More U.S. Women Delivering Babies both at home and Birth Centers

 

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WEDNESDAY, March 23, 2016 (HealthDay News) More women in the United States are choosing to deliver their babies at home or in birth centers, a new study indicates. In 2014, nearly 60,000 babies were born outside a hospital, the researchers said. WEDNESDAY, March 23, 2016 (HealthDay News) More women in the United States are choosing to deliver their babies at home or in birth centers, a new study indicates. In 2014, nearly 60,000 babies.

WEDNESDAY, March 23, 2016 (HealthDay News) More women in the United States are choosing to deliver their babies at home or in birth centers, a new study indicates. In 2014, nearly 60,000 babies were born outside a hospital, the researchers said. While that is still a small minority of all births, the trend has been gathering steam in the last decade, the study authors added.

Women worried about COVID-19 infection or delivering babies alone turn to home birth to deal with ever change hospital restrictions. Meghan Perez, 35, a hairstylist on Long Island, is 26 weeks pregnant and decided on a home birth after originally planning to deliver at Stony Brook University Hospital. (Reuters Health) Newborns in the U.S. are much more likely to survive a hospital delivery than a planned home birth, regardless of how qualified the attending midwife may be, a new study. A new study of U.S. births in 47 states, from 2004 to 2014, indicates a small but growing trend: More women are foregoing hospitals in favor of birthing their babies at home or in natural birth centers. The study finds that, overall, the percentage of out-of-hospital births rose from less than 1 to 1.5 percent overall in that 10-year period.

The belief is that allowing and encouraging more pregnant women to give birth either in a birth center or at home will decrease such percentages throughout the country. But with birth centers being far and few between in Australia, it’s hard for women to get into one in the first place. Had previously given birth 5 or more times (7.5 percent) Were obese (more than 1 in 10) In many countries, these women would automatically be advised against having a home birth, the authors wrote in the American Journal of Obstetrics & Gynecology. Many U.S. states, however, don’t regulate home births and don’t have a licensing system for midwives.

Giving birth at home isn’t for everyone, of course. Women who are more likely to have complications during childbirth should give birth in a hospital. This includes women with: Medical conditions, such as high blood pressure, heart disease, or diabetes.

A previous c-section or other uterine surgery.

List of related literature:

According to the Centers for Disease Control and Prevention (CDC), although there has been a recent trend of women choosing to give birth at home, most deliveries in the United States still occur in a hospital, with doctors and nurses in attendance.

“Emergency Care and Transportation of the Sick and Injured” by American Academy of Orthopaedic Surgeons
from Emergency Care and Transportation of the Sick and Injured
by American Academy of Orthopaedic Surgeons
Jones & Bartlett Learning, LLC, 2016

At the same time, the country has experienced an increasing demand for midwives, so at least some pregnant women are hoping for less routine medical intervention in their deliveries.

“Mosby's Pocket Guide to Cultural Health Assessment E-Book” by Carolyn D'Avanzo
from Mosby’s Pocket Guide to Cultural Health Assessment E-Book
by Carolyn D’Avanzo
Elsevier Health Sciences, 2008

While only 0.3 per cent of all births in the U.S. (approximately twelve thousand births) are attended by lay or direct-entry midwives, 75 per cent are conducted in birth centres located on the U.S.Mexico border and the majority involve Mexican or Mexican-American women as clients.”

“Race, Space, and the Law: Unmapping a White Settler Society” by Sherene Razack
from Race, Space, and the Law: Unmapping a White Settler Society
by Sherene Razack
Between the Lines, 2002

There should also be at least one medical provider attending the delivery whose only job is to care for the newborn.

“Expecting 411 (4th edition): The Insider's Guide to Pregnancy and Childbirth” by Ari Brown, Michele Hakakha
from Expecting 411 (4th edition): The Insider’s Guide to Pregnancy and Childbirth
by Ari Brown, Michele Hakakha
Windsor Peak Press, 2017

In some slums, women prefer to deliver at home with the help of healthcare professionals and a traditional birth attendant.

