My causes

I am currently involved in various causes. The first is a petition to regulate, license, and treat midwives as we would any other health professional.

I have created a Loss Survey as I am rather curious as to what the statistics really say!

Lastly, I am getting started creating birth announcements and birth/death announcements. Announcements are free for bereaved parents. Any proceeds will go towards purchasing casting kits for bereavement programs at local hospitals. My hope is to be able to spread this ministry out and provide these to even more hospitals around the country, and possibly overseas. I would also like to have kits on hand for Now I Lay Me Down To Sleep Bereavement Photographers. If you are looking for any other type of announcement, Drop me a line and I will work with you. Contact me for more info !

Sunday, December 14, 2008

CDC Info

I thought this would be pretty interesting. According to the CDC, for the years 2003-2004 there were a total of 4,112,055 births.
4,075,712 of these were in the hospital while 35,578 were out of the hospital and 765 births were not stated.

There were 27,489 deaths in the hospital, 364 out of the hospital, and 7 unstated.

This puts the hospital group at 6.74/1000, the out of hospital groups at 10.23/1000 and the last groups data was suppressed.

Out of the hospital groups are 1 1/5 times more likely to die than in hospital groups.

P07.2 (Extreme immaturity)Not in Hospital5335,5781.49
P07.3 (Other preterm infants)Not in Hospital2335,5780.65
P21.9 (Birth asphyxia, unspecified)Not in Hospital1635,578Suppressed
R95 (Sudden infant death syndrom - SIDS)Not in Hospital1635,578Suppressed
P29.1 (Neonatal cardiac dysrhythmia)Not in Hospital1435,578Suppressed
R99 (Other ill-defined and unspecified causes of mortality)Not in Hospital1235,578Suppressed
X91 (Assault by hanging, strangulation and suffocation)Not in Hospital1235,578Suppressed
P29.0 (Neonatal cardiac failure)Not in Hospital1135,578Suppressed
Q91.3 (Edwards' syndrome, unspecified)Not in Hospital935,578Suppressed
Q24.9 (Congenital malformation of heart, unspecified)Not in Hospital835,578Suppressed
P02.7 (Fetus and newborn affected by chorioamnionitis)Not in Hospital735,578Suppressed
P01.5 (Fetus and newborn affected by multiple pregnancy)Not in Hospital635,578Suppressed
P22.0 (Respiratory distress syndrome of newborn)Not in Hospital535,578Suppressed
P36.9 (Bacterial sepsis of newborn, unspecified)Not in Hospital535,578Suppressed
Y06.9 (By unspecified person)Not in Hospital535,578Suppressed
A41.9 (Septicaemia, unspecified)Not in Hospital435,578Suppressed
P28.0 (Primary atelectasis of newborn)Not in Hospital435,578Suppressed
P52.3 (Unspecified intraventricular (nontraumatic) haemorrhage of fetus and newborn)Not in Hospital435,578Suppressed
P77 (Necrotizing enterocolitis of fetus and newborn)Not in Hospital435,578Suppressed
Q89.9 (Congenital malformation, unspecified)Not in Hospital435,578Suppressed
X92 (Assault by drowning and submersion)Not in Hospital435,578Suppressed
Y09 (Assault by unspecified means)Not in Hospital435,578Suppressed
P01.1 (Fetus and newborn affected by premature rupture of membranes)Not in Hospital335,578Suppressed
P03.0 (Fetus and newborn affected by breech delivery and extraction)Not in Hospital335,578Suppressed
P03.5 (Fetus and newborn affected by precipitate delivery)Not in Hospital335,578Suppressed
P03.9 (Fetus and newborn affected by complication of labour and delivery, unspecified)Not in Hospital335,578Suppressed
P21.0 (Severe birth asphyxia)Not in Hospital335,578Suppressed
P23.9 (Congenital pneumonia, unspecified)Not in Hospital335,578Suppressed
