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Home delivery - end of discussion?From: Efrain Ramirez (eramirezt@coqui.net)Wed Jul 31 17:47:14 2002
ACOG NEWS RELEASE For Release: Embargoed until July 31, 2002 12:01 AM ET Home Births Double Risk of Newborn Death WASHINGTON, DC -- The risk of death to newborns delivered at home is nearly twice that of newborns delivered in hospitals, according to a study in the August issue of Obstetrics & Gynecology. Newborns delivered at home were also at higher risk for having low Apgar scores -- an assessment of the newborn's heart rate, breathing, muscle tone, reflexes and skin color within minutes of being born. Researchers studied birth data from Washington State for the period 1989 to 1996. They compared outcomes of 7,518 infants intended to be born at home to the outcomes of 14,038 infants intended to be born in the hospital. They found that pregnant women intending to deliver at home were, on average, more likely to be married, white, nonsmokers, and to have other children. Infants intended to be born at home were at higher risk for very low Apgar scores, a potentially fatal problem. The association between newborn death and intent to deliver at home was particularly strong for women with no previous births (nulliparous). Women were more likely to themselves experience problems, including prolonged labor and postpartum hemorrhage. According to the researchers, their study suggests that planned home births are associated with a higher risk of negative outcomes for both women and newborns. Contact: Jenny Pang, MD, MPH, Department of Epidemiology, Washington School of Public Health, Seattle, WA, at jwpang@u.washington.edu
-- "Life is neither the notes nor the silence between the notes, but the music that arises out of sound and silence felt as a living whole. Stop choosing...between chaos and order, and live at the boundary between them, where rest and action move together..." David Whyte
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