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</html>";s:4:"text";s:44740:"Birthplace in Australia: Antenatal preparation for the possibility of transfer from planned home birth. At present approximately 123 California midwives voluntarily participate in MANA Stats. Of the 1850 newborns born in the hospital following an intrapartum transfer, 3.7% (n = 69) had a 5‐minute Apgar score below 7. Abbreviations: CM, certified midwife; CNM, certified nurse‐midwife; CPM, certified professional midwife; LDM, licensed direct‐entry midwife; LM, licensed midwife. Cheyney M, Bovbjerg M, Everson C, Gordon W, Hannibal D, & Vedam S. Outcomes of care for 16,984 planned home births in the United States: The Midwives Alliance of North America Statistics Project, 2004-2009. No differences were found between groups for perinatal and neonatal composite outcome measures (2.4% vs 2.8%; relative risk [RR] 0.84; 95% confidence interval [CI], 0.68‐1.03). Other reported reasons for intrapartum transfer included desire for pain relief (n = 281, 15.2%), fetal distress or meconium (n = 185, 10.0%), malpresentation (n = 118, 6.4%), and maternal exhaustion (n = 98, 5.3%). Thus, our final sample for this analysis consisted of all planned home births (N = 16,924). The lack of power is further compounded in studies of planned home and birth center births because cohorts from these birth locations are commonly comprised of relatively low‐risk women, thus fewer deaths are expected. All measures of maternal morbidity were lower in the planned home birth group, as were rates for all obstetric interventions including cesarean (5.2% vs 8.1%; RR 0.64; 95% CI, 0.56‐0.73). Olsen and Clausen,15 in their 2012 Cochrane systematic review, suggest that while evidence from randomized controlled trials sufficiently powered to assess differences in perinatal mortality by birth site may never be available, the balance of evidence from large well‐designed observational studies supports informed choice of birth place in jurisdictions where integrated maternity systems exist. Final analyses are limited to women who planned home birth at onset of labor (N = 16,924). Outcomes of Care for 1,892 Doula-Supported Adolescent Births in the United States: The DONA International Data Project, 2000 to 2013. We are also unable, for a number of reasons detailed elsewhere,5 to quantify precisely what proportion of practicing midwives of various credentials contributed data to MANA Stats between 2004 and 2009. Midwives Alliance of North America MANA believes that to best serve the needs of consumers, midwives and particularly those without equal access to education, information, or legislation, we must strengthen our communications team and respond to the challenge of expanding and evolving technology. Benchmarking: Benchmarking means the reporting of basic statistics for key items in a dataset. The MANA Stats 2.0 online form collected data on nearly 200 variables, including demographic characteristics of participating women and families; pregnancy history as well as general health and social histories; antepartum, intrapartum, neonatal, and postpartum events and procedures; and maternal and newborn outcomes. 476: Planned home birth, Homebirth transfers in the United States: Narratives of risk, fear, and mutual accommodation, Registries for Evaluating Patient Outcomes: A User's Guide, The Security Rule. 2. Rural community birth: Maternal and neonatal outcomes for planned community births among rural women in the United States, 2004‐2009. The rate of vacuum or forceps‐assisted vaginal birth was 1.2%. Of the women who lost greater than 500 mL of blood after a vaginal birth, 51.4% were given oxytocin (n = 797), methergine (n = 132), or both (n = 317) to control bleeding. At pains to consent: A narrative inquiry into women's attempts of natural childbirth. Only 0.4% (n = 70) were never breastfed, and 86.0% (n = 14,344) were exclusively breastfed through at least 6 weeks postpartum. Observer accuracy and reproducibility of visual estimation of blood loss in obstetrics: How accurate and consistent are health‐care professionals? In the United States, approximately 1% of all births occur in homes and birth centers, and these births are attended primarily by direct‐entry midwives (DEMs), including certified professional midwives (CPMs).1 Of the 1.18% of US births occurring outside of the hospital in 2010, approximately 66% (31,500) were home births. Reply to Farr et al. Trends and state variations in out‐of‐hospital births in the United States, 2004‐2017. Enrolling in the project. She is also Laboratory Manager for the McCowan Animal Behavior Laboratory for Welfare and Conservation in the Department of Population Health and Reproduction at UC Davis. The Journal of Perinatal & Neonatal Nursing. For most perinatal outcomes, the denominator is newborns—removing