Feb 2, 2012 4:56pm

Death After Home Birth Raises Questions

Before hospitals because the go-to-places for giving birth, having a baby at home was considered the norm. Now, with celebrities including Giselle Bundchen and Jennifer Connelly publicly announcing they opted for a home birth, the method is increasing becoming more popular.

Recent studies show that home births are up 20 percent. But even with this renewed interest, less than 1 percent of babies in the United States are born at home.

However, the death of a respected home birth advocate in Australia as she, herself, gave birth at home resurrects the question of how safe home births are.

Caroline Lovell, 36, once advocated for midwife funding and legal protection in Australia. But in January, Lovell died of a heart attack just one day after giving birth at home to her second daughter, Zahra, the Australian newspaper Herald Sun reported.

One of the main appeals of home birth is the woman’s comfort from being in her own surroundings, according to Brad Imler, president of the American Pregnancy Association.

“The families that tend to elect home birth favor a natural birth,” said Imler.

The report sparked a burst of comments among mothers and mothers-to-be on online chat boards – some of whom strayed further from the idea.

“Just one reason why I would never feel comfortable planning a home birth,” one mother commented on the online community BabyCenter.com “Nothing against those that choose to, but this is too scary to convince me.”

Imler said that he found cardiac arrest an extremely uncommon complication, and it should not be attributed to the fact that Lovell had a home birth.

“Having birth at home or at a hospital does not trigger the heart attack itself,” said Imler. “We don’t really know that the home birth brought it on.”

A majority of mothers who commented on BabyCenter.com agreed.

“Things can go wrong in childbirth regardless of where you give birth,” one mother wrote.

But the difference between home birth and hospital birth lies in having quick access to care should an unforeseen complication emerge.

“The question would be: Had she been in the hospital, would there have been ample time to resuscitate and save her life?” said Imler.

The American Pregnancy Association doesn’t advocate a mother choose one birthing method over another, as long as a mother is educated about the risks and benefits. The Lovell case certainly doesn’t change its stance.

However, Imler said, there are many women who choose birthing centers that try to recreate the full home birth feel but are more medically equipped with staff and services.

“Labor and delivery is not a condition, and that tends to be one of the connotations of the hospital,” said Imler.

Many hospital maternity wards are starting to provide a more comforting feel to the birthing process.

According to the American College of Obstetricians and Gynecologists (ACOG), hospitals and birthing centers are the safest places to have a baby. 

Evidence suggests home births carry a two- to three-fold increased risk of newborn death compared to planned hospital births, ACOG said in a public statement.

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User Comments

Its a shame that the writer of this article is focusing on one death, from a rare complication (on another continent), and using it to illustrate “concern” about the safety of U.S. home birth. I recently sat next to a malpractice lawyer at a dinner, and she had story after story of American hospital births gone wrong because of understaffed maternity wards where the caregivers relied on too much technology and not enough common sense. Responsible journalism, please.

Posted by: Sara | February 2, 2012 February 2, 2012, 5:54 pm

Women and babies die in American hospitals every single day. One death the day AFTER a woman gives birth (so even if she’d birthed in a hospital, she could have been home already anyways) is not relevant. This article is about fear mongering and not education.

Posted by: Brooke Waaga | February 2, 2012 February 2, 2012, 6:03 pm

Last time I checked, home birth stats prove that home birth is far safer than hospital birth. This woman’s death had nothing to do with her home birth. Clearly the author of this article is not only biased against home birth, but also giving misleading information about the cause of death as well as insinuating it has something to do with birthing at home. Home birth is safe, this is a fact. I cannot say the same for hospital births.

Posted by: Andria | February 2, 2012 February 2, 2012, 6:09 pm

I wonder what evidence ACOG is referring to? Does it happen to include ‘Born-Before-Arrivals’ (unplanned home births)? BBAs are much more likely to result in complications than planned home births and stats including them hold no value in this argument.

Is there any more information about this poor mother’s death? Surely a heart attack the day after her baby was born could have happened at home, even if she had delivered in hospital?

Posted by: Juno | February 2, 2012 February 2, 2012, 6:11 pm

First, this article is poorly written. I found two errors in the first paragraph alone. Second, how does this opinion coincide with the statistics? Only 1% of all births in the US happen at home, yet the US has one of the highest infant and maternal mortality rates of industrialized nations. Conversely, other countries that have predominately midwife assisted births at home have some of the lowest. Perhaps the author should have done her research instead of writing a shock-Ed piece with poor writing.

Posted by: Kathryn | February 2, 2012 February 2, 2012, 6:14 pm

I wonder what evidence ACOG is referring to? Does it happen to include ‘Born-Before-Arrivals’ (unplanned home births) in its stats? BBAs are much more likely to result in complications and stats including them hold no value in this argument.

