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U.S. Home Births Continued Steady Increase in 2012

Report cites improving safety profile

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In addition, many midwives now work with a woman's full medical team, which improves the safety of home delivery. "That can greatly facilitate prompt and effective consultations if problems arise," Byrne said. "It eliminates a lot of barriers."

Byrne said some women should rule out home delivery out-of-hand -- those with prior C-sections, women who are morbidly obese and women at risk for breach birth.

Other highlights of the report follow:

  • White women chose out-of-home births about four times more often than other ethnic groups -- about 2 percent of whites versus half a percent of blacks, Hispanics and Asians. "They've consistently had higher rates for a while now," Mathews said of whites. "If they're getting good results and they're talking to each other, it becomes more of a normal option for that population."
  • The six states leading the charge in out-of-hospital births are Alaska, Pennsylvania, Idaho, Montana, Oregon and Washington, with 3 percent to 6 percent of births occurring at home or in a birthing center.
  • Women in Rhode Island, Mississippi and Alabama accounted for only 0.33 percent to 0.39 percent of home births.
  • About 4 percent of out-of-hospital births were preterm in 2012, compared with almost 12 percent of hospital births. Similarly, about 3 percent of out-of-hospital births were low birth weight versus more than 8 percent in the hospital. By contrast, in 2004, nearly 7 percent of out-of-hospital births were preterm and about 5 percent were low birth weight.
  • In the 36 states that have birth certificates that note whether the delivery took place as intended, 88 percent of home births took place as planned in 2012. This indicates these home births were not surprises, Mathews said.

The findings are published in the March issue of the CDC's NCHS Data Brief.

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