those no longer at risk. MANA Statistics Project (MANA Stats) is a research registry of birth information operated by the Midwives Alliance of North America since 2004. Outcomes of Care for 16,925 Planned Home Births in the United States: The Midwives Alliance of North America Statistics Project, 2004 to 2009. Reframing and Resisting: How Women Navigate the Medicalization of Pregnancy Weight. The collaborative statement created by Midwives Alliance of North America, the North American Registry of Midwives, the Midwifery Education Accreditation Council and Citizens for Midwifery. There was no evidence of increased risk of death among multiple births. Unwarranted Variation in Utilization of Cesarean Birth Among Low‐Risk Childbearing Women. Midwifery Provision of Home Birth Services. When lethal congenital anomaly‐related deaths were excluded (n = 0 intrapartum, n = 8 early neonatal, n = 1 late neonatal), the rates of intrapartum death, early neonatal death, and late neonatal death were 1.30 per 1000 (n = 22), 0.41 per 1000 (n = 7), and 0.35 per 1000 (n = 6), respectively (Table 5). Mana.org Website Analysis (Review) Mana.org has 785 daily visitors and has the potential to earn up to 94 USD per month by showing ads. We calculated descriptive statistics for maternal demographics, antenatal risk profiles, procedures, and outcomes of planned home births in the Midwives Alliance of North American Statistics Project (MANA Stats) 2.0 data registry. Wendy Gordon, MPH, CPM, LM, is a midwife and Assistant Professor in the Department of Midwifery at Bastyr University in Seattle, Washington. In early 2009, the site launched a new data form developed using a Community Based Participatory Research model. Preoperative dental screening prior to cardiac valve surgery and 90‐day postoperative mortality. Journal of Obstetrics and Gynaecology Canada. The third study analyzed data from the Ontario Ministry of Health Midwifery Program database to compare outcomes of all women planning home births between 2003 and 2006 (n = 6692) with a matched sample of women planning a hospital birth (n = 6692).12 The primary outcome reported was a composite measure of perinatal and neonatal mortality or serious morbidity that included stillbirth or neonatal death at 0 to 27 days (excluding lethal anomalies), very low Apgar score (<4) at 5 minutes, neonatal resuscitation requiring both positive pressure ventilations and cardiac compressions, birth weight less than 2500 g, or admission to a neonatal or pediatric intensive care unit with a length of stay greater than 4 days. The Midwives Alliance of North America (MANA) was founded in April 1982 to build cooperation among midwives  and to promote midwifery  as a means of improving health care for North American women  and their families. The final sample included 16,924 women and 16,984 newborns (Figure 1). Use the link below to share a full-text version of this article with your friends and colleagues. Subsequently, in 2011 the Birthplace in England Collaborative Group reported findings from a prospective study of 64,538 births among low‐risk women in England.2, 13 Investigators concluded that for healthy women, adverse maternal and newborn outcomes were extremely rare, regardless of birth setting. Descriptive data from the first 6 years (2004‐2009) of the MANA Statistics Project demonstrate that for this large, national cohort of women who planned home births under the care of a midwife, perinatal outcomes are congruent with the best available data from population‐based observational studies that have evaluated outcomes by intended place of birth and by pregnancy risk profiles. METHODS: We calculated descriptive statistics for maternal demographics, antenatal risk profiles, procedures, and outcomes of planned home births in the Midwives Alliance of North American Statistics Project (MANA Stats) 2.0 data registry. A blood clot was found in the mother's heart during autopsy; the death was attributed to the pregnancy by the medical examiner. Homebirth Transfers in the United States. Birthplace in Australia: Processes and interactions during the intrapartum transfer of women from planned homebirth to hospital. Data were analyzed according to intended and actual place of birth. Of the 1856 women who transferred to the hospital during labor, more than half gave birth vaginally (Table 4). The MANA Statistics Project web site was created by Harris-Braun Enterprises and Bruce Ackerman. Their vision has helped bring the project to where it is today. Prospective cohort studies with matched comparison groups that utilize the large datasets collected by MANA Stats and AABC's UDS have the potential to address critical gaps in our understanding of birth settings and providers in the United States. Of the 915 successful VBACs, 94% were completed at home. When examining perinatal