Press Release, University of Maryland
COLLEGE PARK, Md.—An increasing number of women in the United States are choosing to give birth outside of hospitals and the demand for nontraditional delivery options is likely higher than current data shows, according to new research from the Maryland Population Research Center (MPRC). Published in the December 11 edition of Birth, the research finds that one out of every 62 births (1.61 percent) in the United States in 2017 took place at a home or in a birth center—the most ever recorded in the 30 years of national birth certificate data available.
After a gradual decline between 1990 and 2004, out-of-hospital births increased by 85 percent from 2004 to 2017, researchers discovered. They also found that non-Hispanic white women were more likely than any other group to have an out-of-hospital birth. For these women, one out of every 41 births (2.43 percent) was an out-of-hospital birth.
MPRC researchers say these figures underestimate the true number of women who choose out-of-hospital births, because those who give birth outside of the hospital but then are transferred to a hospital during labor or delivery are reported on birth certificates as hospital births. Meanwhile, newly available data on payment methods showed more than two-thirds of planned home births were self-paid by the mother (i.e. not covered by either private health insurance or Medicaid), compared to one-third of birth center births and just 3 percent of hospital births.
“The lack of access to payment options for out-of-hospital births may prevent many women from making these choices, suggesting demand for out-of-hospital birth is considerably higher than what the data tells us,” said research professor Marian MacDorman, the lead author on the study. “The question that arises from our findings is, what is happening during hospital births that is leading women to seek other options, even when that means bucking convention and paying more to deliver at home or in a birth center?”
A recent national survey of post-partum mothers showed that 64 percent would consider a birth center birth and 29 percent would consider a home birth for future pregnancies. Researchers say women who choose out-of-hospital birth do so because they feel it is safer, with lower rates of cesarean and other interventions, and because they feel more in control of their experience.
“These findings raise questions about the nature of care in the dominant model of maternity care in the US,” MacDorman said. “Many mothers are turning away from hospitals because they’re seeking a place to give birth where they feel empowered, engaged and safe.”
The Southern Maryland Chronicle is a local, small business entrusted to provide factual, unbiased reporting to the Southern Maryland Community. While we look to local businesses for advertising, we hope to keep that cost as low as possible in order to attract even the smallest of local businesses and help them get out to the public. We must also be able to pay employees(part-time and full-time), along with equipment, and website related things. We never want to make the Chronicle a “pay-wall” style news site.
To that end, we are looking to the community to offer donations. Whether it’s a one-time donation or you set up a reoccurring monthly donation. It is all appreciated. All donations at this time will be going to furthering the Chronicle through hiring individuals that have the same goals of providing fair, and unbiased news to the community. For now, donations will be going to a business PayPal account I have set-up for the Southern Maryland Chronicle, KDC Designs. All business transactions currently occur within this PayPal account. If you have any questions regarding this you can email me at firstname.lastname@example.org
Thank you for all of your support and I hope to continue bringing Southern Maryland the best news possible for a very long time. — David M. Higgins II