<?xml version="1.0" encoding="UTF-8" standalone="yes"?><oembed><version><![CDATA[1.0]]></version><provider_name><![CDATA[The Dish]]></provider_name><provider_url><![CDATA[http://dish.andrewsullivan.com]]></provider_url><author_name><![CDATA[Andrew Sullivan]]></author_name><author_url><![CDATA[https://dish.andrewsullivan.com/author/sullydish/]]></author_url><title><![CDATA[How Safe Is Home Birth?&nbsp;Ctd]]></title><type><![CDATA[link]]></type><html><![CDATA[<span class="embed-youtube" style="text-align:center; display: block;"><iframe class='youtube-player' type='text/html' width='580' height='360' src='https://www.youtube.com/embed/4DgLf8hHMgo?version=3&#038;rel=1&#038;fs=1&#038;autohide=2&#038;showsearch=0&#038;showinfo=1&#038;iv_load_policy=1&#038;wmode=transparent' allowfullscreen='true' style='border:0;'></iframe></span>
<p>Laura Helmuth <a href="http://www.slate.com/articles/health_and_science/science_of_longevity/2013/09/death_in_childbirth_doctors_increased_maternal_mortality_in_the_20th_century.single.html">advocates</a> going to the hospital instead:</p>
<blockquote><p>A meta-analysis of outcomes from home births and hospital births shows that women who give birth at home do have fewer procedures and complications—but their newborns are <a href="http://www.ajog.org/article/S0002-9378%2810%2900671-X/fulltext?refissn=0002-9378&amp;refuid=S0002-9378%2812%2901074-5" target="_blank">three times more likely to die</a>. The American College of Obstetricians and Gynecologists advises that hospitals and birthing centers are the <a href="http://www.acog.org/Resources%20And%20Publications/Committee%20Opinions/Committee%20on%20Obstetric%20Practice/Planned%20Home%20Birth.aspx" target="_blank">safest places to give birth</a>, and they have published guidelines for <a href="http://www.ajog.org/article/S0002-9378%2812%2901074-5/fulltext" target="_blank">how to talk pregnant women out of a home birth</a>. Many states are considering or tightening restrictions on midwives and home births, including <a href="http://usatoday30.usatoday.com/news/health/story/2012-05-01/midwife-birth-center-conflicts/54659430/1" target="_blank">Idaho</a>, <a href="http://www.northcarolinahealthnews.org/2012/08/17/midwives-doctors-tussle-over-home-births-but-its-pregnant-women-who-are-affected/" target="_blank">North Carolina</a>, <a href="http://thenerve.org/news/2013/06/28/Midwife-bills/" target="_blank">South Carolina</a>, and <a href="http://indianapublicmedia.org/news/bill-legalizing-midwifery-facing-roadbloacks-48367/" target="_blank">Indiana</a>, often in response to heartbreaking and infuriating cases of women or infants dying due to incompetent treatment.</p>
<p>But it turns out home birth isn’t as clearly dangerous as I expected.</p></blockquote>
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<blockquote><p>The Cochrane Collaboration, a highly respected organization that carefully judges medical treatments, analyzed the available evidence—which is admittedly a bit of a mess. (Among other problems, if a home birth delivery goes wrong, the woman has to be rushed to the hospital, where the complicated case may be recorded as a hospital birth rather than a home birth.) But the Cochrane Collaboration concluded that planned home births with low-risk mothers are <a href="http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000352.pub2/abstract" target="_blank">as safe as hospital births</a>. Once more for emphasis, though: This is only for women who have an extremely low chance of complications and who have access to emergency medical treatment if anything goes wrong.</p></blockquote>
<p>Details of my own home-birth <a href="http://dish.andrewsullivan.com/2012/06/26/the-home-birth-lie/">here</a>. Above is the trailer for the 2008 documentary <em>The Business of Being Born,</em> which champions home-birthing. You can watch the entire film <a href="https://www.youtube.com/watch?v=KvljyvU_ZGE">on YouTube</a>. A trailer for the sequel is <a href="https://www.youtube.com/watch?v=vJTN88Zv0_M">here</a>.</p>
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