The Cochrane Review – Planned Home Birth vs Planned Hospital Birth

http://almenpraksis.ku.dk/nyheder/oleolsen/Hjemmef_dsel.pdf/

While slightly disappointed that the evidence base fell short of generating any recommendations for practice. The following passage is welcomed none-the-less:

“It seems increasingly clear that impatience and easy access to many medical procedures at hospital may lead to increased levels of intervention which in turn may lead to new interventions and finally to unnecessary complications. In a planned home birth assisted by an experienced midwife with collaborative medical back up in case transfer should be necessary these drawbacks are avoided while the benefit of access to medical intervention when needed is maintained. Increasingly better observational studies suggest that planned hospital birth is not any safer than planned home birth assisted by an experienced midwife with collaborative medical back up, but may lead to more interventions and more complications.”

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