An earlier systematic review from Cochrane states, ««In countries and areas where it is possible to establish a home birth service backed up by a modern hospital system, all low risk pregnant women should be offered the possibility of
considering a planned home birth and should be informed about the quality of the available evidence to guide their choice.»
If you're
considering a planned home birth, you probably have questions.
The statement outlines the health care system components that the authors say are critical to reducing perinatal mortality rates and achieving favorable home birth outcomes, and makes a number of recommendations for use when
considering planned home birth.
Not exact matches
Practice Guidelines for California Licensed Midwives Best Practice Guidelines: Transfer from
Planned Home Birth to Hospital Citizens for Midwifery
Home Birth Facts Canadian Medical Association Journal: Outcomes of
Planned Home Birth Solace for Mothers: Informed Consent Questions to
Consider when Interviewing a Doctor or Midwife
In this instance, how far you live from a hospital can make an enormous difference, so it is worth
considering this as a safety aspect before you
plan a
home birth.
If you're
planning a
home birth,
consider packing a small bag with these essentials, in case of an unexpected hospital transfer.
The intrapartum and neonatal mortality was 1.7 deaths per 1000 low risk intended
home births after
planned breeches and twins (not
considered low risk) were excluded.
I felt a tremendous wave of fear, frustration, and loss that evening as it was seriously
considered for the first time that the
home birth we had worked so hard to
plan may not come to be.
If you're
considering a
home birth, you will want to be sure to have a backup
plan in place.
Overall, and for multiparous women,
planned birth at
home generated the greatest mean net benefit with a 100 % probability of being the optimal setting across all thresholds of cost effectiveness when perinatal outcomes were
considered.
This cost effectiveness information, however, should be
considered in the light of an increased risk of adverse perinatal outcome associated with
planned home birth in low risk nulliparous women.
It is also important for women thinking about a
planned home birth to
consider if they are healthy and
considered low - risk and to work with a CNM, certified midwife, or physician who practices in an integrated and regulated health system; have ready access to consultation; and have a
plan for safe and quick transportation to a nearby hospital in the event of an emergency.
Note: However, coverage of
home births will be
considered when mandated by law under
plans subject to state mandates.
Pregnant women and their partners who are
considering where to give
birth should be informed that they may be at higher risk of PPH if they
plan a hospital
birth than if they
plan a
home birth.
The intrapartum and neonatal mortality among women
considered at low risk at start of labour, excluding deaths concerning life threatening congenital anomalies, was 1.7 deaths per 1000
planned home births, similar to risks in other studies of low risk
home and hospital
births in North America.
If you are
considering or
planning a
home birth, «Why Not Home?&ra
home birth, «Why Not
Home?&ra
Home?»