Home births are making a comeback — notably in Oregon
By Shari Roan / Los Angeles Times
Published: January 27. 2012 4:00AM PST
Home
birth is making a marked resurgence in the United States, according to data
released Thursday by the federal government.
A
century ago, most births took place at home. But the rate fell steadily and
slipped to less than 1 percent of all births by 1969 and just over 0.5 percent
in 2004.
Though
still not common, home births have risen 29 percent from 2004 to 2009, according
to data from the Centers for Disease Control and Prevention. In 2009, the most
recent year for which data are available, 0.72 percent of all births took place
at home. The trend is particularly noteworthy among white women. Home births
among that group rose 36 percent since 2004 and accounted for more than 1
percent of all births in 2009.
The
northwestern part of the country has the strongest trend in home births — 2
percent in Oregon and 2.6 percent in Montana. The lack of transportation in
rural areas may play a significant role in some areas, the authors of the report
stated. Cost might be a factor too, because home births are about one-third the
cost of hospital births.
Most
of the home births in 2009 were attended by midwives (62 percent), the report
said. Only 5 percent of home births were attended by doctors.
Home
births tend to be lower-risk — not because birthing at home is safer but because
typically only healthy, low-risk women opt to try a home birth. The rate of
preterm home births in 2009 was 6 percent compared with a 12 percent rate in
hospitals. Only 4 percent of home-birth babies were low birthweight.
The
report was released from the National Center for Health Statistics.