“Handbook of Internal Migration in India” by S. Irudaya Rajan, Sumeetha M.
from Handbook of Internal Migration in India
by S. Irudaya Rajan, Sumeetha M.
SAGE Publications, 2019

Many women around the world lack access to skilled care during pregnancy, delivery, and postpartum.

“The Rabbit Effect: Live Longer, Happier, and Healthier with the Groundbreaking Science of Kindness” by Kelli Harding
from The Rabbit Effect: Live Longer, Happier, and Healthier with the Groundbreaking Science of Kindness
by Kelli Harding
Atria Books, 2019

In the Netherlands, where midwifery care is likewise respected and prioritized, around 30 percent of women give birth at home (compared to less than 2 percent of American women); another 10 percent deliver at birth centers.

“The Mama Natural Week-by-Week Guide to Pregnancy and Childbirth” by Genevieve Howland
from The Mama Natural Week-by-Week Guide to Pregnancy and Childbirth
by Genevieve Howland
Gallery Books, 2017

On average, since 1994, 45 percent of women taking maternity leave receive “some pay” (Gault et al., 2014).With such little support for families, it is no wonder the United States has such precipitous drops in early breastfeeding rates.

“Counseling the Nursing Mother” by Judith Lauwers, Anna Swisher
from Counseling the Nursing Mother
by Judith Lauwers, Anna Swisher
Jones & Bartlett Learning, 2015

More women are opting for home deliveries versus in-hospital care, and natural childbirth is becoming more popular.

“Nancy Caroline’s Emergency Care in the Streets” by American Academy of Orthopaedic Surgeons (AAOS), Nancy L. Caroline
from Nancy Caroline’s Emergency Care in the Streets
by American Academy of Orthopaedic Surgeons (AAOS), Nancy L. Caroline
Jones & Bartlett Learning, 2017

Higher order babies are more likely to be delivered at home.

“Childbirth Across Cultures: Ideas and Practices of Pregnancy, Childbirth and the Postpartum” by Pamela Kendall Stone, Helaine Selin
from Childbirth Across Cultures: Ideas and Practices of Pregnancy, Childbirth and the Postpartum
by Pamela Kendall Stone, Helaine Selin
Springer Netherlands, 2009

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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35 comments

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  • Listen to your patients. They know what are they exactly experiencing and some of it are way different than what is written on medical books.

  • Shceduling a specific date to give birth may be convenient but it is also dangerous. The baby may not be ready so when you induce labor your forcing the baby to be born on yours and the doctors schedule. This can lead to increased chances of a c-section and other complications. My first was born at 37.5 weeks, second at 41.5 weeks and third at 40 weeks. They came when they were ready.

  • question in hospitals when a baby is born they usually take the baby away for tests, whatever they may need. do birth centers do the same tests? are the tests necessary? what does it look like in terms of care for the baby afterwords?

  • ladies if something doesn’t feel right say something… I almost died giving birth to my son… thanks be to God for his grace and mercy… I was in a good hospital and had a great doctor… I developed toximia and they had to do an emergency C-section… today I have a beautiful granddaughter.

  • Most women will qualify for pregnancy Medicaid. Umm, it’s not that hard and if you suppress the cap you probably can afford insurance if you live within your means. The income limits are much higher compared to traditional Medicaid.

  • It’s my 1st baby and I’m just nervous about the whole thing. I want to do a home birth but I’m worried about being able to handle the pain. Everyone around me saying dnt do it bcuz it’s my 1st baby bt I like the closeness of a midwife

  • I’m in my 2week wait (fingers crossed) with baby #2 hopefully. my first was in a hospital. I did feel like it wasn’t as intimate as I would’ve liked & I absolutely hated pushing laying on my back. this time around I really want a midwife & ur video convinced me I am making the right choice. thank u very much for this informative video!

  • I know a midwife is a highly trained professional but they aren’t a doctor so if something goes wrong with the mom or baby while she’s giving birth will she be transferred to the hospital?

  • Would you expect a birth center to be accommodating to fragrance allergies? My family and I have horrible allergies to fragrances in laundry detergents and scents etc.

