Hospital Births Won’t Save Moms—Antibiotics Did
Hospital birth in America is barely 100 years old. In 1900, about 95% of American babies were born at home. By 1950, nearly 90% were born in hospitals. The shift was sold to women as safer and more modern, but it was also driven by doctors who wanted midwives out of the way. Maternal mortality did drop during this period, but the steep decline did not come until 1937, when antibiotics and blood transfusion came into widespread use. Those were the things that saved women. Hospitalization itself was not the driver. In the 1920s and 1930s, before antibiotics, maternal mortality rose as hospital birth grew. Doctors were using forceps and cutting episiotomies routinely, and women were dying of infection. What hospitals really did change was how healthy women gave birth. C-section rates went from under 5% in 1970 to over 32% today. Episiotomies peaked at over 60% of vaginal births. Newborns were taken from their mothers and fed formula in nurseries. By 1971, only 25% of American women attempted breastfeeding. The other 75% went straight to formula from the hospital. For high risk pregnancies, hospital births are absolutely necessary. For healthy, low risk births, we built a system that treats every birth as a medical event.
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