U.S. HypnoBirthing Outcomes

HypnoBirthing® Birth Data Compared to Published Data for the United States 2005-2009


Kathie Dolce, MS, PA, HBCE

 

The most comprehensive data currently available on birthing in the United States is from Listening to Mothers II Report of the First National U.S. Survey of Women’s Childbearing Experiences. New York: Maternity Center Association, October 2006. www.maternitywise.org/listeningtomothers/ Therefore, data from that report was used in order to give a comparison for the data from HypnoBirthing couples.

The most recent official US data comes from “Births: Preliminary Data for 2006,” by Brady E. Hamilton, Ph.D.; Joyce A. Martin, M.P.H.; and Stephanie J. Ventura, M.A., Division of Vital Statistics. National Vital Statistics Reports, Volume 56, Number 7 December 5, 2007.

For Cesarean birth rates in other countries, see the document at the end of this paper.



Birth Weight

HypnoBirthing

LTM II*

US Vital Statistics**

Average birth weight

7.7 lb (3492 gm)

7.3 lb (3316 gm)


Low birth weight

< 5.5lb (2500 gm)

3%

5%

8.3%

> 8.8 lb/ 4000 gm.

13%

12%


*Listening to Mothers II Report of the First National U.S. Survey of Women’s Childbearing Experiences. New York: Maternity Center Association, October 2006. www.maternitywise.org/listeningtomothers/


**“Births: Preliminary Data for 2006,” by Brady E. Hamilton, Ph.D.; Joyce A. Martin, M.P.H.; and Stephanie J. Ventura, M.A., Division of Vital Statistics. National Vital Statistics Reports, Volume 56, Number 7 December 5, 2007.


Gestational Age

HypnoBirthing

LTM II

US Vital Statistics

Average

39.6 weeks



< 37 weeks

4%

6%

12.8%

37-39 Wks.

18%

48%


39-40 Wks.

20%

29%


40-41 Wks.

32%


18%


41-41 Wks.

18%


> 42 Wks.

8%




Birth Location

(Vaginal Births)

HypnoBirthing

All vaginal births

HB US

HB UK

LTM II *

Home

14%

13%

15%

0.6 %

Hospital

83%

80%

82%

99 %

Birth Center

6%

7%

3%

0.2 %



Care Provider

HypnoBirthing

HB US

HB UK

LTM II

Obstetrician

43%

47%

24%

79%

Family physician

5%

4%

3%

7%

Midwife

56%

49%

73%

8%




Labor Onset

HypnoBirthing

HB US

HB UK

LTM II

Spontaneous onset (all births)

76%

74%

79%

61

Induced Labor (all births)

24%

26%

21%

39%

Spontaneous labor (Cesarean births)

51%

49%

59%

50

Induced labor (Cesarean births)

49%

51%

41%


Scheduled Cesarean/no labor

20%

21%

20%

?



Pain Management

(vaginal birth only)

HypnoBirthing

 

HB US

 

HB UK

 

LTM II

No pain medication

58%

72%

47%

14%

Epidural/spinal

24%

20%

18%

71%

Narcotic IM/IV

9%

8%

8%

22%

Gas & Air (Nitrous oxide and O2)

10%

3%

37%

3%

23% of the HypnoBirthing women who had labor induced or augmented by oxytocin had no pain medication.



Labor Augmentation

HypnoBirthing

all births


HB

Vaginal Birth


HB

Cesarean


LTM II

all births


LTM II

Vaginal Birth

Oxytocin

21%

19%

35%

47%

55%

Rupture Mem.

15%

15%

16%

47%

59%

Oxytocin + ROM

7%

6%

11%





Other Interventions

(percentage of all births)

HypnoBirthing

HB US

HB UK

LTM II

IV for fluids

23%

25%

18%

80%

Antibiotics

13%

14%

12%


Vacuum/ventous

3%

5%

8%

5%

Forceps

2.5%

1%

7%

2%

Cont. Ext. Monitor

20%

20%

22%


Internal Monitor

7%

8%

6%


Episiotomy

10%

8%

13%

25%


Surgical

(Cesarean) Birth

(%of total labors)

HypnoBirthing


HB

US

US Vital

Stats. 2006

HB

UK

LTM II

15.5%

16%

31.1%

15%

32%



Reason for Surgical Birth

(some listed more than one reason)

HypnoBirthing


LTM II

Fetal distress

24%

25%

Failure to Progress

30%

14%

Breech

14%

25% (Including breech)

Malposition other than breech

26%

Dates

3%

1%

Medical

26%


No reason given

13



The following used a rating scale of 1 (low) to 5 (high)

Comfort, health and satisfaction ratings did not differ significantly between those women who chose medication for pain and those who did not.