P80.9 (Hypothermia of newborn, unspecified)Not in Hospital335,578Suppressed
Q23.4 (Hypoplastic left heart syndrome)Not in Hospital335,578Suppressed
Q89.7 (Multiple congenital malformations, not elsewhere classified)Not in Hospital335,578Suppressed
Q90.9 (Down's syndrome, unspecified)Not in Hospital335,578Suppressed
B49 (Unspecified mycosis)Not in Hospital235,578Suppressed
J18.9 (Pneumonia, unspecified)Not in Hospital235,578Suppressed
N04.9 (Nephrotic syndrome, unspecified)Not in Hospital235,578Suppressed
P01.0 (Fetus and newborn affected by incompetent cervix)Not in Hospital235,578Suppressed
P01.8 (Fetus and newborn affected by other maternal complications of pregnancy)Not in Hospital235,578Suppressed
P25.1 (Pneumothorax originating in the perinatal period)Not in Hospital235,578Suppressed
P36.8 (Other bacterial sepsis of newborn)Not in Hospital235,578Suppressed
Q00.0 (Anencephaly)Not in Hospital235,578Suppressed
Q33.6 (Hypoplasia and dysplasia of lung)Not in Hospital235,578Suppressed
Q79.3 (Gastroschisis)Not in Hospital235,578Suppressed
Q91.7 (Patau's syndrome, unspecified)Not in Hospital235,578Suppressed
W74 (Unspecified drowning and submersion)Not in Hospital235,578Suppressed
W75 (Accidental suffocation and strangulation in bed)Not in Hospital235,578Suppressed
A41.5 (Septicaemia due to other Gram-negative organisms)Not in Hospital135,578Suppressed
B00.3 (Herpesviral meningitis (G02.0*))Not in Hospital135,578Suppressed
B23.2 (HIV disease resulting in haematological and immunological abnormalities, not elsewhere classified)Not in Hospital135,578Suppressed
B34.8 (Other viral infections of unspecified site)Not in Hospital135,578Suppressed
C85.9 (Non-Hodgkin's lymphoma, unspecified type)Not in Hospital135,578Suppressed
D18.1 (Lymphangioma, any site)Not in Hospital135,578Suppressed
D42.0 (Cerebral meninges)Not in Hospital135,578Suppressed
D84.9 (Immunodeficiency, unspecified)Not in Hospital135,578Suppressed
E27.4 (Other and unspecified adrenocortical insufficiency)Not in Hospital135,578Suppressed
E46 (Unspecified protein-energy malnutrition)Not in Hospital135,578Suppressed
E75.2 (Other sphingolipidosis)Not in Hospital135,578Suppressed
E86 (Volume depletion)Not in Hospital135,578Suppressed
E87.5 (Hyperkalaemia)Not in Hospital135,578Suppressed
E88.0 (Disorders of plasma-protein metabolism, not elsewhere classified)Not in Hospital135,578Suppressed
G12.0 (Infantile spinal muscular atrophy, type I [Werdnig-Hoffman])Not in Hospital135,578Suppressed
G12.9 (Spinal muscular atrophy, unspecified)Not in Hospital135,578Suppressed
G31.9 (Degenerative disease of nervous system, unspecified)Not in Hospital135,578Suppressed
G47.3 (Sleep apnoea)Not in Hospital135,578Suppressed
G71.2 (Congenital myopathies)Not in Hospital135,578Suppressed
G91.9 (Hydrocephalus, unspecified)Not in Hospital135,578Suppressed
I27.2 (Other secondary pulmonary hypertension)Not in Hospital135,578Suppressed
I28.8 (Other specified diseases of pulmonary vessels)Not in Hospital135,578Suppressed
J15.4 (Pneumonia due to other streptococci)Not in Hospital135,578Suppressed
J84.9 (Interstitial pulmonary disease, unspecified)Not in Hospital135,578Suppressed
J98.4 (Other disorders of lung)Not in Hospital135,578Suppressed
K44.9 (Diaphragmatic hernia without obstruction or gangrene)Not in Hospital135,578Suppressed
K72.9 (Hepatic failure, unspecified)Not in Hospital135,578Suppressed
K76.8 (Other specified diseases of liver)Not in Hospital135,578Suppressed
K76.9 (Liver disease, unspecified)Not in Hospital135,578Suppressed
N17.9 (Acute renal failure, unspecified)Not in Hospital135,578Suppressed
