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September 01, 2007

Comments

AmyTuteurMD

"At my midwifery study group today, a mom from England mentioned that the rise in home-birth is directly related to the desire to avoid the super-bugs that have been bred in hospitals."

That simply reflects homebirth advocates lack of knowledge about neonatal infections. The most common serious infections of newborns are caused by group B strep and herpes, both of which can and do kill babies each and every year. Both group B strep and herpes are carried by the mother. The risk of a group B strep or herpes infection is much higher than the risk of a "super bug" infection.

Carey

"That simply reflects homebirth advocates lack of knowledge about neonatal infections. The most common serious infections of newborns are caused by group B strep and herpes, both of which can and do kill babies each and every year. Both group B strep and herpes are carried by the mother. The risk of a group B strep or herpes infection is much higher than the risk of a "super bug" infection."

I was tested by my homebirth midwife for GBS, and I knew that I did not have herpes so a major concern and the biggest risk for myself and my child in a hospital was a super bug. The statement that homebirth advocates have a lack of knowledge about neonatal infections is a false statement. I know what infections can kill infants and being at home was the safest place for my child to be born.

AmyTuteurMD

Carey:

"I know what infections can kill infants and being at home was the safest place for my child to be born."

Yet the risk of a life threatening emergency at homebirth leading to the death of a baby is far higher than the risk of contracting a "super-bug". If someone feels that the risk of contracting a "superbug" is worth worrying about, then homebirth should be recognized as unacceptable since it is much greater (in the range of 1-2/1000).

Regardless of what homebirth advocates tell each other, the risk of death at homebirth is higher than the risk of death at hospital birth for babies of low risk women.

Tiffany

Amy,

I do not think you are factoring in the innumerable hospital interventions that even low-risk mothers are subjected to, thereby increasing her odds of complication and cesarean section- which endangers both mother and child. All of the "routine" interventions and the surgical mentality of modern obstretrics encourage the unnatural 20-30+% cesarean rate in many US hospitals. This unfortuate fact increases the incidence of infection in mothers, adversely affects bonding and lactation. It is an established fact that the infant mortality rate increases for low-risk mother who are subjected to cesarean section.

AmyTuteurMD

Tiffany:

"This unfortuate fact increases the incidence of infection in mothers, adversely affects bonding and lactation. It is an established fact that the infant mortality rate increases for low-risk mother who are subjected to cesarean section."

The bottom line is that homebirth increases the risk of neonatal death compared to hospital birth for low risk women. So whatever you think the dangers of hospital birth are, it is even MORE dangerous to give birth at home.

There is NO evidence that C-section increases the risk of neonatal mortality. The MacDorman study, which claims to show increased risk, shows nothing of the kind.

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