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Safety of Home Birth

Articles and links to studies on the safety of home birth:

2004-2009 MANA stats project [Midwives Alliance of North America]: Home birth outcomes in the U.S.

  • For this large cohort of women who planned midwife-led home births in the United States, outcomes are congruent with the best available data from population-based, observational studies that evaluated outcomes by intended place of birth and perinatal risk factors. Low-risk women in this cohort experienced high rates of physiologic birth and low rates of intervention without an increase in adverse outcomes.

MANA article: Discussion of 2004-2009 stats from nearly 17,000 home births

2015 Canada Study: Large scale study (11,000+ home births) showed home birth with registered midwives just as safe as hospital birth

  • "Compared with women who planned to birth in hospital, women who planned to birth at home underwent fewer obstetrical interventions, were more likely to have a spontaneous vaginal birth and were more likely to be exclusively breast feeding at three to 10 days after delivery,"

Home Birth: Safe and Sane

Home birth outcomes with CPMs in North America​

  • "Planned home birth for low risk women in North America using certified professional midwives was associated with lower rates of medical intervention but similar intrapartum and neonatal mortality to that of low risk hospital births in the United States."

The Coalition for Improving Maternity Services: Birthing safely at home and in birth centers

  • "Although many believe that hospitals are the safest environment for labor and birth, research shows that equally good or better outcomes can be achieved in low-risk women having planned home births or giving birth in freestanding birth centers. Because of its inherently noninterventive and more intimate nature, out-of-hospital birth facilitates mother-friendly care."

Meta-analysis of the safety of home birth

  • Home birth is an acceptable alternative to hospital confinement for selected pregnant women, and leads to reduced medical interventions.

Planned home birth vs. planned hospital birth​

  • Planned home birth attended by a registered midwife was associated with very low and comparable rates of perinatal death and reduced rates of obstetric interventions and other adverse perinatal outcomes compared with planned hospital birth attended by a midwife or physician.

Rising trend in planned out-of-hospital births with midwives

  • New Analysis reveals women choosing midwife-led, out-of-hospital births at an increasing rate: Data Show More than 40% Increase in Home and Birth Center Births

Home Birth: An Annotated Guide to the Literature

  • This bibliography serves as a resource for clinicians and others (researchers, educators and policy makers) to assess the quality of the available evidence on planned home birth

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