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

 

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Video taken from the channel: Washington Post


 

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Video taken from the channel: Brigham And Women’s Hospital


 

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Video taken from the channel: CBS Sunday Morning


 

BIRTH CENTERS vs hospitals | Giving birth in a birth center

Video taken from the channel: Alice Turner


 

Why are black women ‘five times more likely to die in childbirth’? BBC Stories

Video taken from the channel: BBC Stories


 

Hospital vs Birth Center: Midwife Rant

Video taken from the channel: Cajun Stork Midwife Kira at Natural Birthhouse


 

Deaths From Pregnancy and Childbirth: Why Are More U.S. Mothers Dying and What Can Be Done?

Video taken from the channel: Harvard University


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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68 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

  • It is totally possible (in most cases) to have a vaginal birth post C section. A c section is a huge, major surgery and isn’t to be taken lightly. Find a doctor who isn’t pushing you to have your baby on THEIR timeline. The body knows what’s up and knows what to do, and if not, a good doctor will know when to and not to intervene. Very horrible, the way our birth system is set up atm.

  • I love our local birth center! I’ve had my last two there and am going back for #4. I really appreciate their coaching through delivery. Very helpful. I would never go back to a hospital unless there were medical complications.

  • Doctors are very incompetent and lazy. I have a cousin that is a nurse and she told me that a lot of doctors cheat their way through medical school and never really learn what they need to learn to be competent. I believe her. Look at what is happening with that college admission scandal today. How many health professinals have cheated their way through college, including doctors, nurses, pharmacists, etc?

  • EVERY PERSON READING THIS!LOOK AT YOUR STATE LAWS,AND IF YOU HAVE A DIGITAL LAW WHICH ALLOWS ONE PARTY RECORD[WHICH means you can record without the other parties consent]and if there is 2party[all INVOLVED] pretend to document for the baby,even in ANY DOCTOR PATIENT CIRCUMSTANCE!

    *My point!Have evidence of your care! MEDICAL MALPRACTICE IS SOMETHING DOCTORS AND CORP. HOSPITAL FEAR!But you all notice the level
    Of arrogance the still bestow!because they are protected! YOUR WORD AGAINST A INDUSTRY! THEY RATHER YOU DIE WITH THE EVIDENCE THAT YOU HAVE ON THEM*

    By recording the care AND ASKING CRUCIAL AND VITAL QUESTIONS WHICH A MEDICAL[OATH TAKING ‘DO NO HARM’]PROFESSIONAL WILL FOCUS ON IS WHAT THEY DID AND YOU UNDERSTAND!Which they will make you see and become the Neanderthal they are trying to save!! When you notice you are being belittle and pushed away,even when their job is to care for your very healthy YOU NEED TO PROVE THEY HAVE PUTTING YOU IN MORE HARMS WAY.

    SAVE YOURSELF…THE DOCTORS WILL NOT SAVE YOU!

  • My baby was delivered via csection in Orland, Florida and I can vouch how terrible maternal care is for women in that state especially if you are using state insurance. My OB wanting me to be induced just because he believe that my best was too big. If he brother to check the ultrasound, he would of see how some he was. Being induced typical leaves to csection which I gullibility agreed and my idea of a happy birth was shattered because I was sedated. My inducion and c section was NOT medically necessary and I felt like I was being used to quick and easy money. I was sent home only to returned back to the hospital with a blood infection. My son also suffer with asthma which affects him today.

  • Hospitals are so far from ideal. It’s disturbing to hear these kinds of stories in this day and age, like the one about the nurse asking for a different pediatrician. So wrong!
    Thanks for being a voice for women to get the care they deserve.

  • Damn in my country a hospital birth is free of charge with insurance and this includes all the antepartum and postpartum care but a birth center birth would cost near $10k (includes antepartum, postpartum, midwife fee, doula fee and fee for the use of a room and birthing classes) just because insurance doesn’t cover anything at all if it’s outside a hospital and not with an OB. I’d definitely prefer a birth center birth, but it’s way too expensive for me.

