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By Robert Geimer

As more women choose to deliver their babies at home, many to wonder whether delivering at home is as safe as delivering in the hospital.  We now have some data.  According to a special article in the New England Journal of Medicine, the risk of a baby dying was 3.9 per 1,000 births for deliveries at home or at birth centers, versus 1.8 deaths per 1,000 births in hospitals.  These data would seem to confirm the idea that when complications occur, it takes trained medical personnel and the best equipment to promptly address such complications.  However, hospital personnel still need to be vigilant and responsive to avoid the mistakes and delays that can cause devastating outcomes.  A good obstetrician with a well-trained labor and delivery staff and the best equipment seems to provide the best chance of delivering a healthy baby.

By Robert Geimer

Serious questions are being asked about the safety of the Essure birth control device manufactured by Bayer HealthCare Pharmaceuticals.  According to a study in the British Medical Journal, the device, which is implanted in a woman’s fallopian tubes to induce scar tissue formation to block the tubes and prevent eggs from being fertilized, resulted in women undergoing 10 times as many surgeries to fix problems versus women who had their tubes tied.  According to the FDA, patients have reported persistent pain and bleeding and the need to remove the device and repair damage.  Therefore, it would seem that women should think twice and consult with their physicians before using Essure for birth control.

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