Module 3: Intro Birth Settings
Evidence Based Birth®
Rebecca Dekker
4.3 • 1.1K Ratings
🗓️ 20 December 2017
⏱️ 6 minutes
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| 0:00.0 | So the most recent data I have at the time I'm filming this come from 2017 in the United States. |
| 0:06.0 | That year there were a little more than 62,000 out of hospital births. |
| 0:11.0 | That means one out of 62 births in the U.S. did take place out of hospital. |
| 0:18.0 | This included 38,300 home births and about almost 20,000 freestanding |
| 0:23.6 | birth center births. A small proportion of out-of-hospital births were listed as, quote, |
| 0:28.8 | other, the clinician or doctor's office, or unknown. Importantly, in the past, U.S. birth certificate |
| 0:36.3 | data showed only the number of births that actually |
| 0:39.0 | occurred in each setting, not were the family intended to give birth. However, in 2017, the planning |
| 0:46.2 | status of home birth was reported by all states except California. For the 49 reporting states |
| 0:52.9 | and Washington, D.C., about 85% of home births were planned, |
| 0:57.8 | and 15% were unplanned. I also wanted to talk about a recent move toward using the term |
| 1:04.6 | community birth to talk about either planned home birth or birth center birth. However, most |
| 1:10.4 | research up until this point, |
| 1:12.1 | including national and international statistics as well as other studies, use the term out of |
| 1:19.6 | hospital birth. So you'll see me or hear me using both those terms throughout these videos. |
| 1:25.9 | Now in the year 1900, nearly all of the United States births occurred at home. |
| 1:30.9 | But by 1940, only about 44% of US births occurred outside of a hospital. |
| 1:37.0 | By 1969, only 1% of US births occurred outside of a hospital. |
| 1:42.2 | The percent of out of hospital births has hovered it around |
| 1:45.7 | 1% for several decades. After a small gradual decline from 1990 to 2004, the percentage of births |
| 1:54.7 | taking place at home and in birth centers has been increasing. For example, home births |
| 2:00.3 | increased from about 0.6% in 2004 |
... |
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