hospital is needed.

you're describing the least ideal hospital birth and the most ideal home birth.

if we could guarantee a highly-qualified midwife at every home birth I would feel better, but we can't... We do have a lot more ability to monitor the staff and ensure proper ones at a hospital. This is absurd to even discuss.

+1. And it does not matter how great your midwife is - if there is an emergency, care for your baby and yourself is going to be at least 30 minutes away at home.

Sometimes the emergencies are caused by the interventions in the hospital. Our C-section rates are absurdly high. That's not because women need so many c-sections, it's because our maternal health care system is fundamentally broken.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:OP, I’m physician and I am so sorry. People on this thread making these statements and citing all the stats are ignoring so many confounding variables. They’ve obviously never had to comfort women who lost their infants bc they waited too long to go to the hospital.

That being said, you don’t get to make this decision. The best thing you can do is be there for your niece or nephew and if things start going south encourage proper care.

Tragically, many more maternal and infant deaths occur before/during/after hospital births than home births.

Are you talking in absolute terms? Because i hope you understand that there are millions more births in hospitals than home births.

Obviously.

My point is that hospitals can be and often are unsafe places to give birth.

This is straight up propaganda.

Nope. Hospitals are increasingly understaffed. We have horrible maternal and infant mortality rates in the US and the vast majority of births are in hospitals.

I have nothing specifically against hospital births, I myself had my daughter in a hospital but I think it's completely insane to bash women who choose an alternative setting for their birth, given how appalling the hospital outcomes are.

the only place more understaffed than a hospital is your house. no doctors or nurses there.

Actually having a professional trained in facilitating childbirth who is with you continuously is more than most people get in the hospital. People have had babies the hospital without a single medical attendant in the room.

Yes, there are bad midwives and bad OBs out there. A good midwife knows when a transfer to the hospital is needed.

you're describing the least ideal hospital birth and the most ideal home birth.

if we could guarantee a highly-qualified midwife at every home birth I would feel better, but we can't... We do have a lot more ability to monitor the staff and ensure proper ones at a hospital. This is absurd to even discuss.

+1. And it does not matter how great your midwife is - if there is an emergency, care for your baby and yourself is going to be at least 30 minutes away at home.

Anonymous wrote:

Anonymous wrote:I was born at home (not intentionally) ands starting as a teen the whole hospital birth experience felt invasive And wrong to me and I knew I never wanted that if I didn’t have to. More babies and women die or have complications from hospital births than home births attended by competent midwives.

If you’re having a problem with the labor, yes go to the hospital, that’s what they’re for. But if everything is normal, a home birth can be a wonderful peaceful experience.

it doesn't really matter what "feels" right to you—there's actual science involved.

DP here
Okay, let's see what the scientists say:

As described in Chapter 6, “too little, too late (TLTL)” and “too much, too soon (TMTS)” patterns in the provision of maternity care contribute to excesses of morbidity and mortality, and in the context of inequality, these extremes often coexist within a single health care system. This means that in the United States, home, birth center, and hospital birth settings each offer risks and benefits to the childbearing woman and the newborn. While no setting is risk free, these risks may be modifiable within each setting and across settings (Conclusion 6-1). We assert that a goal for the nation is to move beyond both TLTL and TMTS to the “right amount at the right time.” Moreover, this care should be delivered “in the right way,” that is, in a way that respects the autonomy and dignity of all birthing people, given that, as reported in Chapter 6, Finding 6-4: Some women experience a gap between the care they expect and want and the care they receive. Women want safety, freedom of choice in birth setting and provider, choice among care practices, and respectful treatment. Individual expectations, the amount of support received from caregivers, the quality of the caregiver–patient relationship, and involvement in decision making appear to be the greatest influences on women’s satisfaction with the experience of childbirth. The committee sees potential for providers with experience across settings to collaborate on strategies for reducing intervention-related morbidity and to find a more beneficial balance between TMTS and TLTL.

National Academies of Sciences, Engineering, and Medicine. 2020. Birth Settings in America: Outcomes, Quality, Access, and Choice. Washington, DC: The National Academies Press. https://doi.org/10.17226/25636.