  • I just watch another video that was upload the same day/year as thus one and that one says 600 woman pass away during childbirth but most woman they talk about in the video was over 35 and mostly black woman. Also why is there videos of woman that are 55 and up popping babies out like nothing with no problems? What’s going on?

  • Hi Kira, thanks for sharing this information. I just got pregnant and learned that birthing center exists. My question is, if the mom has some complication, can birthing center handle that? Ad how? Thanks!

  • Yeah, I’d rather have a csection and a 3 day hospital stay-cation. I have pregnancy Medicaid so cost isn’t an issue. But yeah, I already had one birth vaginally, not doing it again and certainly not unmedicated. I wish I could hack the old fashioned way, but my second baby was delivered via csection at 32 wks and my recovery was vastly easier. I also want that constant monitoring and attention for the first day or two after delivery. I like not having to worry about anything else going on at home while I bond with baby in hospital and catch up on my rest. I can’t imagine pushing out a baby then go home less than 12 hours later. But some moms really want that, I can’t relate but I understand.

  • 2600 dollars is not an unreasonable price. I could have had my baby for free but because I didnt like my first hospital experience I paid about that much to have a homebirth. and no I am not by any means rich, I simply save what i can for whatever will come up.

  • I hated the hospital birth of my daughter. The doctor wouldn’t listen and they forced me to an epidural and it made it so much worse

  • I’m not pregnant and don’t plan to be. However its not bad to get ideas! Do birthing centers allow water births? What if there are complications, do you go from there to the hospital?

  • Omg where have you been!?? I lived in a rural area with not very many options, but I have since then moved, and can’t wait to find out if there is a birth center in my area!

  • 3 years ago I was 28 weeks pregnant. I went to the hospital because of excruciating pain & tenderness in my stomach. I was having hot flashes and chest pains. I couldn’t even walk! It took the dr 6 hours to come in and he said I had a virus without even touching me,No examination or ultrasound. He sent me home. Hours later I could barely breathe & my husband took me back to the hospital. They found out that my uterus had ruptured hours before and that I was bleeding internally and my baby wasn’t getting any oxygen. I had an emergency Csection and I almost died. My son passed away 6 days later��All because the stupid dr didn’t listen or believe me!

  • Hospitals Suck there all about The money they will do Csections even if there not Needed just To Make more money I will never have a hosptial Birth

  • Me (and possibly my mom) almost died when I was born. The way I was situated made the umbilical cord wrap around around my shoulder and chest, constructing my breathing and/or heart. They noticed my heart rate was lowering and had an emergency c-section within probably 20 minutes. I’m very lucky because it was only around my shoulder, not my neck, and they acted quickly. My mom had also been in labor for a little over three days and I was still born a day before my due date.

  • I’ve had 3 babies and I wish I could have had them at a birth center. I had them in a hospital and had no freedom to listen to my body. I want to become a Nurse Midwife to give women the chance that I didn’t receive.

  • “Most women who died had multiple
    health problems or other vulnerabilities”[1]… Not Racism from NHS staff.

    [1] MBRRACE-UK Lessons learned to inform maternity care from the
    UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2014–16

  • Of course they’re is a race problem. Until a few years ago the medical books had that black people don’t feel pain as other races. Which is bull. We feel pain and we scream it to the high heavens but we are told that we are angry. And don’t have no reason to be screaming about unfair treatment. even through we are the most disenfranchised everywhere we go, Because of skin color. It’s sad that animals can look past the colors of each other and see themselves but humans can’t.

  • Dam it my sisters, we must return to the ways of nature, our beautiful people gave birth in Africa to strong black people without the aid of white peoples money comes first BS

  • Very helpful. Doing some research because I want to deliver my first baby at a birth center, hospitals seem to clinical & not as intimate

  • This is NOT what the birth centers are like in Colorado where I live.. you don’t get to pick your midwife you get whichever one of four is on call. You absolutely do not have hour long appointments (one of mine was literally 5 minutes) and they do not come to your house for postpartum visits. Your practice sounds perfect but that is unfortunately not most of the birth centers I have researched which has led me to have my second home birth.

