tag:blogger.com,1999:blog-20642800.post326417899882503939..comments2024-03-05T11:36:50.299-05:00Comments on Stand and Deliver: Dutch home birth studyRixahttp://www.blogger.com/profile/07908864785513937876noreply@blogger.comBlogger13125tag:blogger.com,1999:blog-20642800.post-67518450386137186032010-08-02T16:41:28.556-04:002010-08-02T16:41:28.556-04:00Here is a link to the complete paper:
http://tinyu...Here is a link to the complete paper:<br />http://tinyurl.com/298nc2zlbennett649https://www.blogger.com/profile/14305017118421300011noreply@blogger.comtag:blogger.com,1999:blog-20642800.post-60097088857917990312009-04-19T20:49:00.000-04:002009-04-19T20:49:00.000-04:00Thanks. I've started looking at the CDC data for ...Thanks. I've started looking at the CDC data for a research project I'm planning. I may contact you in the future.Annienoreply@blogger.comtag:blogger.com,1999:blog-20642800.post-86448762126807675892009-04-19T18:11:00.000-04:002009-04-19T18:11:00.000-04:00Annie,
Here is the link to the CDC on-line query ...Annie,<br /><br />Here is <A HREF="http://wonder.cdc.gov/lbd-icd10.html" REL="nofollow">the link to the CDC on-line query</A> where you can look up that information. The problem, though, is that there is no way to properly distinguish whether the births that ended up being outside the hospital were planned that way or if they just happened (precipitous labor, mom stuck in the snow, etc.). It is valuable information, but it has its limits.<br /><br />One thing I noticed in doing various searches (I was *hooked* on doing these things -- it was so interesting!), is that women who had planned home births with a non-nurse midwife (I assume that all births actually attended by a DEM were planned that way) had a greater incidence of babies with lethal congenital abnormalities, such as anencephaly and certain chromosomal abnomralities. If I remember the correct rate, it was over 3x as many such babies born at home vs. born at the hospital in the term period. This suggests to me that more women who choose home birth choose not to have ultrasounds or genetic tests that may indicate a problem with the baby, therefore don't have abortions or preterm inductions when they find out their babies have lethal conditions.<br /><br />Anyway, I have written at length on my blog (last year) about the CDC stats, looking at them from various different angles, and that's just one of many drawbacks with just looking at the bare data.<br /><br />-KathyAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-20642800.post-4213574853973506812009-04-19T17:53:00.000-04:002009-04-19T17:53:00.000-04:00Rixa do you know if anyone has done anything like ...Rixa do you know if anyone has done anything like this with the US CDC NCHS birth data (from birth certificates)? The data are incredibly rich and, I believe include information about where the birth took place, who was in attendance, extent of prenatal care/complications, etc. It seems like it wouldn't be too difficult to replicate this for the US if it hasn't been done already.Annienoreply@blogger.comtag:blogger.com,1999:blog-20642800.post-7952018919074594172009-04-18T12:17:00.000-04:002009-04-18T12:17:00.000-04:00"Home birth is a perfectly safe option, and has be..."Home birth is a perfectly safe option, and has been proven time and time again to be just as safe as hospital birth, with a midwife in attendance...."Emilyhttps://www.blogger.com/profile/02377101567280185610noreply@blogger.comtag:blogger.com,1999:blog-20642800.post-36810282699583637682009-04-17T15:33:00.000-04:002009-04-17T15:33:00.000-04:00This comment has been removed by the author.Mama beehttps://www.blogger.com/profile/07245565933429926406noreply@blogger.comtag:blogger.com,1999:blog-20642800.post-9778519640479600132009-04-17T04:33:00.000-04:002009-04-17T04:33:00.000-04:00I checked the comments to see if you'd gotten the ...I checked the comments to see if you'd gotten the PDF yet, I'm glad you have! Happy reading!Jennehttps://www.blogger.com/profile/09693855868835555292noreply@blogger.comtag:blogger.com,1999:blog-20642800.post-42604250739653546172009-04-16T17:24:00.000-04:002009-04-16T17:24:00.000-04:00I've already had 3 readers email me the PDF, so th...I've already had 3 readers email me the PDF, so thanks very much for your prompt assistance!Rixahttps://www.blogger.com/profile/07908864785513937876noreply@blogger.comtag:blogger.com,1999:blog-20642800.post-63045752190762357822009-04-16T17:08:00.000-04:002009-04-16T17:08:00.000-04:00I've asked my husband if he can get a copy. I wil...I've asked my husband if he can get a copy. I will let you know if he can.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-20642800.post-7457043730195722292009-04-16T16:29:00.000-04:002009-04-16T16:29:00.000-04:00About the interpretation of the Dutch study result...About the interpretation of the Dutch study results, this may interest you:<br /><br />http://wiki.naissance.asso.fr/index.php/LetterBmjApril2008Stéphanie St-Amantnoreply@blogger.comtag:blogger.com,1999:blog-20642800.post-67291748759854830962009-04-16T15:25:00.000-04:002009-04-16T15:25:00.000-04:00Unfortunately I think the article posted by maria ...Unfortunately I think the article posted by maria is right - this study will do nothing to sway ACOG. <br /><br />I am a bit disappointed as well to see the "criteria" for safety put forward in the Dutch article, especially the transport to hospital rule, because it will make it virtually impossible to convince lawmakers of the safety of homebirth in rural states. <br /><br />Here in NE, that is one of the biggest arguments against us! Of course, having access to a midwife out in the boonies would generally be better than having the baby in the car on the side of the road trying to get to the hospital. Or worse, automatic scheduled inductions for everyone who lives more than 20 mins away from the hospital.hollydlrhttps://www.blogger.com/profile/05568206532869330185noreply@blogger.comtag:blogger.com,1999:blog-20642800.post-29234802389423553932009-04-16T14:26:00.000-04:002009-04-16T14:26:00.000-04:00This is an interesting thought about the study.
h...This is an interesting thought about the study. <br />http://www.givingbirthwithconfidence.org/?p=271<br />What are your thoughts?mariahttps://www.blogger.com/profile/07516155896074463908noreply@blogger.comtag:blogger.com,1999:blog-20642800.post-794335623372404222009-04-16T14:25:00.000-04:002009-04-16T14:25:00.000-04:00I'm glad to see this study addresses perinatal mor...I'm glad to see this study addresses perinatal mortality and morbidity. Those who oppose homebirth always hide behind "you should be looking at perinatal statistics to judge outcomes." In fact, I just heard that from the backup OB I fired last week . . .Anonymousnoreply@blogger.com