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.

@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). 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.

@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

In a new study in @CMAJ_Open, we analyzed survey data from @StatCan_eng to understand if #contraception use differed among female youth aged 15-24yrs by household income. bit.ly/2NkAYeU @cartgrac @e_nethery @wvnorman @DrLSchummers @womensresearch @CanPaedSociety /1 A more general summary of the study in the @ubcnews release here: bit.ly/2WPkGxV

Now attempting my first #tweetorial – shout out to @s_l_lake @ubcspph for this idea and her brilliant example /2