  • Hi, I Know I’m a year late, but I Appreciate you for what you have done as far as opening your own clinic, it says that you TRULY CARE, Unlike some other doctors and Nurses.!;;;!!!!!!!!-You WILL BE BLESSED OVER & OVER again!;!;!!!!!;;;!!!SO Many Pregnant women and their babies have been passing away due to the ABSOLUTE LAZINESS, DISCRIMITIVE, CARELESS of Some Doctors and Nurses, due to them NOT doing their jobs right, and they wonder why they are being sued, all the Sue money in the world CAN’T bring No One’s Love one back alive!!!!!!!!I’m Sorry I got stuck in the moment of truth, I OVERALL Wanted to thank you for your GOOD DEED, & Columbus, Ohio NEEDS a Clinic Like Yours””!!!!!!!!!-“””””””STAY SAFE out their!!!!!!!!!!-Respectfully-KM!!!!!!

  • Why don’t they tell us anything that led up to these complications?! Did these moms receive medications or vaccines that caused things to go terribly wrong? These things don’t happen for no reason.

  • She just had surgery, so a CT scan for why? This is maddening. We need more people in the medical field, all aspects, that look like us who can advocate for us when our concerns and needs are not listened to. This is ridiculous and sad for all women. Some of these doctors act like women lie down and make a baby by them Damn selves. I encourage all women to stand up for themselves and make their concerns known, don’t worry about being annoying it is your life and your child’s life at stake. I told my husband when we finally do have our first child a doula or midwife, him, my parents and his parents will be in there, idc if our folks have to come in shifts due to a person limit in the room. As many voices there are to speak of for me, the better

  • Omg blesss you blesss you may God send angels of financial provision that your clinic ms joseph never closes in jesus name for what you do!!

  • once they get that child out of you the level of care is atrocious! I delivered at a great, teaching hospital in San Diego. Postpartum care was non existent. Until you have that six week pp appointment you are on your own. The advice you get is to head to ER if you feel it’s necessary which breastfeeding mothers want to avoid. I was getting advice from my older kids pediatrician… Shame

  • I’ve given birth to two stillborn children, and I have learned a few lessons along the way.

    1. Research the OB you pick chances are if they’re horrible like mine were. They have a host of patient complaints and those reviews are available online.

    2. If you can check to see if they’ve been sued. After my son died, I was horrified to see that my OB clinic (two doctors in the practice both awful) had 5 pending lawsuits against them. It was after this the hospital that they were employed with discontinued their privileges and then they went to a second hospital. They filed for bankruptcy and had a Sheriff’s sale. Then Again lost their privileges to deliver at the second hospital. Now a clinic group bought their practice and at least 1 of them is still delivering babies in the area. Another lost privileges to deliver babies at all.

    3. If they’re rushed and don’t listen RUN. Mine were always overbooked, and couldn’t be bothered to answer questions. They forgot to do my Gestational diabetes test, kept forgetting to listen to my baby’s heartbeat. I could go on.

  • Love your channel, I just subscribed to your channel. Currently watching every video lol.. I’m getting prepared to start trying to have a baby, will definitely do midwife.. my 2 daughters were born in a hospital and it was cold and rush, never had skin to skin.. it was so depressing. I can’t wait to experience having a midwife.: )

  • My daughter died may 3rd 2018 giving birth to her son. No answers have ever been given to us other than she had amniotic embolism.. Emegency c-sect was done. The doctor pulled her off life support before my husband & i could make it to NC.

  • They never listen to us!!!!!!! This stresses me out being a black woman THEY DONT CARE ABOUT US!!!!!! THIS BREAKS MY HEART!!!!!!

  • This kinda happened to me i was already 40 weeks a day past my due day and i started to have pain which i never had troughout my pregnacy since i wasnt dialated enough they wanted to send me home and i said no i dont think its normal i ended up staying on obserbation without pain medication if it wasnt for me insisting i think it would have gone worse