Well: Hospitals Safer Than Homes for Births

A new analysis suggests that giving birth in a hospital is considerably safer than having a baby at home or in a birthing center.

Researchers analyzed data collected by the Centers for Disease Control and Prevention from 2006 to 2009 on almost 14 million births, including 130,000 non-hospital deliveries. Their results appear online in The American Journal of Obstetrics & Gynecology.

They examined both early death (within seven days of birth) and neonatal death (within 28 days) among singleton full-term babies without congenital malformations. No matter how they parsed the numbers, babies born outside hospitals had higher rates of death.

Over all, babies delivered by midwives at home had nearly four times the risk for death compared with those delivered by hospital-based midwives, with the risk highest if the birth was the woman's first. With 25,000 home births per year in the United States, this means about 23 additional neonatal deaths annually.

Babies delivered by midwives in freestanding birthing centers had more than twice the risk for death compared with those delivered by midwives in hospitals.

Compared with midwife-attended births in hospitals, doctor-attended births had higher mortality, almost certainly because the most complicated births are generally handled by physicians.

When a birth was handled by others — policemen, taxi drivers and so on — the death rate was four times that of hospital births.

The researchers write that these results almost certainly underestimate the actual neonatal death rates in home and birthing center deliveries, because infants with complications are often transferred to hospitals, and the C.D.C. counts any subsequent death as a hospital outcome.

The lead author, Dr. Amos Grünebaum, a professor of obstetrics and gynecology at Weill Cornell Medical College, strongly discourages giving birth at home.

"We need to make hospitals provide some of the amenities you have at home," he said. "We need to make hospitals more like homes instead of making homes more like hospitals."

Anda sedang membaca artikel tentang

Well: Hospitals Safer Than Homes for Births

Dengan url

http://healtybodyguard.blogspot.com/2014/04/well-hospitals-safer-than-homes-for.html

Anda boleh menyebar luaskannya atau mengcopy paste-nya

Well: Hospitals Safer Than Homes for Births

namun jangan lupa untuk meletakkan link

Well: Hospitals Safer Than Homes for Births

sebagai sumbernya