Should more women consider having home births after their first child?
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Should more women consider having home births after their first child?
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New BMJ research suggests that women who have had their first child in hospital with few complications and have a low risk of complications, should consider planning a home birth because it is a lot m
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Should more women consider having home births after their first child?
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Should more women consider having home births after their first child?
posted at 23/4/2012 2:23 PM BST
on bmj.com
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*Moderator*
Posts: 1444
First: 7/4/2011 Last: 21/5/2013 |
New BMJ research suggests that women who have had their first child in hospital with few complications and have a low risk of complications, should consider planning a home birth because it is a lot more cost effective compared to a hospital birth. http://www.bmj.com/content/344/bmj.e2292 |
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Re: Should more women consider having home births after their first child?
posted at 23/4/2012 3:09 PM BST
on bmj.com
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Posts: 3045
First: 27/3/2012 Last: 20/5/2013 |
Yes! The women having uncomplicated first delivery can mostly plan the next births at home with a careful observation under healthcare professionals, as this might be a cost effective step. |
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Re: Should more women consider having home births after their first child?
posted at 23/4/2012 4:16 PM BST
on bmj.com
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Posts: 875
First: 17/6/2011 Last: 20/5/2013 |
I'm sorry but absolutely not! The discussion should be around what each woman wants rather than what the rate of complications is! Childbirth is hard enough as it is without thinking that your healthcare professional is only interested in the cost - difficult though money is to avoid in the NHS these days, sadian |
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Re: Should more women consider having home births after their first child?
posted at 24/4/2012 6:43 PM BST
on bmj.com
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Posts: 83
First: 20/5/2010 Last: 1/4/2013 |
Whoa, some strong reactions coming through here!!! The initial comment says "should consider planning a home birth". Indeed, patients should be encouraged to consider all the options, if they haven't then can they give fully informed consent? |
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Re: Should more women consider having home births after their first child?
posted at 25/4/2012 1:07 PM BST
on bmj.com
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Posts: 23
First: 21/10/2010 Last: 6/12/2012 |
I agree that it is subject to choice, most definitely, but how about thinking about the women who want to have a homebirth (in whichever pregnancy) who can't because there aren't the resources to realistically allow it? Surely by encouraging the option, there would be more resources devoted to it as well. As far as I understand, there are many European countries with very good perinatal (and maternal) morbidity and mortality statistics who have a far higher proportion of homebirths. What can we learn from them? I imagine many women will continue to choose a hospital birth and there are many very good reasons for it but the rising rates of assisted delivery and casaerian sections must at least be attributed a little to the rising medicalisation of birth? Cheers Vicky
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Re: Should more women consider having home births after their first child?
posted at 6/5/2012 7:32 PM BST
on bmj.com
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Posts: 3045
First: 27/3/2012 Last: 20/5/2013 |
Here I do agree with views by Dr. Sadian & 'researchPO' in that it has been traditionally taught to us that every new birth be a hospital based in view to avoid imminent complications & a good maternal healthcare. However, I also agree with the BMJ research team which suggests that women who have had their first child in hospital with few complications and have a low risk of complications, should consider planning a home birth because it is a lot more cost effective compared to a hospital birth. |
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Re: Should more women consider having home births after their first child?
posted at 6/5/2012 9:17 PM BST
on bmj.com
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Posts: 71
First: 3/4/2012 Last: 31/5/2012 |
considering i've just done an obs and gynae placement in the North West, I feel that the option of a home birth depends on a few factors. The most important one is the mother's risk for complications, which is obvious. Then I would consider social factors such as lack of those parents who do nothave childcare and do not have the option of leaving their young children at home. Then I would consider the distance and access to the nearest hospital. Some areas in the UK are miles away from a hospital, and considering post-partum hemorrhage is a serious and potentially fatal situation, I believe the mother should deliver in hospital. I can understand that some women want to have a home birth and why, but sometimes wishes cannot be met. |
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