For most of us, the plan of a home with a midwife sounds a small frightening what if something goes incorrect. We are so used to the tips of a hospitalized birth so as to doing it the traditional far at house with a midwife seems well old-fashioned. However, a new study published in the Canadian Medical Association Journal finds that giving birth at home is just as safe as giving birth in a hospital for low-risk women. Researchers looked at over 11,000 planned home births and the similar number of planned hospital births in Ontario, Canada, to contrast outcomes for mom and baby. Women in the hospital group were more likely to have interventions like pain or labor meds assisted vaginal births or C-sections.
There’s no place like home
Hutton says that the results of the revise do not of necessity denote that the hospital interventions are unnecessary but rather that the nature of the labor settings and the intentions of the women who decide them could factor into it. It is possible that women giving birth at home are more comfortable in their home surroundings and that the labor process moves forward more efficiently reducing the need for meds she says. It is also possible that women who choose to give birth at home are more interference averse and thus do not move as quickly to get in the way in their labors with interventions as those women who make a decision to give birth in hospital.
So if home births are secure why do we take for granted it is better to be in the hospital? Hutton says it is since general advances in medicine for pregnant women like prenatal care treating high blood pressure in pregnancy and administering antibiotics during or after labor happened at the same time as the move to hospital births about 75 years ago. Improved outcomes for women and newborns coincided with moving birth into hospital and many people attributed them to giving birth in hospital Hutton says. However, in countries like the Netherlands, where birth did not make this move to hospital, similar improvements in outcomes occurred.
Home birth requires support services
However, the results of studies like this one is not of need an argument for more home births, Hutton says. In order to have a home birth service that will support safe outcomes, it would be important to look at services that are in place in the jurisdictions where studies such as ours have been done she says. Typically, such a service would include well-trained midwives who are experienced in providing home birth care, and who are well respected and integrated into the local health care system. In Ontario, she says midwives have hospital admitting privileges, which allows them to go laboring women there seamlessly when essential.
Should you give birth at home?
Midwifery is much less regulated in the United States, and is not included into the health care system. Therefore, it makes sense that the American College of Obstetricians and Gynecologists (ACOG) motionless holds the place that hospitals and birthing centers are the safest setting for birth in the U.S and in fact merely about one percent of American births happen at home.
The ACOG also notes that there have been some studies suggesting that unenthusiastic outcomes for babies although still rare are more common with home births. However some of those studies methodologies have been questioned because random trials cannot be conducted on pregnant women, researchers rely on observational studies, which are sometimes hard to interpret.