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.
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.
BABIES are seven times more likely to die during home births.
That is the finding of a study conducted by Marc Keirse of Flinders University and his co-authors, who examined data on almost 300,000 births in South Australia between 1991 and 2006.
NEW YORK (Reuters Health) - When attended by a registered midwife, delivering a baby at home is a safe alternative to delivery in a hospital, according to a Canadian study.
The findings echo those of a Dutch study published in July that found that a planned home birth is as safe as a planned hospital birth, provided that a well-trained midwife is available, a good transportation and referral system is in place, and the mother has a low risk of developing any complications.
THE INQUISITR: It found out that perinatal death per 1,000 births was only 0.35 percent in planned home births and 0.57 percent among hospital births attended by a midwife and 0.64 percent if attended by a doctor.
The study also found out that infants born at home were less likely to need obstetric interventions such as electronic fetal monitoring, assisted vaginal delivery or adverse maternal outcomes. They were likewise less prone to require resuscitation upon delivery, oxygen therapy beyond 24 hours and less likely to need meconium aspiration compared to babies born in hospitals.