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Chapter Sixteen: Home as the Place of Birth: The Evidence for Safety

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instructor material

DOI:

10.1891/9780826131799.0016

Authors

  • Rooks, Judith P.
  • Ulrich, Suzan

Abstract

This chapter summarizes the best available evidence to compare the safety, risks, and benefits of planned home births with the safety, risks, and benefits of births planned to occur in hospitals. The increasing proportion of out-of-hospital (OOH) births in the United States is entirely due to non-Hispanic White women who began to have more OOH births, whereas OOH births were declining among all other major racial and ethnic groups of American women. Midwives attended two thirds of all home births in the United States. Certified nurse-midwives (CNM) and certified midwives (CM) in the United States meet the educational standards of the International Confederation of Midwives (ICM) and are certified by the American Midwifery Certification Board. They can practice in hospitals, birth centers, or home settings. Home births attended by midwives are part of state-sponsored health care in many high-resource countries such as Canada, England, Japan and Australia.