Posted by: Juno | February 2, 2012 February 2, 2012, 6:15 pm

Of course ACOG says home birth is risky–it’s their competition! If home birth were so risky then why do places like the Netherlands, where ONE THIRD of all births happen at home, have among the best birth stats in the world, while the US ranks at the bottom of all “modern” nations?

Posted by: Carrie | February 2, 2012 February 2, 2012, 6:16 pm

Please, proofread your articles before submitting them! There are so many mistakes in the text, it is appalling!

Posted by: Becky | February 2, 2012 February 2, 2012, 6:22 pm

I don’t think home births are accurately reported in the US. There seem to be more women home birthing than just 1%. Maybe it’s regional, with more home births happening where I live than in other places.

Posted by: Natalie | February 2, 2012 February 2, 2012, 6:26 pm

Hmmm….. AND BABIES DONT DIE IN THE HOSPITAL???
In fact when i was at the hospital a woman in labour lost her little one.
did you know the country with the lowest death rates of children has the highest home birth rate????? Sweden. check it out

Posted by: shannon | February 2, 2012 February 2, 2012, 6:26 pm

My wife works in a L&D. She is responsible for the baby at delivery. Another nurse and doctor are responsible for the mommy.

I can tell you that Home Birth is very risky. Meconium, Eclampcia, Pre Eclampcia cord issues, placental abruption, newborn septicemia, breech delivery, lack of fetal heart monitoring etc.

It a free country, but why trust the health of your newborn and wife at home. Unless you live next door to a hospital, you are a long way from saving you wife and babies life in an emergency.

The only think more difficult to comprehend and deal-with, than a fetal demise, would be losing your wife at child birth as well.

If you want natural, go to the health food store, leave delivery of babies to the pros at the hospital

Posted by: tsandco | February 2, 2012 February 2, 2012, 6:27 pm

So many women die or loose their abilty to birth again every day in hospitals… dont think you even bothered to read those stats.. babys die every day. in hosiptals due to iantrogenic issues.. cpm 200 stats say very clearly that home births the stats for mom were 0 deaths with cpm’s at home.. and 1.7 per thousand births unless you included higher risk then it rose to a whoppin 2.2 per thousand.. its this womans choice where to give birth…her death is awful, but please dont marginalize those poor mothers who die every day in hospitals…

Posted by: susan | February 2, 2012 February 2, 2012, 6:28 pm

As someone who works in a hospital with labor and birth I have had the unfortunate experience of two women dying of heart problems, and THIS WAS IN THE HOSPITAL.
This article makes me sad for this dear mom and dear activist, all pregnant women and the issue of informed choice. Perhaps we should refocus on the real problems with obstetrics in this country.

Posted by: Dana | February 2, 2012 February 2, 2012, 6:28 pm

You could make an equally ridiculous argument by saying any person who suffers a heart attack would have a chance at medical intervention if only they were in a hospital when it happened! The fact that she gave birth at home has nothing to do with it!! I have never read a more stupid article.

Posted by: Lani | February 2, 2012 February 2, 2012, 6:29 pm

When I gave birth via cesarean the woman on the surgical table before me DIED leaving a motherless baby uncared for in the newborn nursery. The poor grieving dad didn’t even come by for five days.

She died of cardiac arrest.

Therefore no one should have a cesarean, right?

Posted by: Jane | February 2, 2012 February 2, 2012, 6:31 pm

I’m wondering why we never see headlines like “Death After Hospital Birth”? I think we should see them all the time since the US maternal mortality rate is a shameful #39 in the developed world. And of course the ACOG cherry picks studies (and which study is that?) that have the least favorable statistics for the safety of home birth when there are also plenty that show the opposite – that it is statistically as safe for a low risk (not high risk, or in an emergency situation) woman to give birth (with a qualified attendant) at home as it is in the hospital… And with slightly better outcomes at home.

Posted by: Cat | February 2, 2012 February 2, 2012, 6:31 pm

Ms. Lovell’s death is certainly tragic for her devastated family. However, many many women die every day here in the US, in hospital. Perhaps an expose on why a wealthy nation like ours fares so poorly in maternal mortality statistics is more in order than fear mongering based on one woman’s untimely death. Those same statistics will show that the countries with lower maternal mortality rates often have a much higher rate of homebirth and midwife assisted birth. Perhaps it is based on these very real issues that more and more women here in the US are opting for a non-medicalized homebirth, not some silly notion to imitate celebrities.

Posted by: Aimee | February 2, 2012 February 2, 2012, 6:32 pm

In public hospitals in Australia it is common for mothers to be offered to go home 4 hours after birth. If her heart attack (or whatever the reason – still to be determined) had happened I doubt it would have made the news. I think it is incredibly sad that the Lovell family have to go through their grief and joy amid a sea of shonky reporting, such as this article.