P02.0 (Fetus and newborn affected by placenta praevia)Not in Hospital135,578Suppressed
P02.1 (Fetus and newborn affected by other forms of placental separation and haemorrhage)Not in Hospital135,578Suppressed
P02.4 (Fetus and newborn affected by prolapsed cord)Not in Hospital135,578Suppressed
P02.6 (Fetus and newborn affected by other and unspecified conditions of umbilical cord)Not in Hospital135,578Suppressed
P04.4 (Fetus and newborn affected by maternal use of drugs of addiction)Not in Hospital135,578Suppressed
P07.0 (Extremely low birth weight)Not in Hospital135,578Suppressed
P20.9 (Intrauterine hypoxia, unspecified)Not in Hospital135,578Suppressed
P26.9 (Unspecified pulmonary haemorrhage originating in the perinatal period)Not in Hospital135,578Suppressed
P27.1 (Bronchopulmonary dysplasia originating in the perinatal period)Not in Hospital135,578Suppressed
P28.1 (Other and unspecified atelectasis of newborn)Not in Hospital135,578Suppressed
P28.5 (Respiratory failure of newborn)Not in Hospital135,578Suppressed
P28.9 (Respiratory condition of newborn, unspecified)Not in Hospital135,578Suppressed
P35.1 (Congenital cytomegalovirus infection)Not in Hospital135,578Suppressed
P36.1 (Sepsis of newborn due to other and unspecified streptococci)Not in Hospital135,578Suppressed
P37.5 (Neonatal candidiasis)Not in Hospital135,578Suppressed
P54.3 (Other neonatal gastrointestinal haemorrhage)Not in Hospital135,578Suppressed
P54.9 (Neonatal haemorrhage, unspecified)Not in Hospital135,578Suppressed
P61.4 (Other congenital anaemias, not elsewhere classified)Not in Hospital135,578Suppressed
P78.0 (Perinatal intestinal perforation)Not in Hospital135,578Suppressed
P96.8 (Other specified conditions originating in the perinatal period)Not in Hospital135,578Suppressed
P96.9 (Condition originating in the perinatal period, unspecified)Not in Hospital135,578Suppressed
Q01.9 (Encephalocele, unspecified)Not in Hospital135,578Suppressed
Q04.9 (Congenital malformation of brain, unspecified)Not in Hospital135,578Suppressed
Q21.0 (Ventricular septal defect)Not in Hospital135,578Suppressed
Q21.1 (Atrial septal defect)Not in Hospital135,578Suppressed
Q25.0 (Patent ductus arteriosus)Not in Hospital135,578Suppressed
Q33.3 (Agenesis of lung)Not in Hospital135,578Suppressed
Q35.9 (Cleft palate, unspecified, unilateral)Not in Hospital135,578Suppressed
Q60.1 (Renal agenesis, bilateral)Not in Hospital135,578Suppressed
Q60.2 (Renal agenesis, unspecified)Not in Hospital135,578Suppressed
Q60.6 (Potter's syndrome)Not in Hospital135,578Suppressed
Q61.3 (Polycystic kidney, unspecified)Not in Hospital135,578Suppressed
Q61.4 (Renal dysplasia)Not in Hospital135,578Suppressed
Q63.9 (Congenital malformation of kidney, unspecified)Not in Hospital135,578Suppressed
Q67.8 (Other congenital deformities of chest)Not in Hospital135,578Suppressed
Q77.6 (Chondroectodermal dysplasia)Not in Hospital135,578Suppressed
Q79.0 (Congenital diaphragmatic hernia)Not in Hospital135,578Suppressed
Q84.2 (Other congenital malformations of hair)Not in Hospital135,578Suppressed
Q99.8 (Other specified chromosome abnormalities)Not in Hospital135,578Suppressed
R62.8 (Other lack of expected normal physiological development)Not in Hospital135,578Suppressed
R98 (Unattended death)Not in Hospital135,578Suppressed
V49.5 (Passenger injured in collision with other and unspecified motor vehicles in traffic accident)Not in Hospital135,578Suppressed
X99 (Assault by sharp object)Not in Hospital135,578Suppressed
Y07.1 (By parent)Not in Hospital135,578Suppressed
Y33 (Other specified events, undetermined intent)Not in Hospital135,578Suppressed

