Home delivery only recommended for low-risk women

Most of our grandmothers gave birth at home with the help from a midwife or midwife or sometimes even a doctor. It was a normal practice and accepted by all. There was no epidural, or monitoring. Women gave birth without any kind of technical help, only the experience and advice of those who assisted them. Maternal morbidity rates were very high, as well as infant mortality during the birth process.

One of the great advances in obstetrics throughout the 20th century has been the amount of means that mothers have to keep track of their pregnancy and have a safe delivery in a hospital. However, more and more women are choosing to return to the traditional method of giving birth at home.

Choosing the place where the baby is going to be born is a woman's right. For some, the fact that babies are born at home is irresponsible and for others, it is a way of living the birth in a familiar environment and surrounded by the affection of loved ones. Beyond the preferences of each woman, according to a study published in BMJ, giving birth at home, It is only recommended for low-risk women who have already had more children.

In the Netherlands, they have one of the highest percentages of home births assisted by a primary care midwife in all of Europe. A team of researchers decided to analyze whether women who gave birth at home had a high rate of serious complications.

For first-time women, the complication rate for a home birth was 2.3 per 1,000, compared with 3.1 per 1,000 in the hospital. In multiparous women, the complication rate was 1 per 1000 at home compared to 2.3 per 1000 for a planned delivery. According to the researchers, these favorable data are due to the fact that midwives are properly trained to help women at home and there is a protocol for hospital transfer in cases of need.

Against this positive data, we have the case of a woman in the United States, who championed natural childbirth at home for women and, paradoxes of fate, died of cardiac arrest during childbirth.

There is no doubt that in the face of a normal and safe delivery, it is the woman who has the last word. And you, would you give birth in your home properly cared for? Or do you prefer the security of a hospital?

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