  • After I gave birth, I had horrible headaches to the point that I had to sit in total quiet and darkness. After the third trip back to the ER, I was finally admitted for pre-eclampsia.

  • Yay! Love the birth center experience so farI am 18 weeks along with this little one. My first one was a hospital birth and it was INTENSE. I can’t talk badly about the hospital because my nurses helped so much! BUT! I was really wanted to do a birth center, and I am SO glad we chose it. We love my midwife and birth center ladies. The only thing is my insurance literally will not help with ANY part of my birth center experience. Don’t get me wrong, the price for hospital birth was STILL ridiculous out of pocket cost too. But even with that, I am still so satisfied with my decision to go to a birth center. I also want to add the prenatal appointments are more than just a quick “hows it going? Good. There’s the heart beat. Kay bye.” We get a full education at every appointment. My midwife gives me such great advice and nutrition expertise that helps my symptoms. It’s just been great! Oh! One more thing! My birth center has AMAZING classes, not just Lamaze or birthing classes, but nutrition classes, father classes, sibling classes, workout classes, yoga classes, just an amazing community experience. Okay! I’m done now, but hopefully if you were on the fence, maybe this helped!:)

  • I do not have to be a doctor to know about this. I had to educate myself about this. The reason why this is happening because many women do not take care of themselves and health first before becoming pregnant. Do not let this situation keep you from having children. You just need to go to the right doctors, go to naturopathic doctors, consume healthy diets, exercise, do not smoke, do not drink alcohol, stay away from toxics and chemicals, stay positive, surround yourself with positive people in a healthy, positive and safe environment. You need to take supplements like Youngetivity and do not always depend on the doctors to take care of you and be patient. Also, do not have any of your reproductive parts removed and do not have abortions. If you all do these things, it will help you a lot.

  • I really want my baby to be delivered at a birth center but it slowly looking like it might not be at a birth center so I want to be prepared for both home birthing n hospital birthing a birth center is so much normal n easier cuz I’ve done it through my whole pregnancy

  • This is my first pregnancy & I’ve been doing a lot of research, I would prefer to have my baby at a birth center but there isn’t any in my area. I’m very sad

  • Thank god for my ob. Swelling feet, heart palpitations anything she would send me to the doctor for. Even when I said my baby was going to be induced she told me “ you dont know that” and she was right he was not induced. Mrs. K Brown you are one in a million….ladies please find an ob that cares as well as a clinic

  • Negligent misogyny at it’s most dangerous. Doctors are too busy, too self-important and too focused on making money to take these women seriously. Not to mention their INCREDIBLE INCOMPETENCE! This is disgusting.
    This is what happens when insurance companies run the health field, enabled by the conservatives in political power.

  • After my last baby this one is going to be born at home, having him in a car would of been safer and less tramatic for both me and baby. I have lost all trust in the medical field.

  • This is a work of nonfiction and solely the property of the original creator(s). Any names or characters, businesses or places, events or incidents, are factual to the best of the author’s knowledge, at the time of the recording. Any resemblance to actual persons, living or dead, or actual events is purely coincidental. We do not take responsibility for decisions taken by the viewer based solely on the information provided in this virtual application. We do not take responsibility for decisions taken by the viewer based solely on the information provided in this video.

  • It is SO annoying. When I had a huge mass getting bigger and pushing my uterus, rectum and bladder over to the right side. I was in severe pain and had bleeding. It took 6 MONTHS, 4 Hospitals, and 10+ doctors!! They all kept saying I’m fine. I knew I wasn’t. Finally a doctor saw me and ordered my 10 ultrasound. He saw it right away. Looked at my notes and called my other doctors a disgrace. He looked at my previous ultrasound photos and the mass was clearly there. I had surgery that week. It was a major surgery and took 9 hours.

