Thread by @e_nethery

@ObMD @greenjrnl @NACPM @ACNMmidwives @BirthPlaceLab @wamidwives @DrLSchummers @ob_coap @Canadamidwives Thank you. We encourage people to read our paper. We studied births attended by members of a state-wide professional midwifery association in Washington State and within local standards and guidelines for planned community birth. journals.lww.com/greenjournal/f…

@ObMD @greenjrnl @NACPM @ACNMmidwives @BirthPlaceLab @wamidwives @DrLSchummers @ob_coap @Canadamidwives a/ Discussion: "We focused this study on pregnancies meeting eligibility guidelines for community birth, similar to those in countries with well-integrated midwifery. Greater availability of ACOG-supported practices such as trial of labor after cesarean, vaginal twin and

@ObMD @greenjrnl @NACPM @ACNMmidwives @BirthPlaceLab @wamidwives @DrLSchummers @ob_coap @Canadamidwives b/ vaginal breech may reduce the likelihood of pregnant people choosing planned home birth outside of guidelines. Notably, planned births outside guidelines were infrequent (7%) in our study and no more common than the 7% reported in planned homebirths in the UK Birthplace study

@ObMD @greenjrnl @NACPM @ACNMmidwives @BirthPlaceLab @wamidwives @DrLSchummers @ob_coap @Canadamidwives c/ where midwife-attended community births are fully integrated into the health system."

@ObMD @greenjrnl @NACPM @ACNMmidwives @BirthPlaceLab @wamidwives @DrLSchummers @ob_coap @Canadamidwives Some excellent research on risk profiles of planned community births from @TheUpliftLab: pubmed.ncbi.nlm.nih.gov/28332220/

@ObMD @greenjrnl @NACPM @ACNMmidwives @BirthPlaceLab @wamidwives @DrLSchummers @ob_coap @Canadamidwives @TheUpliftLab And from the UK: ncbi.nlm.nih.gov/pmc/articles/P…