ACOG Practice Bulletin: Homebirth

Bottom Line: The only studies that show homebirth could possibly be safe have been done in the Netherlands and Canada, both of which have strict eligibility criteria, dedicated transport systems and highly trained midwives. None of these situations exist in the US.

ACOG Practice Bulletin: Homebirth

Take away quote:

… Women inquiring about planned home birth should be informed of its risks and benefits based on recent evidence. Specifically, they should be informed that although the absolute risk may be low, planned home birth is associated with a twofold to threefold increased risk of neonatal death when compared with planned hospital birth. Importantly, women should be informed that the appropriate selection of candidates for home birth; the availability of a certified nurse–midwife, certified midwife, or physician practicing within an integrated and regulated health system; ready access to consultation; and assurance of safe and timely transport to nearby hospitals are critical to reducing perinatal mortality rates and achieving favorable home birth outcomes.