Home HealthHospital Administration

Economist Highlights the Home Birth Debate

1 Mins read

The latest issue of the Economist highlights the debate about home births (Is there no place like home?) and notes the charged atmosphere that prevails between supporters and detractors. They get it about right:

Stereotypes and simplifications are in rich supply. Many doctors think they are trying to curb a bunch of lentil-munching fanatics who ignore the dangers of something going suddenly, and badly, wrong in childbirth, when even a few minutes’ delay can be fatal. The home-birthers decry grasping, bossy doctors who turn a natural experience into a near-emergency needing medical intervention. Hospital births are more likely to end in Caesarean sections, and to involve episiotomies (cutting the perineum) and epidurals (which increase the odds that the labour will require forceps, which can tear the perineum).

The article points out that the research in the field is contested, and no one has proved definitively to disinterested observers which type of birth is better or safer. I’ve been at birthing classes where those who’ve had babies at home gushed about the experience. I also know someone who’s baby died when she delivered at home and the umbilical cord was wrapped around the baby’s neck. In the hospital I’ve seen medical errors and unpleasant experiences; but also stat C-sections after uterine rupture where the baby and mom turned out fine. Overall I think the debate between home birth and hospital birth advocates is productive as long as it doesn’t become too dogmatic. It’s made some OB/Gyn’s and hospitals more sensitive to the needs and preferences of birthing mothers, and some home birthers more open to the possibility that something could go wrong and the need to plan for that possibility. My own views on the matter are somewhere in the middle, tending toward the more traditional hospital-based approach, but with elements that de-medicalize the process and incorporate midwives and doulas. From what I’ve seen the major Boston teaching hospitals have embraced this approach to a fair degree.

Related posts
Home HealthSpecialties

Essential Flooring Tips to Minimize Painful Accidents

2 Mins read
Falls are the single most common cause of accidental injuries in the United States. The CDC reports that around 3 million older…
Home Health

A Guide to Keeping You Fresh Throughout Winter

3 Mins read
During the winter, your skin, hair, and the chemistry in your body starts to change into full-on hibernation mode. You probably noticed…
BusinessHospital Administration

11 Crucial Hospital Management Tips

3 Mins read
Proper management is the primary key to success in any organization, and the same applies to the hospital management systems. The following…