@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.
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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.
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.
Despite Canada’s universal health insurance, we do not have universal coverage of #contraception.
More effective methods like ‘the Pill’ can cost 15-40$
per month. Condoms are usually the cheapest, around $1 each, but are less effective in real-life conditions (85%). /3