In Spain Goverment only fund those childbirths that take place in a hospital.What do you think?
Homebirth with a trained attendant is safer because it minimizes exposure to foreign bacteria, minimizes emotional and physical stress to the mother which prevents fetal stress, and means less unnecessary interventions such as laying in a bed, having a useless electronic fetal monitor attached, vaginal exams, AROM, IV, episiotomy, epidurals, vacuums and cesarean surgery:
El parto en hospital para mujeres de bajo riesgo
https://www.youtube.com/edit?o=U&video_id=f42-VIXEcL8
Childbirth centers and midwifery-led centers have outcomes fairly close to hospitals. No particular advantage to them for the woman and newborn, although they are much more convenient to the midwife or doctor. As soon as a woman leaves the safety of her home, she increases her risk of cesarean and vacuum birth and all the maternal morbidity and mortality that goes with it. She gains nothing in safety for her newborn. By leaving her home, the woman, by her decision, actively agrees with the medical philosophy that her body cannot safely deliver a newborn without the assistance of expensive machines that go bleep and emergency capability for surgical removal of the baby. This is a lie promoted by the profit based hospital birth systems. I have delivered 900 births at home safely with perfect outcomes with the following minimal equipment
https://www.youtube.com/edit?o=U&video_id=vJjKqL71X6c
I understand your concern for women in Spain, but it is their choice. it is up to women. The hospitals and childbirth centers are reaping in billions per year from childbirth and they are not going to give it up without a fight. Women in Spain are not demanding safe care. Infact, the majority of women go along with the hospital profit based birth protocols, even buying into the myth of epidural as an effective way to deal with the pain of childbirth and 25% to 90% cesarean rates. in 15% of cases, epidurals dont provide anesthesia, while the woman remains forced to lie in bed with her IV and the catheter in her spine.
Any woman in Spain who wants a homebirth with a trained attendant can get one. A government can never effectively outlaw homebirth for all women because there are always a small population of women who refuse to be raped of their birth experience in institutions with practitioners they dont know and who dont have any investment in their birth outcomes. Many contact me and we discuss their options.
Doesnt matter how many woman buy into the idea of hospital birth. No matter how many woman repeat a lie over and over, it is still a lie.
There is no single correct answer for this question. As a physician, I believe I should consider women's health. A bleeding gravida can die very quickly. One cannot foresee which delivery will be normal. Which baby will be born without problems. Which baby will need resuscitation. In which delivery there will be a 3rd or 4th degree laceration.
In old times, when a woman died in delivery, people said "rest in peace". Now when a woman or a baby dies in delivery, or if anything goes wrong, it is a legal case.
If a woman wants to deliver at home, it is her responsibility and her choice. But then, she should not try to blame or take legal action to whoever helps her to deliver.
On the other hand, If a government supplies funds to women for hospital deliveries, this funding should be offered to every woman who delivers regardless of place of delivery.
In my opinion, a hospital delivery is safer for women, I would not attend or promote a home delivery.
Life is not a "Kinder surprise"egg most of the time, and for most of the people, you can not get chocolate, entertainment, surprise and a toy at the same time.
Life is getting risks. Women should make their decisions, and should take their responsibilities. A doctor's responsibility should be to explain the risks.
Response to Kazim in Turkey. I spent 10 years looking for documentation of maternal death at an attended homebirth with a midwife present and did not find one in the past 50 years. If you know of a paper documenting a single maternal death at a homebirth with a trained attendant present, Ii would be grateful if you sent it to me. If not, your referral to maternal deaths at homebirth are only referring to unattended births with of course have worse outcomes than any other form of birth.
Yes about 1% of babies need resuscitation, which is why a trained midwife or doctor needs to be at all homebirths. It turns out that resuscitation has been documented to go better at home because the midwife is already in the room and you dont have to wait for others to be summoned. (see the youtube for reference)
I urge you to consider watching this youtube explaining why homebirth with a trained attendant is 1000 times safer than hospital birth- translated into RUSSIAN, SPANISH, CZECH, etc
https://www.youtube.com/watch?v=O-OqnqfHQ2Q&t=255s
In South Africa, I would highly recommend midwifery-led units which are close by to hospitals in case of an emergency. The midwives in South Africa are trained well and highly skilled to recognise if there is a need for referral. Most of the deliveries even in hospital are done by midwives.
to Judy Slome Cohain,
The issue here is not :
" The hospitals and childbirth centers are reaping in billions per year from childbirth and they are not going to give it up without a fight. " (Is home delivery with a midwife free where you work?)
or "that you have not seen a single maternal death during home delivery",
or that" I should send you a reference about the maternal death in the presence of a midwife".
I mentioned above that I do not think home delivery as a safe option in todays world, and I commented that if a government supplies and funds a delivery , then this funding option should be given to all women who deliver, regardless of the place of delivery.
One who desires to give birth at home, and one who wants to assist a home delivery may do so, taking and accepting all the inherent risks. (I am sure you are getting a written consent of women when you attend to the home deliveries.)
But one ( should not/ can not) say that "Homebirth is a safer way of delivery".
Comfortable? I can agree it may be more comfortable at home, but safe? This is not "always" true.
And when it is not "always" true, the consequences are far more dangerous than:
· exposure to foreign bacteria,
· emotional and physical stress (does not kill ) to the mother which prevents fetal stress,
· and lesser interventions such as
o laying in a bed,
o having a useless electronic fetal monitor attached,
o vaginal exams,
o AROM,
o IV,
o episiotomy,
o epidurals,
o vacuums and cesarean surgery".
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