ARTICLES ON WOMEN’S AND CHILDREN’S HEALTH
Giving Birth | Homebirth | Induction and Augmentation
GIVING BIRTH ARTICLES
Giving Birth with Confidence Blog:
1) Most Women Don’t Want Cesareans
In a recent post on the cesarean surgery. In the study, 95 percent of the women assessed did not believe maternal request cesareans were advisable and 93 percent believed that normal vaginal birth is safer for the mother.
Read this and more posts on current issues from Charlotte DeVries and Judith Lothian, authors of The Official Lamaze Guide: Giving Birth with Confidence, at the Lamaze Giving Birth with Confidence Blog. Share your own views with the authors and other readers by posting your comments to the blog.
1) Outcomes of planned home births with certified professional midwives: large prospective study in North America
BMJ 330 : 1416 doi: 10.1136/bmj.330.7505.1416 (Published 16 June 2005)
Objective To evaluate the safety of home births in North America involving direct entry midwives, in jurisdictions where the practice is not well integrated into the healthcare system.
Design Prospective cohort study.
Setting All home births involving certified professional midwives across the United States (98% of cohort) and Canada, 2000.
Participants All 5418 women expecting to deliver in 2000 supported by midwives with a common certification and who planned to deliver at home when labour began.
Main outcome measures Intrapartum and neonatal mortality, perinatal transfer to hospital care, medical intervention during labour, breast feeding, and maternal satisfaction.
Results 655 (12.1%) women who intended to deliver at home when labour began were transferred to hospital. Medical intervention rates included epidural (4.7%), episiotomy (2.1%), forceps (1.0%), vacuum extraction (0.6%), and caesarean section (3.7%); these rates were substantially lower than for low risk US women having hospital births. The intrapartum and neonatal mortality among women considered at low risk at start of labour, excluding deaths concerning life threatening congenital anomalies, was 1.7 deaths per 1000 planned home births, similar to risks in other studies of low risk home and hospital births in North America. No mothers died. No discrepancies were found for perinatal outcomes independently validated.
Conclusions Planned home birth for low risk women in North America using certified professional midwives was associated with lower rates of medical intervention but similar intrapartum and neonatal mortality to that of low risk hospital births in the United States.
2) Is Homebirth Safe?
Thu Mar 6, 2008
Vancouver Sun (BC, Canada) (02/27/08) Skelton, Chad
While some healthcare providers believe home births are riskier than hospital births, research by University of British Columbia Perinatal Epidemiologist Patricia Janssen indicates that those births handled by midwives often are as safe or safer than hospital births. Janssen examined data on 800 planned home births and 1,300 hospital births in British Columbia, publishing the results in 2002; a follow-up study reviewing 3,000 planned home births in the province from 2000 to 2004 has yet to be published. The 2002 report revealed that 11.9 percent of midwife-attended hospital births and 18.2 percent of physician-attended hospital births involved Cesarean deliveries, versus 6.4 percent of home births. Episiotomies occurred in 10.9 percent of midwife-attended hospital births and 15.3 percent of physician-attended hospital births, but only 3.8 percent of home births. Additionally, 35 per 1,000 hospital births involved infections, versus seven per 1,000 home births. According to Janssen, “In a home birth you have the focused and undivided attention of an experienced practitioner who may be able to pick up complications very early as opposed to being in a crowded hospital where there’s a mix of both experienced and new practitioners who have other responsibilities. practitioners who have to Columbia study indicates the importance of regulating midwives, as research from countries that do not rigorously regulate home birth programs report higher infant death rates and more complications”.
3) Mommy Wars: The Prequel: Ina May Gaskin and the Battle for at-Home Births
The New York Times, Published: May 23, 2012
SAMANTHA M. SHAPIRO
Ina May Gaskin, a longtime critic of American maternity care, is perhaps the most prominent figure in the crusade to expand access to, and to legalize, midwife-assisted homebirth. Although she practices without a medical license, she is invited to speak at major teaching hospitals and conferences around the world and has been awarded an honorary doctorate from Thames Valley University in England. Read More…
INDUCTION AND AUGMENTATION OF LABOR ARTICLES
1) Avoiding Induced Labor Is More Beneficial to Moms and Babies
In a new press release, Lamaze discusses research that shows that allowing labor to start naturally, rather than inducing, reduces the possibility of complications, and increases a woman’s ability to work with her contractions to facilitate the process of birth.
“By avoiding induction, women are less likely to encounter other medical interventions,” says Lamaze International President Allison J. Walsh, IBCLC, LCCE, FACCE. “Experiencing natural contractions and laboring without unnecessary medical interventions increases a woman’s freedom to respond to contractions by moving and changing positions, both of which facilitate the process of labor and birth.”
Lamaze International recommends that women allow their body to go into labor on its own, unless there is a true medical reason to induce. To support this, Lamaze has developed a care practice paper entitled “Labor Begins on its Own,” which presents the research surrounding labor induction and tips for avoiding induced labor.
To encourage positive birth outcomes for both baby and mother, the Lamaze Institute for Normal Birth has developed six care practice papers, adapted from the World Health Organization, that promote, support and protect normal birth. Download and share these care practices with expectant parents, colleagues or your students.
For answers to your women’s and children’s health related questions, contact us at: firstname.lastname@example.org or call: 626-388-2191.