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Also, can you share where you got your statistics for Oregon out of hospital births for 2010? Did this include anomalies? I happen to know that in at least one of the baby deaths in the out of hospital community the baby had anomalies where he/she would not have survived no matter where born. Also, any 2010 statistics/data you have is anectodal, and not scientifically valid, as 2008 Oregon vital statistics records haven't even been released yet and won't be for several more months; 2007 is the latest date for which perinatal outcomes have been published.

I am also wondering if your midwifery group counts in your statistics baby's that you transfer out of your care in labor. For example, if something in the labor happens that makes the mom higher risk and you transfer her to the care of the physicians, but her baby dies, do you count this in your statistics for neonatal or fetal deaths? I ask because out of hospital midwives do. 

posted 2 years, 9 months ago
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In an earlier post, a CNM cited some statistics that I would like to address. Comparing .3 per 1000 neonatal loss rate (Netherland stats) to 5 in 600 intrapartum loss rate is comparing apples to oranges. Fetal intrapartum loss (babies alive going into labor that do not survive labor) does not equal neonatal loss rate.  

Neonatal mortality refers to the death of a live-born baby, specifically from birth through the first 28 days. 

Fetal deaths are those that occur after 20 wks gestation in which the fetus dies in utero or upon delivery, never taking a breath. They are classified as "early" (20-27 wks gestation) or "late" (28+ wks gestation). Fetal deaths include stillbirths of babies that die in utero before labor or before the birth, as well as babies that go into labor alive, but die during labor. Fetal death can also be divided into death prior to labor, antenatal (antepartum) death, and death during labor, intranatal (intrapartum) death.

US National average neonatal deaths is 4.5 per 1,000 births. US national average fetal death rates are 7.3 per 1,000 births. These are the latest I was able to find, but if you have more current ones or a better source for US national statistics, I'd love to have them.

 

posted 2 years, 9 months ago
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