Homebirth: did you know? pp

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Presentation Description

Homebirth midwives have less education and less training than any other midwives in the industrialized world.

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Presentation Transcript

Homebirth midwifery: 

Homebirth midwifery Did you know?

Homebirth Midwives: 

Homebirth Midwives Also known as: direct entry midwives (DEM) certified professional midwives (CPM) licensed-midwives (LM)

Homebirth Midwives: 

Homebirth Midwives

Homebirth Midwives: 

Homebirth Midwives ≠ certified nurse midwives (CNM)

Homebirth Midwives: 

Homebirth Midwives ≠ certified nurse midwives (CNM) ≠ European, Canadian or Australian midwives

Homebirth Midwives: 

Homebirth Midwives ≠ certified nurse midwives (CNM) ≠ European, Canadian or Australian midwives Less education

Homebirth Midwives: 

Homebirth Midwives ≠ certified nurse midwives (CNM) ≠ European, Canadian or Australian midwives Less education Less training

Differences: 

Differences Certified Nurse Midwives* Certified Professional Midwives *European, Canadian and Australian Midwives have university level degrees instead of master’s degrees

Differences: 

Differences Certified Nurse Midwives* Certified Professional Midwives Master’s level degree Post high school certificate *European, Canadian and Australian Midwives have university level degrees instead of master’s degrees

Differences: 

Differences Certified Nurse Midwives* Certified Professional Midwives Master’s level degree College courses in science and statistics Post high school certificate No college courses in science or statistics *European, Canadian and Australian Midwives have university level degrees instead of master’s degrees

Differences: 

Differences Certified Nurse Midwives* Certified Professional Midwives Master’s level degree College courses in science and statistics Extensive hospital experience Post high school certificate No college courses in science or statistics No hospital experience *European, Canadian and Australian Midwives have university level degrees instead of master’s degrees

Differences: 

Differences Certified Nurse Midwives* Certified Professional Midwives Master’s level degree College courses in science and statistics Extensive hospital experience Extensive training in diagnosing and managing complications Post high school certificate No college courses in science or statistics No hospital experience No experience required in diagnosing and managing complications *European, Canadian and Australian Midwives have university level degrees instead of master’s degrees

Differences: 

Differences Certified Nurse Midwives* Certified Professional Midwives Master’s level degree College courses in science and statistics Extensive hospital experience Extensive training in diagnosing and managing complications Immediate access to hospital facilities and obstetrician backup Post high school certificate No college courses in science or statistics No hospital experience No experience required in diagnosing and managing complications Often lack access to hospital facilities and obstetrician backup *European, Canadian and Australian Midwives have university level degrees instead of master’s degrees

CPMs not eligible for licensure: 

CPMs not eligible for licensure

CPMs not eligible for licensure: 

CPMs not eligible for licensure American homebirth midwives Not eligible in the United Kingdom

CPMs not eligible for licensure: 

CPMs not eligible for licensure American homebirth midwives Not eligible in the United Kingdom Not eligible in the Netherlands

CPMs not eligible for licensure: 

CPMs not eligible for licensure American homebirth midwives Not eligible in the United Kingdom Not eligible in the Netherlands Not eligible in Canada

CPMs not eligible for licensure: 

CPMs not eligible for licensure American homebirth midwives Not eligible in the United Kingdom Not eligible in the Netherlands Not eligible in Canada Not eligible in Australia

CPMs not eligible for licensure: 

CPMs not eligible for licensure American homebirth midwives Not eligible in the United Kingdom Not eligible in the Netherlands Not eligible in Canada Not eligible in Australia Not eligible in ANY other first world country

All evidence shows American homebirth is unsafe: 

All evidence shows American homebirth is unsafe

All evidence shows American homebirth is unsafe: 

All evidence shows American homebirth is unsafe All existing scientific evidence shows planned homebirth triples neonatal death

All evidence shows American homebirth is unsafe: 

All evidence shows American homebirth is unsafe All existing scientific evidence shows planned homebirth triples neonatal death All existing national statistics show that planned homebirth triples neonatal death

All evidence shows American homebirth is unsafe: 