Posted by: Karena | February 2, 2012 February 2, 2012, 6:36 pm

Perhaps you should do a little research into the number of deaths that occur in hospitals during and after childbirth. These cases are just as tragic yet not newsworthy – nor do they raise many questions about the quality of care the medical establishment gives to women. Being coerced into a cesarean section should raise questions. Being told that you are incapable of birthing your baby without drugs (despite birth being a normal, physiological process – read into the history of childbirth, don’t just assume birth was deadly before the advent of hospitals as a matter of fact) should raise questions. Undergoing numerous ultrasound sonograms despite AGOG clearly stating that they should not be done for medically unnecessary reasons should raise questions.

And the fact that you would write such a heated article without editing (“Before hospitals because the go-to-places for giving birth, having a baby at home was considered the norm.”) or external links for support, should raise questions.

I am in favor of women being knowledgeable about the process of birth. If you go to a hospital and allow doctors and nurses to impose medically unnecessary interventions from breaking one’s bag of waters, to augmenting one’s labor through induction, pushing artificial means of pain relief – DRUGS, and finally, subjecting you to an unnecessary cesarean section…reasoning that a healthy baby is all that matters… is just as irresponsible. and SHOULD RAISE QUESTIONS. But it doesn’t, because it’s the status quo. It’s “normal” and because it has all taken place within the confines of a “safe hospital” it’s OK.

Because of women like you, we have a culture of fear around childbirth. One that over-relies on the medical establishment to save us from ourselves. Check yourself.

Posted by: Charmaine | February 2, 2012 February 2, 2012, 6:52 pm

Ah, if only the one person supporting the journalist in the comment section would have spelled “eclampsia” right, maybe there argument wouldve held more water.

This article is poorly written, first, and inflammatory and misguided, second. Also, your research sample was to hop on babycenter to see what the old men posing as new moms were saying about this whole case?

What everyone else said. The problem is over-intervention in this country.

Article FAIL.

Posted by: Betsy | February 2, 2012 February 2, 2012, 6:53 pm

I really don’t care one way or another if a woman gives birth at home. I personally would only give birth in a hospital just in case complications required immediate intervention. If other people don’t want that, who am I to say they should? it’s up to them. It’s like those people who ride motorcycles without a helmet. If that head isn’t interested in protecting itself, why should I worry about it more than its owner?

Posted by: mammy | February 2, 2012 February 2, 2012, 7:05 pm

Please, as a journalist, do your homework first before writing such a one-sided (poorly written) article.

Posted by: Holistic Mom | February 2, 2012 February 2, 2012, 7:08 pm

It’s a shame that the writer cannot write and that there are two horrendous errors in the lead sentence. I am convinced more than ever that ABCnews.com does not employ copy editors.

Posted by: Gina | February 2, 2012 February 2, 2012, 7:14 pm

Just what we need; one more issue to add to the “mommy wars.”

Home birth or hospital birth, it can be risky either way. Moms need to be *realistic* about their overall health and heed what their obstetrician’s advice. Moms who are at risk such as overweight women, women with diabetes or other health issues, and older moms – the mom this tragic case was in her late 30s which in REALITY is considered at risk due to her advanced age – should opt for a hospital birth where she can be monitored for a day or two postpartum.

Posted by: Judy | February 2, 2012 February 2, 2012, 7:17 pm

OMG! Dear Ms. Salahi, has it ever happened that somebody, a baby or a mother, died one day after birth ine horpital? Who has ever run a story “Death After Home Hospital Birth Raises Questions”? Have you? Why not?
What? … It’s not the same? Well, it is a shame.

The last paragraph is unfortunately an outright lie.
May your next article be born outside of a hospital.

Posted by: LetEndlessFearGovern | February 2, 2012 February 2, 2012, 7:25 pm

For women who are getting prenatal care home birth should be statistically safer… because who is going to choose to give birth at home if their OBGYN says their a problem with the fetus? And does anyone choosing to have a home birth NOT get prenatal care? Hospitals are where everyone including those who would otherwise choose a home birth go when there is any complication so to make a blanket claim that home birth is statistically safer is just silly. Compare stats on babies born with conditions like gastroschisis (organs outside the body) at home vs. hospital and then we can truly compare which is safer.

Posted by: glacia | February 2, 2012 February 2, 2012, 7:38 pm

This article is extremely misleading, since it gives false statistical data and does not provide a reliable study/source for its premises. It makes me sad that a woman wrote it. I had my child at home, and it was a beautiful, safe experience. In no way does a cardiac arrest after a home birth indicates that the home birth was the cause. Why would you imply so in the article? Research the statistics and the sources. Educate yourself, then write an article.

