Now, I didn't expect the ACOG to be pro-homebirth. But the first part that I bolded about there being no evidence that out of hospital births are safer...isn't that incorrect? Even if there hasn't been an "official" study, don't the statistics of many homebirth midwives prove that statement to be wrong? And the United States has the 2nd highest infant mortality rate of the industrialized nations -- doesn't that right there say that the hospital method isn't the best? The countries with the lowest infant mortality numbers also have the highest use of midwives and non-hospital births, I remember reading.
Anyway, that made me a bit: to read...
|New ACOG Policy on Out-of-Hospital Births|
The Executive Board of the American College of Obstetricians and Gynecologists (ACOG) in October issued a new "Statement of Policy" regarding out-of-hospital births in the US. The statement in its entirety is included below. You will note that there is no URL for this new policy statement. ACOG chose to make this policy statement available on-line only to their members, and did not provide any press release about it.
ACOG Statement of Policy
As issued by the ACOG Executive Board
OUT-OF-HOSPITAL BIRTHS IN THE UNITED STATES
Labor and delivery is a physiologic process that most women
without complications. Ongoing surveillance of the mother and fetus
essential because serious intrapartum complications may arise with
little or no warning, even in low risk pregnancies. In some of these
instances, the availability of expertise and interventions on an
or emergent basis may be life-saving for the mother, the fetus or the
newborn and may reduce the likelihood of an adverse outcome. For
reasons, the American College of Obstetricians and Gynecologists
believes that the hospital, including a birthing center within a
hospital complex, that conforms to the standards outlined by American
Academy of Pediatrics and ACOG,(1) is the safest setting for labor,
delivery, and the immediate postpartum period. ACOG also strongly
supports providing conditions that will improve the birthing
for women and their families without compromising safety.
Studies comparing the safety and outcome of U.S. births in the
with those occurring in other settings are limited and have not been
scientifically rigorous. The development of well-designed research
studies of sufficient size, prepared in consultation with obstetric
departments and approved by institutional review boards, might
the comparative safety of births in different settings. Until the
results of such studies are convincing, ACOG strongly opposes
out-of-hospital births. Although ACOG acknowledges a woman's right to
make informed decisions regarding her delivery, ACOG does not support
programs or individuals that advocate for or who provide out-of-
(1) American Academy of Pediatrics and /American College of
Obstetricians and Gynecologists. Guidelines for Perinatal Care, 5th
Edition. Elk Grove Village, IL, AAP/ACOG, 2002.
Approved by the Executive Board October 2006
The American College of Obstetricians and Gynecologists 409 12th
SW, PO Box 96920. Washington, DC 20090-6920 Telephone 202 6385577
Anyway, that made me a bit