Saturday, September 12, 2009

Time Warp

Has it really been five and a half months??

Friday, September 11, 2009

First baths, etc.

I've got this new theory. I'm not going to suggest that I'm the first to come up with this. It's only "new" in the sense that it's "new" to me. I'd love to see it tested with some research on mothers and infants.

A few weeks ago I got thinking about the profoundly intense bond I developed with my son following my home birth. I had never experienced anything like it. Sure, I developed a deep love for my daughters, but it took much longer and came far less naturally. I have come up with many possible explanations for the intensity of the bond with my son...

* No Pitocin to interfere
* More intense oxytocin rush being in a comfortable, private setting
* Immediate and prolonged skin-to-skin contact
* First feeding within 15 minutes of birth (I can't remember exactly, but it was the first thing we did after holding him and delivering the placenta.)
* No hospital staff coming in and out of our room at all hours

As I was thinking, I realized another factor I hadn't thought of before...

Read the rest of this post over at my new website!

Friday, September 4, 2009

My birthday comes early...

I was ordering a book for my little brother and decided I might as well get something else (I'm a sucker for Amazon's Super Saver Shipping). And I told my husband it could be part of my birthday present. 'Cause I simply had to have my own copy. And it came in the mail today...Isn't it lovely? :-)

Tuesday, September 1, 2009

More information on the Canada Home Birth Study

Per Amy Romano's exellent explanatory post:
The researchers compared outcomes in the planned home birth group with those of two groups of women who met eligibility requirements for home birth but planned to give birth in hospitals instead. One of the two comparison cohorts had planned hospital births with midwives (n=4752); the other with physicians (n=5331).
Now that changes things! I was wrong in my last post. Apparently they did weed out the high risk women!

So... go read the rest of Amy Romano's post. Great info in there. Thanks, Amy!

More evidence on home birth safety

A friend shared a link to a news article reporting a new study out of Canada. The headline: "Home Birth With Midwife As Safe As Hospital Birth: Study." Here's an excerpt with a summary of the study's findings:
The authors of the new study compared three different groups of planned births in British Columbia from the beginning of 2000 to the end of 2004: home births attended by registered midwives (midwives are registered in Canada), hospital births attended by the same group of registered midwives, and hospital births attended by physicians. In all, the study included almost 13,000 births.

The mortality rate per 1,000 births was 0.35 in the home birth group, 0.57 in hospital births attended by midwives, and 0.64 among those attended by physicians, according to the study.

Women who gave birth at home were less likely to need interventions or to have problems such as vaginal tearing or hemorrhaging. These babies were also less likely to need oxygen therapy or resuscitation, the study found.

The authors acknowledge that "self-selection" could have skewed the study results, in that women who prefer home deliveries tend to be healthier and otherwise more fit to have a home birth. (Source)
The study doesn't appear to distinguish between low-risk and high-risk births--something most doctors would raise a red flag about. Doctors attend more high-risk births, so it's not surprising to see a higher mortality rate under their care. It's a tricky thing trying to compare different types of births because so many factors are involved in birth outcomes. But I still find this news encouraging.

As for the "self-selection" factor, I can definitely attest that I took a far more proactive role in my health during my home birth pregnancy than I ever had before. I exercised, I ate much more healthy food, and was more educated than ever about how to make my pregnancy and birth smooth and healthy. I wanted to do everything I possibly could to increase my odds of a healthy outcome for me and my baby. Whether home birth inspires women to be healthier or healthier women choose home birth, I say it's a win-win either way.