Unanswered Active Topics Forums Search

UserName:
Subject:	two questions
Body:	<div class="NTForums_Quote">Posted By n/a on 06/28/2008 3:18 PM<br><P>Actually, both claims are both true. </P> <P>Goer's quote from the WHO is out of date. The WHO <a target=_blank href="http://www.euro.who.int/HEN/Syntheses/antenatalsupp/20051219_8"><STRONG><FONT color=#d6a0b6>said</FONT></STRONG></A> in April 2006: </P> <BLOCKQUOTE>Home-like settings for childbirth are associated with reduced likelihood of medical intervention. The evidence shows that the number of spontaneous vaginal births is higher, breastfeeding initiation more common and maternal satisfaction better in home-like institutional birth settings compared to conventional institutional settings. <B>However, the evidence shows an increased risk of perinatal mortality, the reasons of which are not fully established. Thus, there is an increased need for monitoring early signs of complications in these home-like settings.</B> (my emphasis)</BLOCKQUOTE> <P>As far as the NICE report is concerned, Goer didn't even answer the question. She was asked if NICE reports a higher rate of neonatal mortality at homebirth, and they do. From the same report that Goer quoted: </P> <BLOCKQUOTE>... intrapartum-related perinatal mortality (IPPM) for booked home births, regardless of their eventual place of birth, is the same as, or higher than for birth booked in obstetric units.<BR>* If IPPM is higher, this is likely to be in the group of women in whom intrapartum complications develop and who require transfer into the obstetric unit...<BR>* When unanticipated obstetric complications arise, either in the mother or baby, during labour at home, the outcome of serious complications is likely to be less favourable than when the same complications arise in an obstetric unit.</BLOCKQUOTE> <P>Goer tried to sidestep the direct question that she was asked about DEM qualifications. American DEMs have less education and training than ANY midwives in the industrialized world. There's no denying it and she didn't deny it.<BR></P></div><br><br>
Show Replies:

ActiveForums 3.6