06/28/2022
COMMUNITY BIRTH OUTCOMES VARY. When people think about home birth, birth centers and midwives, they sometimes assume that the outcomes are the same across the board. But outcomes for the birthing person and baby vary depending on the health of the person, whether there are complications in the pregnancy, whether the birth is attended by a midwife or unassisted, the training and practices of the midwife attending the birth, and the availability of smooth and safe transfer to the hospital if needed. In Oregon, birth certificate data lets us look at outcomes for planned community births by provider type, including unassisted births and births that involved a hospital transfer. Since we’re the only state that collects this information, we want to share it with birthing families and midwives to support decision-making.
One thing that stands out in this data is that the risk of a baby dying around the time of birth in a planned community birth is low with licensed midwives but it’s higher with traditional midwives and even higher in planned unassisted births. This population-level data can’t tell us the causes of these differences but they do show that there is more to the safety of community birth than just location.
We encourage people to research their birth options and ask any midwife they are thinking about hiring questions about their training, experience, preparation for emergency situations, and relationships with local hospitals. If you are planning to work with an unlicensed or traditional midwife or birthkeeper, asking questions and getting recommendations from other birthing families can be even more important since there is no other verification of their training and no regulation of their practice. You can find a list of questions to ask and more information about birth options and types of midwives here: https://oregonmidwiferycouncil.org/how-to-find-a-midwife/
For more information on planned community birth outcomes in Oregon, check out the Oregon Center for Health Statistics Planned Place of Birth data dashboard: https://visual-data.dhsoha.state.or.us/t/OHA/views/Oregonbirthsbyplannedplaceofbirth/PlannedPlaceofBirthDashboard