After intense lobbying from the Australian Medical Association, Health Minister Nicola Roxon has given the green light to Doctors having the final say in the choices women make during pregnancy and birth. Women choosing a midwife at hospital or at home will have their basic rights to informed consent and refusal removed, replaced with medical veto.

National Day of Action details for 18 February 2010

If you’ve been half awake in recent days, you might have heard of a new study showing that “babies are seven times more likely to die during home births”.

It’s worth having a close look at what the study actually found (the full article is available here in the Medical Journal of Australia), and also considering some of the broader context that has been sadly lacking from most of the coverage I’ve seen and heard.

Further to the posts below on the homebirth study, the AMA has sought right of reply.

Dr Andrew Pesce, for those who haven’t been following the story thus far, is the president of the AMA (which opposes homebirth), an obestetrician and gynaecologist, one of the reviewers of the new study, and also the author of the MJA editorial on the study.

Article from the Medical Journal of Australia written by Dr Andrew Pesce, President of the AMA (which is to opposed homebirth)

One of the problems is that the planned home birth group includes women who planned homebirth at booking but then developed risk factors and had their babies in hospital. There are probably only two women whose babies died who started labour at home planning a homebirth and one of these was a twin pregnancy (high risk). The others had all transferred before the onset of labour. The authors admit they ‘could not differentiate all planned homebirths according to whether transfer to hospital had occurred before or during labour.’ So for low risk women who start labour at home the risk is very low - 1 death in 16 years.

For babies born at home the news is even more encouraging. There were only 2.5 deaths per 1,000 actual homebirths making homebirth at 328% safer for babies than birth in hospital.

For a long time now we have heard the rumours of a new home birth study that Dr Pesce had hidden under his hat, waiting to release it at the perfect moment. Reportedly it showed a baby had seven times more chance of dying at a homebirth but a close inspection of the research reveals these claims as false.

A central west home birth advocate says she cannot excuse the Greater Western Area Health Service (GWAHS) for calling in police to check on a pregnant woman.

Rochelle Allan, who wanted a home birth and did not want to be induced, was nearly 14 days overdue when she missed an obstetrics appointment.

IPSWICH homebirth supporters have slammed a report by the Australia Medical Association (AMA) that labelled home birthing dangerous.

The AMA published a study in the Medical Journal of Australia which stated homebirths lead to a sevenfold increase in babies’ deaths during labour.

The professional body for obstetricians has voiced concerns over homebirths after a study showed increased risk of preventable baby deaths.

The Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) said the study also showed the need for a cautious approach amid an overhaul of the nation’s maternity services.