Hospital Birth Vs. Home Birth

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It all started when…

This podcast tells my personal story about our hospital birth of our twins contrasted to our home birth that we recently had. It begins with discussing hospital birth facts and statistics and then tells our story, then I go in to home birth stats and facts followed by our personal story. I’m not going to re-tell the stories here in the show notes, these are just some of the statistics that I cite in the episode. Please listen to the podcast if you haven’t yet to hear the stories about our tale of two births!
-Dr. Taylor


 

Hospital Birth Facts and Statistics

 

Stats:
C-section rate: 1970 = 5% 1996 = 20% Now = 33%+
https://www.statnews.com/2015/12/01/cesarean-section-childbirth/

Induction rate = 30%

Cost of an American Birth:

Vaginal Birth: Billed = approx. $30,000 paid by insurance = $18,329
C-section: Billed = approx. $50,000 paid by insurance = $27,866
Average out of pocket cost (w/ insurance) = $3,400

http://www.slate.com/blogs/xx_factor/2013/07/01/having_a_baby_in_the_u_s_costs_a_lot_of_money_especially_if_you_actually.html

 

Infant Mortality Rate Rankings:
Compared to other industrialized wealthy countries

OECD: 27th out of 27
OECD19: 19th out of 19

-https://www.washingtonpost.com/news/wonk/wp/2014/09/29/our-infant-mortality-rate-is-a-national-embarrassment/?utm_term=.465b239b43d1

-http://time.com/5090112/infant-mortality-rate-usa/

 

Compared to all other countries in the world

World Bank Statistics: 32nd (right behind Slovakia)
CIA FactBook Statistics: 57th (1 behind Bosnia, 1 ahead of Serbia, 14 spots behind Cuba)
United Nations: 38th (7 spots behind Cuba)

https://en.wikipedia.org/wiki/List_of_countries_by_infant_and_under-five_mortality_rates

 

Home Birth Facts and Statistics

(The following are the results of a home birth study which is cited below)

Results

Among 16,924 women who planned home births at the onset of labor, 89.1% gave birth at home. The majority of intrapartum transfers were for failure to progress, and only 4.5% of the total sample required oxytocin augmentation and/or epidural analgesia. The rates of spontaneous vaginal birth, assisted vaginal birth, and cesarean were 93.6%, 1.2%, and 5.2%, respectively. Of the 1054 women who attempted a vaginal birth after cesarean, 87% were successful. Low Apgar scores (< 7) occurred in 1.5% of newborns. Postpartum maternal (1.5%) and neonatal (0.9%) transfers were infrequent. The majority (86%) of newborns were exclusively breastfeeding at 6 weeks of age. Excluding lethal anomalies, the intrapartum, early neonatal, and late neonatal mortality rates were 1.30, 0.41, and 0.35 per 1000, respectively.

Outcomes of Care for 16,924 Planned Home Births in the United States: The Midwives Alliance of North America Statistics Project, 2004 to 2009
Melissa Cheyney PhD, CPM, LDM, Marit Bovbjerg PhD, MS, Courtney Everson MA, Wendy Gordon MPH, CPM, LM, Darcy Hannibal PhD, Saraswathi Vedam CNM, MSN, RM

https://onlinelibrary.wiley.com/doi/abs/10.1111/jmwh.12172

 

Here is some informative literature about labor induction: Quick Facts About Labor Induction

 

The Birth Center Stats:

www.utahbirthcenter.com
801-288-BABY

 

  • Becky (the owner of the Birth Center) - has attended 1000’s of births in her 28 years as a Certified Nurse Midwife and been the primary attending midwife at almost 1000 births.

  • Eve (our midwife from the Birth Center) - has been the primary midwife at over 350 births.

  • 14% of Birth Center patients are tranrsferred to the hospital

  • 5% end up having a C-section

  • 16% are home births

  • 40% are first-time mothers

  • They have never lost a baby at the Birth Center or at a home birth. They have had several babies born with previously undetected congenital issues who have been transferred to the hospital post-birth and they have had one baby who was transferred to the hospital (in 12 minutes) and the NICU cared for him for several weeks and he, unfortunately, passed away.