    Now, with this pregnancy, my first one.. I’ve had so many complications and I just keep pushing to get answers. I know my body and I know my instincts. ALWAYS listen to your body and fight for it! I went to urgent care and they said everything is fine. Went to the ER the next day and found out that my subchorionic hemorrhage was increasing in size and that I was severely dehydrated. I was hooked to an IV and they gave me meds to help. Always always always listen to your body

  • In 2016 my sister n law had my nephew by an emergency c section due to the babys heart dropping. She went to a good hospital and my sister n law died for seconds and was relived. when she had the surgery the dr cut somewhere she wasnt suppose to cut and she dint notice. Dr closed her up and she was internally bleeding

  • I’m planning to get pregnant next year and have been doing so much research on topics like this. I’m terrified, I worry for not myself but my husband, my mother, my sisters, and my future child. I’m trying to stay as healthy as possible no alcohol, no smoking, no sugar or extra snacks during the day. I don’t think I could ever give birth in a hospital, especially after seeing more stories like this. I’m looking into birth centers with midwives who in a real emergency will listen to me and help.

  • This video goes over the surprising statistic of rising maternal mortality in the United States.
    To call this information surprising is an understatement. Most, including myself, think the United States has the safest medical practices. However, as this video pointed out, this is far from true. The video stated that a problem contributing to maternal mortality has to do with access to prenatal and postnatal care, which has to do with distributive justice or moreover injustice. Not only is the unequal access to healthcare relevant to expecting mothers, but it is relevant to every aspect of healthcare. One area that distributive injustice is affecting is primary care. One way that I think we can help decrease maternal mortality in the United States is by making primary care accessible to everyone. The video stated that one of the reasons why maternal mortality is on the rise has to do with increased age and overall unhealthiness of expecting mothers. If primary care were more accessible, I think this part of the problem could be addressed. Mothers could be told that they have hypertension or diabetes, things that they might not even realize they have, before they get pregnant. Diagnosing these disorders could then lead to treatment, either by lifestyle changes or medication, which would then lead to a decreased risk of mortality for the expecting mother. Additionally, when the mother does become pregnant, their primary care physician could provide prenatal care for their patient until they are able to get an appointment with an OBGYN. The primary care physician could also help them get a referral to an OBGYN. To conclude, I think that improving distributive justice when it comes to primary care in particular will help decrease the maternal mortality rate in the United States.
    Another issue I had with the video has to do with the patient that got denied care because she was not able to pay her whole deductible by the allocated time. The reason this bothers me has to do with nonmaleficence, or doing no harm to one’s patients. The physician had been seeing the patient already, but when she was unable to pay her deductible, the physician refused to see her. This, to me, goes against nonmaleficence. The patient could have complications that arise in the final weeks of her pregnancy that could have been treated by the physician that turned her away. Therefore, assuming complications did arise, the physician is doing harm to their patient by refusing to see them. While I get that the physician wants to earn a living, I don’t get how they can morally turn that patient away without providing a referral to ensure the patient is being cared for. Does anyone have any ideas to how this problem could have been handled better?

  • And that there is ya biggest killer… DVT and a PE. It kills more mothers than infection and bleeding out and breast cancer combined. Now I live in the UK and here we have rules now… if your BMI is over 30 or your 3rd child or age over 35 or a family/personal history of blood clots then you could get treatment during pregnacy and you will get treatment after pregnacy from 1day to 6weeks… you get blood thinners and you get stockings too. So it’s not just women who have a section that recive this and since this the UK maternal mortality rates have fallen. Also here in the UK they speak about a death it’s looked into properly to prevent this happening again. We run a death rate of 8% which is falling…. the USA need to sort this out big time it’s 2018 and your behind countries that are war ridden and curruput and 3rd world that is horrendous!

  • My sister just tragically lost her child at 32 weeks a few days ago because her doctor and hospital didn’t listen nor thoroughly examine her abdomen when she complained of pain all throughout her pregnancy. She bleed at times and they still never tried to find the source of it. Gave her stupid excuses or recommendations that were temporary. She complained multiple times to them and it never clicked that something was wrong. My sister had to be rushed into an emergency c-section and almost died due to blood loss and her baby died as well because there was an issue with his placenta placement and the scarring from her 2 previous c-sections. We lost a baby our little last member of our family before we ever got a chance to meet him.

