Childbirth is Safe for Today's American Women, but Why?

Low Maternal Death Rates Aren't Just Because of Hospitals & Technology!

By Heather B., published Jul 28, 2007
Published Content: 195  Total Views: 393,275  Favorited By: 97 CPs
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Those who are against homebirth and freebirth often have the same arguments. They say that parents who chose these births are thrill-seekers who don't care about the well-being of their babies. A favorite statistic to quote is the fact that some 500,000 women die yearly around the world from childbirth complications. These arguments are severely lacking in foundation and evidence. There is much that the naysayers purposely leave out and exaggerate. To really understand the dangers of childbirth and the safety of birthing location, we need to examine the most common causes of maternal death across the world and why they are not so rare here in America today.

We need to know more for the number 500,000 to tell us anything about the safety of birth. How many women each year give birth? Where do most of those maternal deaths occur, and what is different about that country from America? What are the most common causes of death? How many of those deaths were truly preventable? The presence of this data would enable us to calculate percentages. Those percentages can give us a far better idea how safe or dangerous childbirth is than a lone number. The truth is, the numbers aren't quite so dismal for Americans.

Less than one percent of maternal deaths occur in developed countries. Most take place in developing nations. Some believe that's only due to their lack of technology. However, there are many differences between the United States and these other places. In developing nations, poverty is very common. There is not always clean drinking water or enough food to eat. Women may spend all day working in fields under the hot sun. Women in these countries are often malnourished and overworked, increasing their risk of complications and death. Poor sanitation is another large factor contributing to how dangerous birth in these places can be. It's not all about technology and prenatal care.

Childbirth is Safe for Today's American Women, but Why?

The truth is that our overall standard of living is much better today, and that is why risks of birth are so much lower.

Credit: Brent Allison

Copyright: Brent Allison @ sxc.hu

Takeaways
  • Less than 1% of maternal deaths occur in developed nations.
  • The maternal death rate in America is 0.01%! Less than half of one percent!
  • Many factors play a role in these good outcomes, not just health care & technology.
Did You Know?
The maternal death rate even at the beginning of the century, when hospital birth was just becoming the norm, was only 1%--even without C-sections and all of today's technologies. Midwives even then often achieved lower rates than this.
Comments
Showing Comments 1 - 9 of 9
 
 
Good information. Yes, I've read that women who do homebirths are much more comfortable because it is relaxing to them. it seems more women's hospitals are recognizing that this is important and are making birthing suites that are more like a home.

Posted on 01/18/2008 at 9:01:39 AM

 
That there aren't studies of hundreds of thousands of people who have homebirthed doesn't mean that the studies of thousands that have been done are inadequate proof of the safety of homebirth. Far fewer women homebirth than hospital birth; I don't know if a study of that magnitude is even possible. Moreover, it would take a lot of time, a lot of funding, etc., and who would conduct it? Where would we find hundreds of thousands of homebirthers?

Posted on 08/03/2007 at 9:08:00 AM

 
There are several studies that have been done regarding the safety of homebirth vs hospital birth, such as the Farm study. The data does exist; in addition to studies, there are actually general collections of data that demonstrate the safety of homebirth. At home, steps are taken both to prevent and treat hemorrhage, both if necessary. Thank you for pointing out the methods of prevention. Oxygen doesn't stop the woman from hemorrhaging but can help her stay conscious and not lose oxygen, and others say different about the Trendelenberg position. There is no treatment for preeclampsia; you're right. There are, however, ways of managing it and trying to keep it under control. Sometimes they work; sometimes they don't. It was not my intent to discuss it as low-risk, just to point out that homebirthers aren't more susceptible to it or to dying from it simply because they aren't in a hospital seeing an OB/GYN.

Posted on 08/03/2007 at 8:08:00 AM

 
You said: "There are some natural treatment options for preeclampsia." This is not true. There is no treatment for preeclampsia, other than delivery of the baby. When someone does discover a treatment for it (or the cause of it), there will be a Nobel Prize awarded. Preeclampsia is a big deal and needs to be carefully monitored to avoid maternal seizures. This is not normal, nor is it low-risk, and it should not be discussed as if it were.

Posted on 07/31/2007 at 7:07:00 PM

 
Separating comments better this time: You said: "Hemorrhage can be treated adequately at home with many herbs, uterine massage, the trendelenberg position, urinating often, and oxygen administration." There are two ways to approach hemorrhage: prevent it, or treat it (and sometimes it's both). There are some herbs that can be effective in stopping a woman from bleeding. Uterine massage can also be effective as a treatment. A full bladder can prevent the uterus from contracting after the birth, so urination could be considered prevention and possibly treatment. Oxygen does nothing to either prevent or treat hemorrhage. Neither does the Trendelenberg position. Hemorrhage is not to be taken lightly, and if you're going to address this in the context of unassisted childbirth, you must be very careful to give accurate information. Oxygen and Trendelenberg do not help with hemorrhage.

Posted on 07/31/2007 at 7:07:00 PM

 
This is a nice article. However, there are a few statements that need some clarification, if you would. Regarding maternal deaths at homebirths vs. hospital births, can you cite your source for this information? I'm not aware of any homebirth study that has been done with enough subjects (hundreds of thousands) to make this comparison statistically significant. While it's quite possible and intuitively logical given the lower level of interventions in the home setting, I just don't think the data exists. But if it does, please share it! You said: "Hemorrhage can be treated adequately at home with many herbs, uterine massage, the trendelenberg position, urinating often, and oxygen administration." There are two ways to approach hemorrhage: prevent it, or treat it (and sometimes it's both). There are some herbs that can be effective in stopping a woman from bleeding. Uterine massage can also be effective as a treatment. A full bladder can prevent the uterus from contr

Posted on 07/31/2007 at 7:07:00 PM

 
What a well-researched and wonderful article! Kudos for all of the information here. I happen to believe that natural births, homebirths etc. are much safer too and the statistics do prove this as you have shown. Great job.

Posted on 07/30/2007 at 3:07:00 AM

 
Great article Heather.

Posted on 07/29/2007 at 9:07:00 AM

 
Yes! Nice work with this.

Posted on 07/28/2007 at 5:07:00 PM

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