death rates among higher‐risk women, the data suggest that compared to neonates born in vertex presentation, neonates born in breech presentations were at increased risk of intrapartum death (1.09/1000 vertex vs 13.51/1000 breech, P < 0.01), early neonatal death (0.36/1000 vertex vs 4.57/1000 breech, P = 0.09), and late neonatal death (0.30/1000 vertex vs 4.59/1000 breech, P = 0.08). MANA #RISE2020 is an online conference produced by the Midwives Alliance of the North America on the GOLD Learning platform. Clinical and cytopathological characteristics of HTLV‐1+ hodgkin lymphoma. There were no significant differences in intrapartum death, neonatal death within 24 hours or 7 days after birth, or rates of neonatal intensive care unit (NICU) admissions. In addition, in keeping with standards for reporting results from observational studies,26 we have included the actual denominators (ie, the theoretical denominator of women, or liveborn newborns, minus participants missing data for that variable) as well as 95% CIs, as relevant. Breech birth at home: outcomes of 60 breech and 109 cephalic planned home and birth center births. The Midwives' Alliance of North America (MANA) was founded in April 1982, to build cooperation among midwives and to promote midwifery as a means of improving health care for women and their families. We receive 6-10 referral requests per day for midwives across the continent! March 8–10, 2010, Midwifery Licensure and Discipline Program in Washington State: Economic Costs and Benefits, Trends in postpartum hemorrhage in high resource countries: A review and recommendations from the International Postpartum Hemorrhage Collaborative Group, AHRQ patient safety indicators: Time to include hemorrhage and infection during childbirth, Variations in the incidence of postpartum hemorrhage across hospitals in California, Estimating blood loss: Comparative study of the accuracy of parents and health care professionals. Planned home births: the need for additional contraindications. Abbreviations: BMI, body mass index; CHAMPUS, Civilian Health and Medical Program of the Uniformed Services; IQR, interquartile range; MANA, Midwives Alliance of North America; SD, standard deviation. The rates of spontaneous vaginal birth, assisted vaginal birth, and cesarean were 93.6%, 1.2%, and 5.2%, respectively. During the first 6 weeks postpartum, 479 (2.8%) newborns were admitted to the NICU (Tables 3 and 4). Midwives Alliance of North America / MANA. Effectiveness of an oral health education programme for older adults using a workbook. MANA believes that midwives are essential in delivering high quality maternity care and the organization … Low Apgar scores (< 7) occurred in 1.5% of newborns. Given the low absolute number of events and the lack of a matched comparison group, we were unable to discern whether poorer outcomes among higher‐risk women were associated with place of birth or related to risks inherent to their conditions. The analogy to a lifeguard is particularly apt since midwives are hired for the express purpose of keeping baby and mother safe. Midwifery education in the U.S. - Certified Nurse-Midwife, Certified Midwife and Certified Professional Midwife. In the first study, de Jonge and colleagues10 used a national dataset (N = 529,688) of low‐risk pregnancies in the Netherlands to compare perinatal mortality and morbidity outcomes for planned home (60.7%) and hospital births (30.8%) between 2000 and 2006. Despite attempts to design a randomized controlled trial, sufficient numbers of women have not consented to be randomized according to birth site.9. Addition of your name to the midwife referral list. Cheyney, M et al, 30 January 2014. The overall cesarean rate was 5.2%, and most of these were primary cesareans (84.4%). Saraswathi Vedam, CNM, RM, MSN, FACNM, SciD(hc), is an Associate Professor in the Faculty of Medicine at the University of British Columbia. Throughout the analyses, we were careful to limit the denominators to those women and newborns at risk for the outcome. We calculated descriptive statistics for maternal demographics, antenatal risk profiles, procedures, and outcomes of planned home births in the Midwives Alliance of North American Statistics Project (MANA Stats) 2.0 data registry. Planned Out-of-Hospital Birth and Birth Outcomes. Trabecular bone deterioration in differentiated thyroid cancer: Impact of long‐term TSH suppressive therapy. J Midwifery Womens Health. Contemporary Midwifery and Idealized Social Memory of Premedicalized Birth: What's Old Is Not‐Quite‐New‐Again. The Midwives Alliance of North America is a Montvale-based company founded in 1982. Abbreviations: CI, confidence interval; NICU, neonatal intensive care unit. She is also a certified professional midwife, licensed in the State of Oregon, and the Chair of the Division of