There are so many posts on this thread and the topic has seemed to stray a bit. I haven't seen anyone mention The Farm. Impeccable, thorough home birth statistics. These discussions often drive me insane. We can not compare PLANNED home birth, to those born unplanned; in taxi cabs, on streets, premature, drug addicted, poverty stricken, and unwanted. Why is it considered a home birth when the prom queen gives birth in the bathroom and tries to flush the baby down the toilet or wraps it in a towel and puts it in the garbage. This entire study is so flawed. Planned babies, born via planned home birth, with skilled attendants = have far better outcomes, as do their mothers than any hospital birth.
Which study are you referring to? If it's the Wax study, we already know that. If it's the Oregon testimony, I am still waiting to hear from Ms. Rooks about the data collection and methods. So, we don't have quite enough information yet to saw that one is flawed.
One of the first things we learn about research is that the results apply only to the population involved in the study. You can't take those results and extrapolate them to another midwife, country or community without also replicating all the variables involved. What this means is that if you want to use the Farm midwives' stats to prove safety of OOH birth, then you need to also use their protocol for risking clients out, you need to have their educational background, the same emergency care needs to be in place. You would also need to replicate the community, their educational background, their diet , lifestyle, and work habits, as well as the community support.
If any of those things are not exactly the same , then you can't use their numbers to prove that birth is the same just because it is not in hospital.