Planned Home Birth With Registered Midwife As Safe As Hospital Birth

For further information, contact Melissa Maimann at Essential Birth Consulting. Link

The risk of infant death following planned home birth attended by a registered midwife does not differ from that of a planned hospital birth ...

The study looked at 2889 home births attended by regulated midwives in British Columbia, Canada, and 4752 planned hospital births attended by the same cohort of midwives compared with 5331 physician-attended births in hospital. Women who planned a home birth had a significantly lower risk of obstetric interventions and adverse outcomes, including augmentation of labour, electronic fetal monitoring, epidural analgesia, assisted vaginal delivery, cesarean section, hemorrhage, and infection.

The safety of home births is under debate. American, Australian and New Zealand Colleges of Obstetricians and Gynecologists oppose home births while the United Kingdom's Royal College of Obstetrics and Gynecology and the Royal College of Midwives are supportive, as are midwife organizations in Canada, Australia and New Zealand ...

"Women planning birth at home experienced reduced risk for all obstetric interventions measured, and similar or reduced risk for adverse maternal outcomes," ... Newborns born after planned home births were at similar or reduced risk of death, although the likelihood of admission to hospital was higher.

Factors in the home environment that decrease risks are not well-understood ... "We do not underestimate the degree of self-selection that takes place in a population of women choosing home birth. This self-selection may be an important component of risk management for home birth." They write that the eligibility screening by registered midwives safely supports a policy of choice in birth setting ...

Melissa Maimann, Essential Birth Consulting 0400 418 448