Research for the Midwives Alliance of North America (MANA). Birth Satisfaction Scale/Birth Satisfaction Scale-Revised (BSS/BSS-R): A large scale United States planned home birth and birth centre survey. A total of 222 newborns in a breech presentation were born vaginally (57.2%) or by cesarean (42.8%) (Table 3). The newborn was born vaginally at home with Apgar scores of 8 and 9 at 5 and 10 minutes, respectively, and the postpartum course for mother and newborn was normal through the first 3 postpartum days. INTRODUCTION: In 2004, the Midwives Alliance of North America's (MANA's) Division of Research developed a Web-based data collection system to gather information on the practices and outcomes associated with midwife-led births in the United States. The same pattern was seen for multiparous women with a history of cesarean undergoing a trial of labor after cesarean (TOLAC): an increased risk of intrapartum fetal death, when compared to multiparous women with no prior cesarean (2.85/1000 TOLAC vs 0.66/1000 multiparas without a history of cesarean, P = 0.05; Table 5), but no increase in neonatal death. Distance to Hospital‐based Intrapartum Care and Planned Home Birth in Minnesota. Of the 22 fetuses who died after the onset of labor but prior to birth, 2 were attributed to intrauterine infections, 2 were attributed to placental abruption, 3 were attributed to cord accidents, 2 were attributed to complications from maternal GDM, one was attributed to meconium aspiration, one was attributed secondary to shoulder dystocia, one was attributed to preeclampsia‐related complications, and one was attributed to autopsy‐confirmed liver rupture and hypoxia. This dataset is intended to support research on midwifery practice and normal birth with the goal of improving care of women and babies and increasing the choices available to childbearing families. Intrapartum and Postpartum Transfers to a Tertiary Care Hospital from Out‐of‐Hospital Birth Settings: A Retrospective Case Series. The journey from pain to power: A meta-ethnography on women’s experiences of vaginal birth after caesarean. This is not unexpected: The intrapartum, maternal, and neonatal death rates in high‐resource countries are remarkably low overall. For instance, the denominator for low Apgar score (< 7) is liveborn newborns. Melissa Cheyney PhD, CPM, LDM, is Associate Professor of Medical Anthropology at Oregon State University. In April 1982, nearly 100 women from around the country met in Lexington, Kentucky. Racial disparities in birth care: Exploring the perceived role of African-American women providing midwifery care and birth support in the United States. Outcomes of care for 16,925 planned home births in the United States: the Midwives Alliance of North America Statistics Project, 2004 to 2009. These data were collected through the Uniform Data Set (UDS), a Web‐based tool developed by the American Association of Birth Centers (AABC) for use in member centers. The rate of intrapartum fetal death (occurring after the onset of labor, but prior to birth) was 1.30 per 1000. American Journal of Obstetrics and Gynecology. Methods: We used data from the Midwives Alliance of North America Statistics Project, birth years 2004 to 2009. Understanding Recent Home-Birth Research: An Interview With Drs. Dueling Statistics: Is Out-of-Hospital Birth Safe?. 5. Number of times cited according to CrossRef: The COVID-19 Pandemic as a Catalyst for More Integrated Maternity Care. Fetal macrosomia in home and birth center births in the United States: Maternal, fetal, and newborn outcomes, http://www.hhs.gov/ocr/privacy/hipaa/administrative/securityrule/index.html, http://www.hhs.gov/ocr/privacy/hipaa/administrative/privacyrule/index.html, Region 1: New England (CT, MA, ME, NH, RI, VT), Region 2: North Atlantic (DC, DE, NJ, NY, MD, PA), Region 3: Southeast (AL, AR, FL, GA, LA, MS, NC, KY, SC, TN, VA, WV), Region 4: Midwest (IA, IL, IN, KS, MI, MN, MO, ND, NE, OH, SD, WI), Region 5: West (AZ, CO, ID, MT, NM, NV, OK, TX, UT, WY), Self‐pay (does not necessarily mean uninsured), Government insurance (includes Medicaid, CHAMPUS), Assisted vaginal (166 vacuum, 35 forceps).  