Comfort

Average

Comfort level in early labor (up to 6 or 8 cm)

3.7

Comfort level in late labor

2.7

Comfort in birthing phase

2.9

Comfort/sense of well-being first 48 hours after birth

4.1



Satisfaction


Satisfaction with HypnoBirthing®

4

Satisfaction with care provider

4

Satisfaction with hospital or birth center staff

4

Satisfaction with birthing companions

5


Health


Health of baby

4.8

Health of mother

4.6



Length of Labor:


Parents Birth Reports indicate that 53% of HB women had labors lasting < 12 hours; 33% of HB women had labors lasting < 8 hours; and 11% had labors lasting < 4 hours.

(Note: medical studies use vaginal exams to establish onset of “active labor.” There is much confusion noted about the meaning of “active labor” on our birth reports. Some women equate “active labor” with length of birthing phase. Others count all of their labor as “active.” To further confound the data, well over 50% of the women in the LTMII survey had interventions to speed up labor. Thus, the information above is not considered reliable.)


Appendix

International Cesarean and VBAC Rates, International Cesarean Awareness Network

http://ican-online.net/index.php?option=com_wrapper&Itemid=170

Information provided by BirthChoiceUK.com


Country

CS Rate

Labour

No labour

Year

Source

England

22.0

12.7

9.3

2002-03

NHS Mat Stats http://www.publications.doh.gov.uk/public/sb0410.htm

Scotland

24.3

15.4

8.8

2002-03

Information and Statistics Division, Scotland http://www.isdscotland.org/isd/info3.jsp?pContentID=1022&p_applic=CCC&p_service=Content.show

Wales

24.4

14.1

10.3

2001-02

Maternity Statistics, Wales: method of delivery, 1995-2002 http://www.wales.gov.uk/keypubstatisticsforwales/content/publication/health/2003/sdr45-2003/sdr45-2003.htm

N Ireland

25.8

 

 

2002-03

Hospital Inpatients System Department of Health, Social Services and Public Safety Northern Ireland

USA

26.1

 

 

2002

http://www.cdc.gov/nchs/fastats/pdf/nvsr52_10t39.pdf

Canada

22.5

 

 

2001-02

http://secure.cihi.ca/cihiweb/dispPage.jsp?cw_page=media_21apr2004_e

Austria

18.9

 

 

2001

Peristat (Eur J Obst. Gynecol 2003, Vol 111 Suppl.1 S59)

Belgium

17.0

7.0

10.0

2000

Peristat

Denmark

16.0

8.3

7.7

2000

Peristat

Finland

16.0

8.8

7.3

2000

Peristat

France

17.5

7.9

9.6

1998

Peristat

Germany

23.3

 

 

2001

BAQ Perinatal Survey http://www.baq-bayern.de/downloads/files/2001-12-31_BA_16_1_Gesamt_English.PDF

Greece

30.5

15.1

15.4

1998

Peristat

Irish Rep.

20.4

 

 

1999

Peristat

Italy

30.8

 

 

1998

Peristat

Luxemburg

20.3

 

 

2000

Peristat

Netherlands

11.7

7.0

4.6

2000

Peristat

Sweden

15.4

8.1

6.8

2000

Peristat

Australia (south)

29.2

16.6

12.6

2002

http://www.dhs.sa.gov.au/pehs/PDF-files/pregnancy-outcome-report02.pdf

Australia (Victoria)

27.4

13.3

14.1

2002

http://www.health.vic.gov.au/perinatal/downloads/annrep0102.pdf

Australia (NSW)

23.5

10.5

13.0

2001

http://www.health.nsw.gov.au/public-health/mdc/MDCRep01.pdf