Comment by gilbetron
2 years ago
When my wife was pregnant 15 years ago, I did a lot of similar reading about various things. One was home vs hospital birth, and at that time at least, there was a strong vibe of "home birth is best birth" going around. Many people linked to a study (which I can no longer find!) in Norway maybe? It was a big study that "showed" that home birth was safer than hospital birth. However, if you dug into the study, you'd find one particular interesting nugget: if any of the home birth participants experience any negative medical event, even during delivery, they were removed from the study. It was preposterous. In the end, all the study said was, "home births that happened without incident were safer than hospital births", or, in other words, "safe births are safer than non-safe births".
The home birth obsession makes me so angry. My wife had a really bad postpartum hemorrhage when our daughter was born. Thankfully, we were in the hospital, so the obstetrics team was able to stop the bleeding and get her stabilized. She'd have likely died if it was a home birth.
What's even crazier is that in most of the US, midwives only need a high school diploma and a midwifery certificate - or in many states, no education is required at all as the title "midwife" is not protected. The vast majority of the rest of the developed world requires midwives to either be professional nurses with additional training in midwifery, or to have a special four year midwifery degree (eg: here in Canada, midwifery is a bachelor's degree). Many parents in the US who opt for a home birth are likely unaware of how underqualified many American midwives are compared to their international counterparts to respond to an obstetric emergency.
I'm glad we were given an option but only based on comfort level, not because of better safety. We wanted the hospital, in case you need a rushed c section.