Home birth

A home birth is a birth that takes place in a residence rather than in a hospital or a birthing center. They may be attended by a midwife, or lay attendant with experience in managing home births. Home birth was, until the advent of modern medicine, the de facto method of delivery. The term was coined in the middle of the 19th century as births began to take place in hospitals.[1]

Multiple studies have been performed concerning the safety of home births for both the child and the mother. Standard practices, licensing requirements and access to emergency hospital care differ between regions making it difficult to compare studies across national borders. A 2014 US survey of medical studies found that perinatal mortality rates were triple that of hospital births, and a US nationwide study over 13 million births on a 3-year span (2007–2010) found that births at home were roughly 10 times as likely to be stillborn (14 times in first-born babies) and almost four times as likely to have neonatal seizures or serious neurological dysfunction when compared to babies born in hospitals. Alternatively, there is research coming out that suggests that there is actually no significant difference in perinatal mortality rates between home and hospital birth and some even suggest that there are benefits such as less complications and fewer interventions.[2][3] Higher maternal and infant mortality rates are associated with the inability to offer timely assistance to mothers with emergency procedures in case of complications during labour, as well as with widely varying licensing and training standards for birth attendants between different states and countries.

  1. ^ MacDorman, Marian F.; Declercq, Eugene; Mathews, T.J. (2014). "Recent Trends in Out-of-Hospital Births in the United States". Journal of Midwifery & Women's Health. 58 (5): 494–501. doi:10.1111/jmwh.12092. ISSN 1526-9523. PMID 26055924.
  2. ^ Hutton, Eileen; Reitsma, Angela; Simoni, Julia; Brunton, Ginny; Kaufman, Karyn (July 25, 2019). "Perinatal or neonatal mortality among women who intend at the onset of labour to give birth at home compared to women of low obstetrical risk who intend to give birth in hospital: A systematic review and meta-analyses". eClinicalMedicine. 14: 59–70. doi:10.1016/j.eclinm.2019.07.005. PMC 6833447. PMID 31709403.
  3. ^ Zielinski, Ruth; Ackerson, Kelly; Low, Lisa Kane (2015). "Planned home birth: benefits, risks, and opportunities". International Journal of Women's Health. 7: 361–377. doi:10.2147/IJWH.S55561. PMC 4399594. PMID 25914559.

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