2012 Births in the US by Birthplace & Attendant Birth PlaceTOTALAll Out-of- Hospital Birth CentersHome Births Births by birthplace 3,952,841 (100%) 53,635 (1.5%) 15,577 (0.5%) 35,184 (1%) By Birth Attendants Percent of all Births % attended by specified attendants Physicians Midwives (DEMs) (1)(43)(42)(45) (CNMs) (8)(30)(51)(23) Other Unspecified <1 2 2 SOURCE: 2012 National Vital Statistics Report (Note: some categories don’t equal 100 due to rounding)

Oregon Planned Out-of-Hospital Term Births by Planned Attendant (2012 & 2013) Planned birth attendants 2012 & 2013 Percent DEMs61% (Licensed)(51%) (Unlicensed)(9%) CNMs25% Naturopaths12% Other3% All N = 3, %

Higher-Risk Maternal Factors by Planned Birthplace, 0regon, 2012 & 2013 Maternal Risk Factors# for planned OOH births (n=3,922) % for planned OOH (n=3,922) % for planned in- hospital births (n=86,969) <37 weeks gestation401%5% First baby1,56240% Obesity46412%25% Diabetes662%9% Hypertension642% Multiple gestations230.6%3% Breech presentations561.4%5% VBACs1734%14% Inadequate prenatal care3479%5%

Oregon Planned OOH Births, Transfers and Deaths by Planned Birth Attendant, 2012 & 2013 Planned Birth Attendant Planned OOH Births Number Intrapartum Transfers Percent IP Fetal Deaths /1000 Births Neonatal (NN) Transfers Percent* Early NN Deaths /1000 Births* All Transfers Percent All Deaths /1000 Births LDMs 2,019 8% %2.710% 4.5 CNMs % %1.435% 2.1 Unlicensed DEMs % %3.930%11.0 Naturopaths 459 7% %— 8% 2.2 Other % %—35% 8.5 All 3,922 17% %1.818% 4.3 * Denominators for neonatal transfers and early neonatal deaths are based on the total # of births by each birth- attendant group minus the number of intrapartum transfers. — means that there were no deaths.