Caporegime
- Joined
- 8 Jan 2004
- Posts
- 32,614
- Location
- Rutland
So are you claiming you know better about child birth than a midwife does?
My mind has always been open. I just champion the idea of home birth and was retorting to the closed mind statement by Rob that "home births are stupid" and that "home births increase risk" when as a matter of fact the experts in child birth (midwives) and the NHS all state contrary to that.
I wouldn't say I know better about the process of child birth, I don't deliver babies myself. I do have quite extensive experience however of what goes wrong in child birth and have looked after many babies injured in the process both at home and in hospital. I have also been to many hundreds of deliveries in the last 10 years, so I've seen pretty much everything to be seen.
Midwives are brilliant until things go wrong, I've heard it said that they simply spectate the normal birthing process, which is a harsh but has a tiny bit of truth in it.
From what you've said so far, to me it seems you have a one sided view of homebirth, and that's fine. The admittedly rare times I've seen home births go wrong they go wrong more spectacularly than in hospital, particularly for the infant.
The data is also quite hard to interpret, often finding no significant risk difference between homebirths and hospital births but the women are different in each group. The home birth group are a select group of lower risk deliveries whilst the hospital group includes all the complex deliveries. If there was no difference in the risk between a home birth and a hospital birth you'd expect homebirths to have fewer complications on average simply because the hospital births are more complex, however the data either shows the risk is equivalent or increased depending on the main studies. I haven't seen a study that tries to account for this but I'm sure someone will have done it.
You keep mentioning homebirths dont increase risk. Overall they definitely do. If you select well (and simply being low risk I would argue is not adequate) then the risk is acceptable to many. Which is from memory what the RCOG say. My main concern about it is that the risks are rarely explained to Mums properly.
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