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Article Source: Science News, Articles and Information | Scientific AmericanCriticism led journal to re-examine controversial paper that found higher death rate in babies born at home.
The 25,000 US women who give birth at home each year received shocking news from the nation's obstetricians early this year. Babies born at home die within their first month of life at two to three times the rate of children born in hospitals, the American Congress of Obstetricians and Gynecologists (ACOG) declared on the basis of a review published in July 2010.
In a statement sent to Nature, Elsevier says that in response to the criticisms, the journal enlisted three "specialists in maternal fetal medicine with expertise in meta-analysis and clinical research" to examine all the correspondence that the journal had received regarding the Wax paper. The reviewers attempted to reconstruct Wax's calculated risks for three outcomes: deaths of neonates, or infants from birth to 28 days old; premature births before 37 weeks of gestation; and 'postmature' births after 42 weeks of gestation, according to Elsevier. Postmaturity can carry risks such as diminished amniotic fluid. "In all 3 cases, the results the panel found were slightly different from that in the Wax paper," says Elsevier, although the panel did not find major differences in the risk estimates or the overall statistical significance of the results.
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