New study is out.
Authors find that homebirth and freestanding birth center babies are significantly more likely than babies born in the hospital to have an APGAR of 0 at 5 minutes, serious neurologic dysfunction and neonatal seizures:
"When it comes to home birth versus hospital birth, setting is strongly associated with worse outcomes. The increased rate of adverse outcomes of home births exists despite the reported lower risk profile of home birth. The pattern for free-standing birth centers is also identifiable: this setting is associated with increased risk compared to hospital delivery, though not as high risk as home birth. When it comes to freestanding birth center versus hospital, setting is strongly associated with worse outcomes."
Further the study states: "The increased risk of 5-minute Apgar score of zero and seizures or serious neurologic dysfunction of out-of-hospital births should be disclosed by obstetric practitioners to women who express an interest in out-of-hospital birth."
Study can be found here: http://www.ajog.org/article/S0002-9378(13)00641-8/abstract
I support homebirth that meets the qualifications set forth in the AAP's 2013 policy on homebirth.
The use of midwives or medical personnel makes it safer in the event your baby needs some help at delivery. Having an experienced person there will also make it run a bit smoother because they know what is needed and how to help comfort you during contractions and throughout the process. This being said, one of the cons of home births would be if there were problems that were unforeseen. A newborn that is in distress needs immediate attention, and a wait for the emergency medical service could make a big difference in the outcome of your baby and his or her health. Just a thought.
I am having a hard time with this one, as the info is pretty hard to comb through, can you be a dear and point to the link about birthplaces? I found the code, but not where it stated the infant mortality. Thanks in advance!
I'm afraid you will need to be a bit more specific. There are a number of studies that have been discussed in detail on this thread.
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