Planned Home Birth
is Safe for Most Mothers and Babies
Healthy women with qualified care providers,
usually midwives, can have safe home births.
Home
birth reduces:
· the risk of infection
· risks from unnecessary interventions
· maternal morbidity rates from complications and
interventions
· risks from errors in hospitals
· interference in bonding and breastfeeding from
hospital policies
· risks from poor staffing levels in hospitals
· the risks of tampering with the baby
Home birth provides:
· safe, familiar and private surroundings for
labor and birth
· woman-centered care during pregnancy, labor,
and birth
· family-oriented birth with no strangers present
· an opportunity for immediate bonding and
breastfeeding
· less disruption and stress for the whole family
· affirmation that birth is a normal and profound
life event
Research shows that planned home birth with a qualified attendant
is safe for most mothers and babies.
The Safety
of Home Birth
The evidence is overwhelming – planned home birth is safe for
healthy women
“Recognizing the evidence that births to healthy mothers
who are not considered at medical risk after comprehensive
screening by trained professionals, can occur safely in
various settings,
including out-of-hospital birth centers and homes ... Therefore,
APHA Supports efforts to increase access to
out-of-hospital maternity care services...”
American Public Health Association, “Increasing Access to
Out-of-Hospital Maternity Care Services through
State-Regulated and Nationally-Certified Direct-Entry Midwives
(Policy Statement)”. American Journal of
Public Health, Vol 92, No. 3, March 2002.
“Several methodologically sound observational studies have
compared the outcomes of planned home-births (irrespective of the eventual place of birth)
with planned hospital births for women with similar characteristics.
A meta-analysis of these studies showed no maternal mortality,
and no statistically significant differences in perinatal mortality risk
in either direction.”
Murray Enkin, et al, A Guide to Effective Care in Pregnancy and
Childbirth. Oxford University Press, 2000.
“It is safe to say that a woman should give birth in a place
where feels is safe, and at the
most peripheral level at which appropriate care is feasible an safe.
For a low-risk pregnant
woman this can be at home, at a small maternity clinic or birth
centre, in town or perhaps
at the maternity unit of a larger hospital. However, it must be a
place where all the attention
and care are focused on her needs a safety, as close to home and her
own culture as possible.
Maternal and Newborn Health/Safe Motherhood Unit of the World Health
Organization, Care in Normal
Birth: A practical guide. World Health Organization, 1996.
“Excellent outcomes with much lower intervention rates are
achieved at home births. This
may be because the overuse of interventions in hospital births
introduces risks or the home
environment promotes problem-free labors.”
Henci Goer, Obstetric Myths versus Research Realities:
A Guide to the Medical Literature. Bergin & Garvey, 1995.
“This study supports previous research indicating that planned
home birth with qualified
care providers can be a safe alternative for healthy lower risk
women.”
Anderson RE, Murphy PA. “Outcomes Of 11,788 Planned Home Births
Attended By Certified Nurse-Midwives.
A Retrospective Descriptive Study.” Journal of Nurse Midwifery, 1995
Nov-Dec;40(6):483-92. (Abst)
Safety in Birth
Begins With
Midwives
* RESPECTFUL TREATMENT *
* PERSONAL ATTENTION *
* EMOTIONAL SUPPORT *
* CONFIDENCE IN OUR BODIES *
* EDUCATION AND INFORMATION *
Midwives are
specialists in normal birth.
Midwives recognize that birth is a normal, healthy process.
Midwives focus more on women and babies as individuals and less on
technology.
A thorough knowledge of birth allows midwives to minimize
the
use of technology and medical interventions.
Midwives do not expose women and babies unnecessarily to potentially
harmful interventions.
Research
shows that
midwives are the safest care providers for
the majority of women
with normal pregnancies and births.
Safety in Birth
Begins With
Midwifery Care
“In terms of quality, satisfaction, and costs, the
midwifery model for pregnancy and maternity care has been found to
be beneficial to women and families, resulting in good outcomes and
cost savings. ... With its focus on pregnancy as a normal life event
and health promotion for women of all ages, the midwifery model of
care is an appropriate alternative or complement to the medical
approach to childbirth.”
American Public Health Association, “Supporting Access to Midwifery
Services in the United States
(Position Paper)”, American Journal of Public Health, Vol. 91, No.
3, March 2001.
· “It is inherently unwise, and perhaps unsafe, for women with
normal pregnancies to be
cared for obstetric specialist ... Midwives and general
practitioners, on the other hand,
are primarily oriented to the care of women with normal pregnancies,
and are likely to
have more detailed knowledge of individual women.”
Murray Enkin, et al, A Guide to Effective Care in Pregnancy and
Childbirth. Oxford University Press, 2000.
· “It is the finding and vision of the Taskforce that the
midwifery model of care is an
essential element of comprehensive health care for women and their
families that
should be embraced by, and incorporated into, the health care system
and made available
to all women.”
Dower CM, Miller JE, O’Neil EH and the Taskforce on Midwifery,
Charting a Course for the 21st Century:
The Future of Midwifery. San Francisco, CA: Pew Health Professions
Commission and the UCSF Center for
the Health Professions. April 1999.
· “Midwives are the most appropriate primary health care provider
to be assigned to the
care of normal birth.”
Maternal and Newborn Health/Safe Motherhood Unit of the World Health
Organization, Care in Normal
Birth: A practical guide. World Health Organization, 1996.
· “Midwives attend the vast majority of births in those
industrialized countries with the
best perinatal outcomes...”
Coalition for Improving Maternity Services, The Mother-Friendly
Childbirth Initiative, 1996
Copyright © Citizens for Midwifery 2004. Permission to reprint with
attribution.
Supporting the Midwives Model of Care
www.cfmidwifery.org . 888-236-4880
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