A companion publication, "Development and Validation of a National Data Registry for Midwife-Led Births: The Midwives Alliance of North America Statistics Project 2.0 Dataset,", describes the MANA Stats collection process. The International Encyclopedia of Anthropology. Data on outcomes from planned home births in the United States have not been reported in the peer‐reviewed literature since 2005,4 when Johnson and Daviss described outcomes for 5418 home births attended by CPMs in 2000. In each case, the midwife had a duty to aid the mother and baby. The reported rate of postpartum hemorrhage (>500 mL for vaginal births) is higher in this sample relative to the rates reported by others (15.4% vs 1.4%‐3.7%).36-38 However, only 51.4% of women with postpartum hemorrhage received an antihemorrhagic agent. Home Birth Midwifery in the United States. Letter (Benyshek et al.). Interdecadal variation of biases in a regional climate model simulation of summer climate of East Asia. Black midwifery in the United States: Past, present, and future. Of the 251 women who were transferred after giving birth at home, 177 (70.5%) were transferred for complications related to hemorrhage and/or retained placenta, and 41 (16.3%) were transferred for a laceration repair. Journal of Midwifery & Women’s Health, Volume … The complete November 2004 through December 2009 MANA Stats 2.0 dataset (N = 24,848) includes records from all women receiving at least some prenatal care from contributor midwives. We calculated descriptive statistics for maternal demographics, antenatal risk profiles, procedures, and outcomes of planned home births in the Midwives Alliance of North American Statistics Project (MANA Stats) 2.0 data registry. U.S. Department of Health and Human Services Web site, The Privacy Rule. Utilizing Datasets to Advance Perinatal Research. DOI: 10.1111/jmwh.12172. After a steady decline between 1990 and 2004, home births increased by 41% between 2004 and 2010, up from 0.56% to 0.79%, with 10% of this increase occurring between 2009 and 2010.1 By comparison, in Great Britain and the Netherlands 8% and 29% of women, respectively, give birth outside of an obstetric unit.2, 3. Data are stored on a secure server with encryption software congruent with privacy and security measures for protected health information, as defined by the United States Department of Health and Human Services.20, 21 Upon enrollment in the project, midwife contributors are provided with detailed instructions on the use of the online data collection tool; and data collection support team members, known as data doulas, provide e‐mail and phone support to all contributors. Ninety‐two percent of newborns were full‐term, 2.5% were preterm, and 5.1% were postterm based on the midwife's clinical gestational age assessment following birth. We would also like to acknowledge Peggy Garland for early leadership on the MANA Division of Research and Geradine Simkins for her longstanding support of this project. Imaging characteristics and associations in twisted atrioventricular connections on multidetector computed tomography angiography. For example, the 2.0 dataset contains all of the pregnancy, labor, birth, and newborn information recorded in the 24,000+ charts that midwives then entered into the MANA Stats database from 2004 to 2009. The majority of intrapartum transfers were for failure to progress, and only 4.5% of the total sample required oxytocin augmentation and/or epidural analgesia. The number of unknown causes of death in our sample is also at least partially attributable to parents declining autopsies49; of the 35 intrapartum and neonatal deaths not attributed to congenital anomaly, only 6 received an autopsy. The experiences of privately practising midwives in Australia who have been reported to the Australian Health Practitioner Regulation Agency: A qualitative study. Delimitation begins with all records entered into the Midwives Alliance of North America Statistics Project (MANA Stats) using the 2.0 data form (birth years 2004‐ 2009). However, because the MANA Stats system requires that clients be logged early in prenatal care, any such exclusions would have occurred prior to the outcome of the birth being known.5. There were several incidences when the midwife or receiving physician suspected congenital defect based on visual assessment, but an autopsy or other testing was declined and no official cause of death was assigned. Midwives Alliance of North America / MANA. Midwives Alliance of North America, or MANA, has recently released data on over 16,000 home birth outcomes. However, because the reporting of these variables is not consistent in the literature,14, 25 we report both values to allow for comparison with as many other studies as possible. In mid-2011 the current data form was launched, also developed using the CBPR model. She is also a Certified Professional Midwife in active practice, the Chair of the Governor-appointed Board of Direct-entry Midwifery for the State of Oregon, and the Chair of the Division of Research for the Midwives Alliance of North America where she directs the MANA Statistics Project. Perspectives on risk: Assessment of risk profiles and outcomes among women planning community birth in the United States. Since 1982, MANA has been bringing together midwives from all types of backgrounds to create strength and solidarity among midwives in North America. Nationwide, midwives or midwifery practices from 43 states actively participate. Utility of the 5-Minute Apgar