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Out-Of-Hospital-Births on the Rise: Data Shows Fewer Health Risks

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Friday, October 23, 2015   

NEW YORK - The number of out-of-hospital births, including home births and birthing-center deliveries, are up in New York and nationwide.

According to data from the Centers for Disease Control and Prevention, more than 1 percent of deliveries in New York in 2012 were out-of-hospital births, up from just 0.75 percent in 2004. Meanwhile, nationally, the risk profile for non-hospital births was lower than hospital births.

Michele Giordano, executive director of the nonprofit advisory group Choices in Childbirth, said women increasingly are seeking more control in the birth process, such as how, when and where the baby is delivered and by whom.

"Women aren't getting the level of care they want." she said, "and the reason why women are making a wide range of choices and seeking doulas and seeking home births and seeking options outside of the medical model is because they want to be treated with respect. They want to be at the center of their health care decision-making."

Giordano warned that all non-hospital births are not reactions to a hospital experience but sometimes simply reflect a desire for a safe and comfortable birthing experience. The CDC also found that nationally, more than 50,000 babies were born at home in 2012, the highest since 1975, and far fewer out-of-hospital births were born preterm or low birth weight than hospital births.

Giordano said few birthing centers providing alternative childbirth options exist in New York. And while many critics view non-hospital births as unsafe, Katherine Morrison, medical director for the Birthing Center of Buffalo, said hospitals actually have become less safe as the U.S. maternal mortality rate is now higher than in any other developed country.

"In 1987, our maternal mortality rate was nine per 100,000 births, and now it's 18.8 per 100,000 births," she said. "So we are unnecessarily intervening and killing mothers in the hospital. and nobody in the hospital wants to discuss that."

The CDC found that in 2012, out-of-hospital births had a lower risk profile than hospital births. About four percent of non-hospital births were born preterm, compared with more than 11 percent of hospital births - and about three percent of non-hospital births were low birth weight compared with about eight percent of hospital births.

More information about out-of-hospital births can be found online at cdc.gov. International non-hospital birth information can be found at savethechildren.org.


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