Anonymous wrote:Stop bringing your stupid trauma onto your sister. Who cares where she has her baby- it’s HER baby. Get over yourself!

Who wrote this? Are you in middle school?

Anonymous wrote:I was born at home (not intentionally) ands starting as a teen the whole hospital birth experience felt invasive And wrong to me and I knew I never wanted that if I didn’t have to. More babies and women die or have complications from hospital births than home births attended by competent midwives.

If you’re having a problem with the labor, yes go to the hospital, that’s what they’re for. But if everything is normal, a home birth can be a wonderful peaceful experience.

it doesn't really matter what "feels" right to you—there's actual science involved.

I was born at home (not intentionally) ands starting as a teen the whole hospital birth experience felt invasive And wrong to me and I knew I never wanted that if I didn’t have to. More babies and women die or have complications from hospital births than home births attended by competent midwives.

If you’re having a problem with the labor, yes go to the hospital, that’s what they’re for. But if everything is normal, a home birth can be a wonderful peaceful experience.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:OP, I’m physician and I am so sorry. People on this thread making these statements and citing all the stats are ignoring so many confounding variables. They’ve obviously never had to comfort women who lost their infants bc they waited too long to go to the hospital.

That being said, you don’t get to make this decision. The best thing you can do is be there for your niece or nephew and if things start going south encourage proper care.

Tragically, many more maternal and infant deaths occur before/during/after hospital births than home births.

Are you talking in absolute terms? Because i hope you understand that there are millions more births in hospitals than home births.

Obviously.

My point is that hospitals can be and often are unsafe places to give birth.

This is straight up propaganda.

Nope. Hospitals are increasingly understaffed. We have horrible maternal and infant mortality rates in the US and the vast majority of births are in hospitals.

I have nothing specifically against hospital births, I myself had my daughter in a hospital but I think it's completely insane to bash women who choose an alternative setting for their birth, given how appalling the hospital outcomes are.

the only place more understaffed than a hospital is your house. no doctors or nurses there.

Actually having a professional trained in facilitating childbirth who is with you continuously is more than most people get in the hospital. People have had babies the hospital without a single medical attendant in the room.

Yes, there are bad midwives and bad OBs out there. A good midwife knows when a transfer to the hospital is needed.

Homebirth midwives are laughably untrained compared to OBs and even L&D nurses. You’re much better off with a doctor overseeing multiple laboring women at once than one crunchy “birth workers” with you all day.

In other developed countries midwives deliver most babies and they have much better birth outcomes in those countries.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:OP, I’m physician and I am so sorry. People on this thread making these statements and citing all the stats are ignoring so many confounding variables. They’ve obviously never had to comfort women who lost their infants bc they waited too long to go to the hospital.

That being said, you don’t get to make this decision. The best thing you can do is be there for your niece or nephew and if things start going south encourage proper care.

Tragically, many more maternal and infant deaths occur before/during/after hospital births than home births.

Are you talking in absolute terms? Because i hope you understand that there are millions more births in hospitals than home births.

Obviously.

My point is that hospitals can be and often are unsafe places to give birth.

This is straight up propaganda.

Nope. Hospitals are increasingly understaffed. We have horrible maternal and infant mortality rates in the US and the vast majority of births are in hospitals.

I have nothing specifically against hospital births, I myself had my daughter in a hospital but I think it's completely insane to bash women who choose an alternative setting for their birth, given how appalling the hospital outcomes are.

the only place more understaffed than a hospital is your house. no doctors or nurses there.

Actually having a professional trained in facilitating childbirth who is with you continuously is more than most people get in the hospital. People have had babies the hospital without a single medical attendant in the room.

Yes, there are bad midwives and bad OBs out there. A good midwife knows when a transfer to the hospital is needed.

you're describing the least ideal hospital birth and the most ideal home birth.

if we could guarantee a highly-qualified midwife at every home birth I would feel better, but we can't... We do have a lot more ability to monitor the staff and ensure proper ones at a hospital. This is absurd to even discuss.

Given the number of mothers and babies that die after hospital births it is offensive to pretend we (who is we?) can "monitor the staff and ensure proper ones at a hospital".