Score as a Research Endpoint. We would like to thank Bruce Ackerman for his countless hours of volunteer work as Director of Data Collection; Ellen Harris‐Braun for her tireless attention to detail as Director of Database Development; and Trinlie Wood, Contributor Enrollment and Consent Manager, for her seemingly endless dedication to the MANA Statistics Project. Midwives Alliance midwives have been collecting their statistics for research purposes for many years. Learn about our remote access options. Planned Home VBAC in the United States, 2004–2009: Outcomes, Maternity Care Practices, and Implications for Shared Decision Making. recorded in the Midwives Alliance o f North America Statistics Project da taset (version 2.0, birth years 2004-2009). The role of Cor‐Knot in the future of cardiac surgery: A systematic review. We are also grateful for the midwives and families who have contributed their time and data to the project over the last 9 years and to those who have contributed as dedicated volunteers. Further Applications of Advanced Methods to Infer Causes in the Study of Physiologic Childbirth. Pregnancy, Birth and the COVID-19 Pandemic in the United States. The early neonatal death rate in our home birth sample was 0.41 per 1000, which is statistically congruent with rates reported by de Jonge et al10 and the Birthplace in England Collaborative Group.2 Our combined early and late neonatal death rates, or total neonatal death rate, of 0.77 per 1000 is statistically congruent with the rate reported by Hutton et al.12 Other studies of planned home or planned birth center birth either define neonatal mortality differently or do not define it at all, making comparisons difficult. Web site and data forms ©2004-2020 Midwives Alliance DÜNYADA PLANLI EV DOĞUMLARINA GÜNCEL BAKIŞ; RİSKLER VE FAYDALARI. Because medical records are kept primarily for patient care purposes with secondary uses for billing, research, and legal documentation, researchers using data derived from medical records must be cognizant of these limitations.50-53 However, we expect that the outcomes reported here were likely to be recorded in the medical record with a reasonably high degree of accuracy because of their importance to clinical care. Alliance of North America Statistics Project, 2004 to 2009 Cohort Bovbjerg, M. L., Cheyney, M., & Everson, C. (2016), Maternal and Newborn Outcomes Following Waterbirth: The Midwives Alliance of North America Statistics There is some evidence of increased intrapartum fetal death associated with TOLAC; however, the total number of events was too low for reliable analysis. Midwives in the United States provide assistance to childbearing women during pregnancy, labor and birth, and the postpartum period.Some midwives also provide primary care for women including well woman exams, health promotion and disease prevention, family planning options, and care for common gynecological concerns. The spontaneous vaginal birth rate for the sample was 93.6%. The intrapartum fetal death rate among women planning a home birth in our sample was 1.3 per 1000 (95% CI, 0.75‐1.84). Home and Birth Center Birth in the United States. See traffic statistics for more information.. Birth and the Big Bad Wolf: Biocultural Evolution and Human Childbirth, Part 1. Of the 127 breech neonates born vaginally, 92% were born at home. Women's experiences with giving birth before arrival. Application of the Principles of Biomedical Ethics to the Labor and Delivery Unit During the COVID-19 Pandemic. Outcomes of Care for 16,924 Planned Home Births in the United States: The Midwives Alliance of North America Statistics Project, 2004 to 2009. Melissa Cheyney, PhD, CPM, LDM, is an Associate Professor of medical anthropology and reproductive biology in the Department of Anthropology at Oregon State University in Corvallis, Oregon. Summary: This is the largest study to-date on outcomes of planned, midwife-attended homebirths in the United States Risk of severe postpartum hemorrhage in low‐risk childbearing women in New Zealand: Exploring the effect of place of birth and comparing third stage management of labor, Postpartum hemorrhage: Update on problems of definitions and diagnosis, Measurement of blood loss: Review of the literature. The main limitation of this study is that the sample is not population‐based. Very few of the pregnancies in our sample were complicated by maternal comorbidities, including hypertensive disorders, gestational diabetes mellitus (GDM), persistent anemia (defined as hematocrit <30 or hemoglobin <10 g/dL), or Rh sensitization. Its stated goal is to unify and strengthen the profession of midwifery, thereby improving the quality of health care for women, babies, and communities. Born at Home: Cultural and Political Dimensions of Maternity Care in the United States, Home‐birth emergencies in the US and Mexico: The trouble with transport, Birthing outside the system: Perceptions of risk amongst Australian women who have freebirths and high risk homebirths, Examining autonomy's boundaries: A follow‐up review of perinatal mortality cases in UK independent midwifery, The value of the perinatal and neonatal autopsy, Secondary Data Sources for Public Health: A Practical Guide, Methodology, design, and analytic techniques to address measurement of comorbid disease, What they fill in today, may not be useful tomorrow: Lessons learned from studying medical records at the Women hospital in Tabriz, Iran, Clinical Research: Concepts and Principles for Advanced Practice Nurses. 