The CDC clearly shows all data and it all points to the fact that having an infant at home DOES increase death to the child.


His Tender Mercies said...

First let me say I have not lost a child and just the thought of it is terrifying to me. It's something a parent would never get over, I think. The pain of that loss must always be there even though the intensity I'm sure will change in time.

"You have decided the length of our lives. You know how many months we will live, and we are not given a minute longer" Job 14:5
Isn't it more comforting to know that the Lord numbered your daughter's days (no matter where or how she died) than to look at her birth as just an out of hospital birth/death statistic?

I think of you quite often...especially now that the Christmas is here...I pray the Lord's comfort for you at this difficult time.

Jen said...

I'm so sorry to read of your loss. Obviously you are grieving and in pain.
I would encourage you to explain to your readers the statistical signifigance of what you posted. You posted the mortality rate of ALL out of hospital births, planned and UNplanned, attended by a professional and UNattended. This includes babies born in secret, such as teenagers having babies in bathrooms, and babies born unexpectedly, in taxis, buses, on the way to the hospital, at home UNplanned and at home planned.
It is HIGHLY inaccurate to lump ALL out of hospital births together. It does NOT give an accurate picture of PLANNED homebirth with a CERTIFIED or LICENSED PROFESSIONAL and the saftey record there.
To say that we can compare planned homebirth with a low risk mom and a licensed midwife to a birth in a taxi for a mom having a precipitous birth is just irresponsible. Yet this is what you've done with your stat posting.
If you were being credulous, you would show the stats from MANA showing the comparable rates between low-risk women birthing in the hospital and at home or in a FSBC with a certified and or licensed midwife.
The stats you have posted are basically unusable in your arguement against homebirth.
I am so sad to hear that you had a presumably preventable death of your precious baby. I am so so very sorry. I have no way to "feel" what you have experienced, but I have experienced miscarriages of very wanted babies. I understand loss and what grief sometimes prompts us to do, but please, consider presenting a more accurate picture of the actual, comparable statistics.
Thank you.
- Jennifer

Mommato6 said...

I would happily share MANA stats if they were available. Did you know MANA does not share anything unless it is for the advancement of midwifery and you must sign legal documents prohibiting you from sharing them??? If the stats were so wonderful, why can't they provide them willfully??? It sounds pretty fishy to me.

Another thing is some women who are deemed high risk by an OB are considered low risk by Midwives. Breech deliveries are attempted by midwives with some having adverse effects. Breech deliveries are done by c-section by an OB in which the baby may spend some time in NICU. That is MUCH better than the outcomes where a baby gets stuck and dies. Babies can recover from their small NICU stays, they cannot recover from death.

fourlittlefish said...

It is completely true that a NICU stay is transient, while death is permanent. For any parent to lose a child to something that could have been CAUGHT and TREATED is a tragedy. My heart goes out to you and your family.
However, I also believe that parents need to research their options and know who they are trusting for the birth of their child. There is a big difference between a Certified Nurse Midwife and a "midwife" who has attended a few births and slaps a title on herself. CNMs are licensed, competent professionals with a minimum of 6 years of nursing and midwifery education. CNMs have lower morbidity and mortality rates than OBs for comparable, low-risk deliveries in hospitals. CNM attended home births also have comparable outcomes to OB-attended hospital births.
I understand that in your grief and frustration, it is easy to lash out at the person you feel caused it. Hopefully parents (and future parents) who come across your blog will see that there is a big difference in the care provided by a licensed, certified professional, and someone who gives themselves a title and hangs a shingle outside their door.

Stephanie said...

To "fourlittlefish", why is it that a CNM is certified, but a licensed midwife "slaps on a title and hangs a shingle"? Licensed midwives are regulated differently in every state, but to be certified one must have an extensive education, attend many births, and pass a board exam, just like CNMs. Most CPMs have been to many more births than CNMs at the entry level.
Also, the CDC statistics have been questioned because it does not account for birth that were "planned" out of hospital. Many of the out of hospital births were accidental, and emergencies.
I do agree that women should advocate for themselves and be vigilant about knowing the background of any health care provider.

none said...

Stephanie - I didn't refer to certified professional midwives at all in my comment. Many lay midwives are not CPMs, and call themselves "midwives" without having any credentials at all. Yes, some of these lay midwives are undoubtedly competent and experienced. But without regulation of these lay midwives, it's a lot harder for consumers to know just who exactly they are hiring to attend the birth of their child.
Also, to my knowledge, certification and licensure for non-nurse midwives is available in less than half of the US states, and in those states there is a huge lack of regulated providers who assist in out of hospital births.