Table 2 Intervention rates for 5418 planned home births attended by certified professional midwives and hospital births in the United States. Values are numbers (percentages) unless stated otherwise


Intervention

No (%) of intended home births with certified professional midwives in US, 2000 (n=5418)

Singleton, vertex births at ≥37 weeks gestation in US, 2000* (n=3 360 868) (%)

Survey of singleton births in all risk categories in US, 2000-1{dagger} (n=1583) (%)

Electronic fetal monitoring

520 (9.6)

84.3

93

Intravenous

454 (8.4)

NR

85

Artificial rupture of membranes

272 (5.0)

NR

67

Epidural

254 (4.7)

NR

63

Induction of labour{ddagger}

519 (9.6)

21.0

44

Simulation of labour

498 (9.2)

18.9

53

Episiotomy

116 (2.1)

33.0

35

Forceps

57 (1.0)

2.2

3

Vacuum extraction

32 (0.6)

5.2

7

Caesarean section

200 (3.7)

19.0

24

NR=not reported on birth certificate.

* Based on data from birth certificates for all 3 360 868 such births in United States in 2000. Data reported by National Center for Health Statistics.10 This subset of birthing women would generally be low risk, but would include a small percentage of higher risk women who would likely require more medical intervention.

{dagger} Results from listening to mothers survey, October 2002. Percentages weighted to reflect US population of birthing women, aged 18-44.5 Includes about 20% of women not at low risk who may experience higher intervention rates.

{ddagger} For certified professional midwives 2000 study and listening to mothers survey, both attempted and successful inductions were reported; for US birth certificate data only successful inductions are reported.