2014 May-Jun;59(3):366. doi: 10.1111/jmwh.12209. U.S. Department of Health and Human Services Web site, Women's and Children's Health Policy Center, Fetal and Infant Mortality Review (FIMR) in Brief, Fetal and Infant Mortality Review (FIMR): A Strategy for Enhancing Community Efforts to Improve Perinatal Health, Evaluation of 280,000 cases in Dutch midwifery practices: A descriptive study, Strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies, Listening to Mothers III: Pregnancy and Birth, Listening to mothers II: Report of the second national U.S. survey of women's childbearing experiences, Planned home and hospital births in South Australia, 1991–2006: Differences in outcomes, Vaginal birth after cesarean: New insights on maternal and neonatal outcomes, Vaginal birth after cesarean: New insights, National Institutes of Health consensus development conference statement: vaginal birth after cesarean: New insights. Introduction: Data on the safety of waterbirth in the United States are lacking. The sample mean (SD) for live birth weight was 3651 g (488 g). Labial lacerations or skin splits that did not require suturing occurred in 12.8% of the women, and 4.8% had more substantial labial lacerations that required suturing. Although midwives in all states are eligible to contribute data to MANA Stats, the 2.0 home birth cohort comes disproportionately from the Western United States. Fewer than 1% of newborns were low birth weight (<2500 g), although almost one‐quarter were macrosomic (> 4000 g) (Table 3). and 3) Regardless of where a woman chooses to give birth, how can clinicians most effectively collaborate across birth settings and provider types to achieve the best possible outcomes for women and newborns? In addition, of the 50 women with multiple gestations who had complete data on visits with other providers, 22 saw an obstetrician prenatally at least once, and 13 saw an obstetrician at least 3 times. Enter your email address below and we will send you your username, If the address matches an existing account you will receive an email with instructions to retrieve your username, I have read and accept the Wiley Online Library Terms and Conditions of Use, Recent trends in out‐of‐hospital births in the United States, Birthplace in England Collaborative Group, Perinatal and maternal outcomes by planned place of birth for healthy women with low risk pregnancies: The Birthplace in England national prospective cohort study, Cost analysis of the Dutch obstetric system: Low‐risk nulliparous women preferring home or short‐stay hospital birth–a prospective non‐randomised controlled study, Outcomes of planned home births with certified professional midwives: Large prospective study in North America, Development and Validation of a National Data Registry for Midwife‐Led Births: The Midwives Alliance of North America Statistics Project 2.0 Dataset, Characteristics of planned and unplanned home births in 19 States, Home births in the United States, 1990–2009, The reliability and validity of birth certificates, Why women do not accept randomisation for place of birth: Feasibility of a RCT in The Netherlands, Perinatal mortality and morbidity in a nationwide cohort of 529,688 low‐risk planned home and hospital births, Outcomes of planned home birth with registered midwife versus planned hospital birth with midwife or physician, Outcomes associated with planned home and planned hospital births in low‐risk women attended by midwives in Ontario, Canada, 2003–2006: A retrospective cohort study, Cost effectiveness of alternative planned places of birth in woman at low risk of complications: Evidence from the Birthplace in England national prospective cohort study, Outcomes of care in birth centers: Demonstration of a durable model, Planned hospital birth versus planned home birth, Maternal and newborn outcomes in planned home birth vs planned hospital births: A metaanalysis, ACOG committee opinion No.  ) is a CPM States midwives alliance of north america statistics home birth outcomes limitation of this study examines outcomes of care reported here submitted. 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