Discover and read the best of Twitter Threads about #birthautonomy
Most recents (3)
1/ A recent analysis and commentary directly critiques our study (Nethery et al, 2021) on planned home and birth center birth in Washington State in @greenjrnl. Some thoughts after reading ajog.org/article/S0002-… in @AJOG_thegray (long thread)
2/ ‘An immutable truth’ could have also been titled “The vast majority of US home births were ‘low risk'; Low-risk home births had better outcomes than high risk home births”. And, let's improve hospital-based care + access to hospital-midwives for high risk people.
3/ They studied 'high risk' v. 'low risk' home births using US birth certificate data.
@ObMD @DrLSchummers @greenjrnl @NACPM @ACNMmidwives @BirthPlaceLab @wamidwives @ob_coap @Canadamidwives @TheUpliftLab 1/ Our study aim was NOT to compare ‘high-risk’ to ‘low-risk’ home birth.
Others have studied this: e.g. a w/ a US ITT cohort designed for place of birth research (Bovbjerg, 2017. Birth) and the UK Birthplace Study (Li, 2015. BJOG).
Others have studied this: e.g. a w/ a US ITT cohort designed for place of birth research (Bovbjerg, 2017. Birth) and the UK Birthplace Study (Li, 2015. BJOG).
2/ Saying “[high risk people] have no place in planned home births” in my mind, is akin to ‘telling people what to do with their bodies’ - and not useful in promoting safe, respectful maternity care.
3/ We can strongly and clearly recommend hospital birth with specific risks, but ‘telling women/birthing people what to do with their bodies’ is patriarchical - as is forced pregnancy.
@arkej @jennarosaa @DrFeeleyRM FYI 'immutable truth' is criticizing our study on home and birth center births in Washington State (America!) - we found comparable outcomes to the UK, NL, and Canada (BC and Ontario) for low risk planned home and birth center births. 👇journals.lww.com/greenjournal/f…
@arkej @jennarosaa @DrFeeleyRM Critical of our restriction to 'low risk' pregnancies (93% 'within guidelines') for the primary analysis. Ie. the same approach as UK Birthplace study primary analysis and same proportion (~7%) of pregnancies 'outside guidelines'.
@arkej @jennarosaa @DrFeeleyRM Should all home birth be considered 'unsafe' because any people birth at home when 'outside guidelines'? People birth at home 'outside guidelines' in well-integrated countries too (ie NL, UK, Canada). Distrust of the system, #birthautonomy, among many reasons.