  • I’m pregnant and the thought of dying after child birth scares me. It’s already enough that I’m having trouble seeing the OB and I have medicaid!!

  • Well, can it have some correlation with the health education that some (poorer) women receive? Or with the fact that black women have in average more children than white women, which leads to more incidents? I don’t get you being traumatised by the system/hospitals and still having 4 children.

  • http://WWW.THESTOESSELFOUNDATION.COM & http://WWW.MYPBCA.COM
    WE ARE THE REAL LIFE HEROES FIGHTING TO PROTECT & SAVE OUR MOTHERS AND BABIES. WE ARE ALSO SHOWN IN THIS DOCUMENTARY AS PART OF THE SOLUTION. DR RUEL T STOESSEL HAS DEDICATED HIS LIFE TO ADVANCING MATERNITY CARE. PLEASE TAKE A MOMENT TO VISIT OUR WEBSITE AND LEARN ABOUT WAYS IN WHICH WE WILL CREATE CHANGE IN OUR COMMUNITIES AND ACROSS THE NATION!

  • Cut to the chase homebirth is safe if not safer than a hospital birth. The countries with the best maternal and infant mortality rates have more homebirth and midwives and midwives such as the Netherlands. This over medicalization is dangerous. Medical intervention causes complications to happen.

  • Watching these women, medical personnel and the widower tell their sagas, made me weep! I had a troubling labor and post-partum experience myself in 1992, which has resulted in long-term back and uterine pain. I was appalled at the lack of compassion, empathy, care and connection I received from the doctors and most of the nurses at the hospital in 1992. I reside in KY and the “healthcare” is generally sub-par in my personal experience. My baby and I would have been safer and better-off during the labor and thereafter with a home birth! None of these current horrific statistics and stories shock me. I strongly recommend a home birth with a Nurse-Midwife (Master’s level) or as a well-prepared natural birth plan in place with a on-call Midwife available for people whom are not at some major risk and in need of a hospital birth. A trained Doula is also a very helpful person to have for every mother during labor and for weeks post-partum.

  • I don’t know why I’m watching this at 7 months pregnant when I literally just came out from being discharged from hospital with complications with my kidney. I’m still in excruciating pain but I’m being told I’ll be fine in 7 days. Hopefully it’s nothing more. I’m from the UK so hopefully it’s better here. You can’t convince me to have a c-section tho even if he is breeched, I will naturally push out a breech baby. Watch me ����

  • This is horrible as I am a 33 yr old African American almost 17 weeks with my second child… now I will be persistent in being heard

  • This is infuriating. I work in the medical malpractice defense field. OBGYNs are the 2nd highest sued medical professionals in my area (behind neurosurgeons). The things I hear are astounding as most seem to be preventable (I say ‘seem’ because I’m not a medical professional of any type). From what I’ve read and heard from my area, from these lawsuits, it seems most OBGYNs and their staff lose some amount of empathy after hearing pregnant woman and pregnant woman complain. They don’t want to work you in to the office schedule because they are already so busy and most stay late every night already. They don’t heed your complaints that something is wrong and chalk it all up to “that’s common at _ weeks for pregnant women.” This has made me shy away from having babies, especially if my only options for medical care are from the same physicians being sued! Again, its just infuriating and simply terrifying for a woman my age.

  • God this is disgusting!!! Can’t believe these mother’s are getting treated this way, a mother knows her body, she knows when something is wrong and the medical staff should listen, as for keeping mother’s waiting longer because of their race is horrendous! I’m so shocked and this needs to change NOW!!!!!

  • It’s great to talk about the misogyny in our Healthcare symptom there was no argument about the benefits of Single-payer Healthcare on the overall health of the country from the CBS corporation. While government funded Healthcare elevates the health of its citizens like in Canada and UK while in the US Capitalist funded healthcare leads in more and more death.