All evidence shows American homebirth is unsafe All existing scientific evidence shows planned homebirth triples neonatal death All existing national statistics show that planned homebirth triples neonatal death Studies that claim to show that homebirth is safe, e.g. Johnson and Daviss BMJ 2005 study, actually show that homebirth with a CPM has triple the rate of neonatal mortality of low risk hospital birth in the same year

CDC data show that homebirth has an increased risk of death: 

CDC data show that homebirth has an increased risk of death

CDC data show that homebirth has an increased risk of death: 

CDC data show that homebirth has an increased risk of death

CDC data show that homebirth has an increased risk of death: 

CDC data show that homebirth has an increased risk of death CDC homebirth data collected since 2003 show that planned homebirth with a homebirth midwife has triple the risk of neonatal death of low risk hospital birth

Colorado has an appalling rate of homebirth death: 

Colorado has an appalling rate of homebirth death

Colorado has an appalling rate of homebirth death: 

Colorado has an appalling rate of homebirth death

Colorado has an appalling rate of homebirth death: 

Colorado has an appalling rate of homebirth death The death rate for planned homebirth exceeded death rate for the entire state

Colorado has an appalling rate of homebirth death: 

Colorado has an appalling rate of homebirth death The death rate for planned homebirth exceeded death rate for the entire state Homebirth the most dangerous form of planned birth

Colorado has an appalling rate of homebirth death: 

Colorado has an appalling rate of homebirth death The death rate for planned homebirth exceeded death rate for the entire state Homebirth the most dangerous form of planned birth The homebirth death rate rising

The Netherlands has one of the highest perinatal mortality rates in Western Europe: 

The Netherlands has one of the highest perinatal mortality rates in Western Europe

The Netherlands has one of the highest perinatal mortality rates in Western Europe: 

The Netherlands has one of the highest perinatal mortality rates in Western Europe Highest homebirth rate in the industrialized world

The Netherlands has one of the highest perinatal mortality rates in Western Europe: 

The Netherlands has one of the highest perinatal mortality rates in Western Europe Highest homebirth rate in the industrialized world Second highest perinatal mortality rate in W. Europe.

The Netherlands has one of the highest perinatal mortality rates in Western Europe: 

The Netherlands has one of the highest perinatal mortality rates in Western Europe Highest homebirth rate in the industrialized world Second highest perinatal mortality rate in W. Europe. Dutch homebirth neonatal mortality rate comparable to low risk hospital birth

The Netherlands has one of the highest perinatal mortality rates in Western Europe: 

The Netherlands has one of the highest perinatal mortality rates in Western Europe Highest homebirth rate in the industrialized world Second highest perinatal mortality rate in W. Europe. Dutch homebirth neonatal mortality rate comparable to low risk hospital birth But low risk birth with a midwife has a higher mortality rate than high risk birth with an obstetrician

Midwives Alliance of North America refuses to release their death rates: 

Midwives Alliance of North America refuses to release their death rates

Midwives Alliance of North America refuses to release their death rates: 

Midwives Alliance of North America refuses to release their death rates MANA represents homebirth midwives

Midwives Alliance of North America refuses to release their death rates: 

Midwives Alliance of North America refuses to release their death rates MANA represents homebirth midwives Database of 23,000 homebirths

Midwives Alliance of North America refuses to release their death rates: 

Midwives Alliance of North America refuses to release their death rates MANA represents homebirth midwives Database of 23,000 homebirths Publicly offered data to those who prove they will use it for "advancement of midwifery"

Midwives Alliance of North America refuses to release their death rates: 

Midwives Alliance of North America refuses to release their death rates MANA represents homebirth midwives Database of 23,000 homebirths Publicly offered data to those who prove they will use it for "advancement of midwifery" Must sign legal non-disclosure agreement; can’t share death rates with the public

Midwives Alliance of North America refuses to release their death rates: 

Midwives Alliance of North America refuses to release their death rates MANA represents homebirth midwives Database of 23,000 homebirths Publicly offered data to those who prove they will use it for "advancement of midwifery" Must sign legal non-disclosure agreement; can’t share death rates with the public Refusal to disclose death rates of homebirth midwives is a red flag

Informed decision making: 

Informed decision making The best healthcare decisions are those made by an informed consumer. Before choosing homebirth make sure that you are accurately informed about the training of midwives and the increased risk of newborn death. For more information, visit www.skepticalob.com.