So you think it’s rational to make your own medical decisions against a doctor’s advice?
Funny enough, your “rational” decision to home birth was way higher risk than not vaccinating.
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The American College of Obstetricians and Gynecologists, or ACOG, recommends hospitals or accredited birth centers as the safest option for having a baby.
In fact, infant mortality plummeted in the past century as hospital births became more common.
In 1900, when almost all U.S. births took place at home, 100 babies died for every 1,000 born. By 1997,
modern medicine had reduced that rate by a whopping 93 percent, to seven infant deaths out of every 1,000. (Today's
rate is 5.9 per 1,000.)…
Dr. Neda Ghaffari, a perinatologist at the University of California, San Francisco, says
delivering in the hospital is generally safer than being at home, because a team of practitioners is always available in case of emergency, which any woman can experience during labor. A mother may begin hemorrhaging, for instance, or the baby may become blocked in the birth canal.
"It's very hard to determine which patients are going to have an obstetric emergency," Ghaffari says.
In
fact, somewhere between 23 and 37 percent of first-time moms attempting home birth end up transferring to a hospital,
largely because the baby is unable to move through the birth canal. (Transfers for moms who've already given birth were much lower, up to 9 percent.)
Plus, Ghaffari notes that, according to ACOG,
babies die in home births at roughly twice the rate as they do in hospital births. Plus, one (admittedly very rare) complication, neonatal seizure, is three times more common at home.”
Same source:
Dr. Robyn Lamar is an OB-GYN at UCSF. Despite her profession, she chose home births for all three of her children. She says she prefers to labor at her own pace in a familiar setting, without medical intervention.
"The underlying belief in midwifery is that birth is a physiological process, which makes sense to me," Lamar says. "Versus the more medical view, which I'm trained in and I practice, that birth is something that can be high-risk at any moment and it's sort of a disaster waiting to happen."
Lamar emphasizes that, at the hospital, a mother is at a higher risk for an
episiotomy (vaginal incision) and infection.
Lamar recognizes that what's best for one woman may not be right for the next.
"Some [women] feel more at ease in the hospital because they know the experts are there. It gives them a lot of security and assurance," Lamar said. "But, a lot of us feel like a duck out of water in the hospital. It's very unfamiliar. When you're on your home turf, and you're there with your family, it really does change the dynamic."
She says a mother is more likely to dilate and embrace difficult contractions if she feels comfortable and supported in her surroundings. In other words, feeling safe can not only lead to a more positive emotional experience, but also a faster delivery.
When I asked Lamar directly to advise me on my own decision, she answered very neutrally, with a smile.
"Oh, there's no right answer," she told me. "I think it's such an individual journey for everybody. Whether you give birth in a hospital, or at home, or in a birth center, everyone's story is going to be completely unique."
Weighing the cost
Another factor to consider is cost, which varies widely depending on the type of insurance you may or may not have. If I choose a home birth I'll pay completely out of pocket. In the Bay Area, midwives' fees are $4,000 to $8,000. If I choose a hospital, my insurance will pay all the bills. For someone without insurance, the price of a home birth wouldn't change, but a trip to the hospital could potentially put me back tens of thousands of dollars.
This frustrates Lamar.
"In terms of reproductive justice, it makes sense for all women to have the same array of options around birth like you would in a country like England, where there's national insurance," she said. "One should be able to choose their place of birth based on preferences and risk level rather than financial means."
She hopes insurance companies will consider the benefits of home-birth and future plans will cover the costs.
I tried to prevent money from influencing my decision by continuing to talk to friends and experts, reading studies and touring hospitals. After nine months of searching, I'm starting to heavily lean in one direction — though my feelings still change almost by the day.
But I agree that 7 out of a thousand is much worse odds than the chance of a bad reaction to any vaccine.