Posted by: Limari | February 2, 2012 February 2, 2012, 8:10 pm

I dunno. I’m never opting for a home birth simply because the cleanup is potentially really messy. I’ve assisted with dogs, and that’s messy enough (and the dog will mostly clean up after herself). And my friend’s stories…. well, messy doesn’t even begin to cover it. In any case, I was born with a collapsed lung – I was so critical my mother wasn’t even allowed to hold me. They immediately transported me to an ICU at another hospital 45 minutes away. My father got to wave at me as they rolled me past. Yes, in a hospital birth, there is the chance of things going wrong, but the truth is, I would probably have died in a home birth. I realize i’m one of the rare cases where things go really wrong, but BEING one of those really rare cases kind of gives you a different perspective.

Posted by: JrzWrld | February 2, 2012 February 2, 2012, 10:58 pm

As a current midwife (who is required to deliver in the hospital) & former editor, I am wondering two things: 1. What the point of this article is? You clearly state that her heart attack has not been linked to her planned home birth. 2. Are online “journalists” required to have an editor look at their article prior to submission? This article is ineffective as news or argument, has numerous grammatical errors & inconsistencies, and is a poor reflection of the integrity of ABC News.

Posted by: Cheryl | February 3, 2012 February 3, 2012, 12:36 am

I can’t believe this nonsensical article even got published. A woman died of something sinisterly unrelated to childbirth, at a point where she would have been home from the hospital had she birthed there, and this is newsworthy and tied to home birth how exactly? I hope you didn’t sprain something reaching so far.

Posted by: Kristy | February 3, 2012 February 3, 2012, 12:41 am

Just would like to inform ABC News that they just lost a patron because they fail to employ reliable journalists. Try checking your sources and proof reading next time Lara Salahi.

Posted by: Tara | February 3, 2012 February 3, 2012, 2:24 am

it happens … in a hospital , at home, wherever, it doesnt happen often but it does still happen women and babies die from childbirth .. . and there s no reason to believe this woman would have been better off in a hospital in a labor and delivery unit when she suffered a rare and unexpected complicatrion involving her heart . it may very well have come ro the same tragic end . it happens. prayers and thoughts for her family and friends .

Posted by: luannerene | February 3, 2012 February 3, 2012, 2:33 am

Where did this writer get her stats. Last time I checked home births were way safer for mother and baby than hospital births. Now lets hear one story about the numerous horror stories that occur in hospitals everyday. Also, what is this woman’s health history? She died of a heart attack not fro giving birth?

Posted by: Melissa | February 3, 2012 February 3, 2012, 9:27 am

I think the differing views on this issue can be reconciled. My partner and I had four children in birth centres: a great solution for us with great care and ongoing support from midwives, two of whom we still know after twenty years. For us it was comforting and comfortable – But two of the kids did need short term medical support after birth – it was available, with little fuss and all worked out well. I’m now a doctor and have spent months on “standard” obstetric wards. With my personal experience I believe it can be done much better than that but one thing I’m absolutely sure of is that on tap back up medical care is safer than unassisted home birth. Put simply, the role of the doctors is to reduce the chance of a mother or child dying or becoming permanently disabled. They work hard, do everything they can when they are needed and they often save lives. Think about it.

Posted by: Peter Andrews | February 4, 2012 February 4, 2012, 6:41 am

Facts are hard things. The hard fact is that the maternal mortality rate was 500% higher in the first half of the 20th century when compared to the second half. What do you think the difference was? Oh, yeah. Hospital based births became the norm in the second half of the 1900s.
It hasn’t been that long ago when moms died ALL THE TIME in childbirth or shortly afterward (like my grandma did in 1930)…now it is a shocking and rare event in the developed world.
So those who think home birth is safest are sadly mistaken.

Posted by: sad | February 8, 2012 February 8, 2012, 11:42 pm

When mothers and babies die in hospitals, no one questions if the setting was the culprit.

This woman didn’t even die during birth, or immediately after. She died the next day, and she quite likely would have been home from the hospital already anyway.

Posted by: sara | February 9, 2012 February 9, 2012, 3:14 pm

Sorry but this is in my opinion a truly pointless and stupid event to link to homebirth. People die. People die from heart attacks alot. People die very unexpectantly due to heart attacks all the time.

So she was at home when she had her heart attack. That happens to people all the time also.

She could have still been home from the hospital and it happened.

This is so blatantly stupid to tie this to homebirth – I can only assume once again that this article is an attempt for the anti-home birthers to once again milk the fear and control already bred into us.

Sorry, but I would dare to say in the face of that – all the OBs Ive ever known did not have the courage that this woman had in one finger!

Posted by: NebraskaDad | February 28, 2012 February 28, 2012, 10:01 am

Please, why is this article still up more than 2 months later??? It is irresponsible journalism. ABC News shame on you for supporting an article like this.

Posted by: Robyn | April 17, 2012 April 17, 2012, 1:42 pm

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