Home birth

Question 1

Pros and cons of home birth

Answer 1

Pro’s

• More relaxed in a familiar environment, which can aid progression of labour
• Greater sense of control
• Avoid unnecessary intervention
• Continuity of care (community midwives)

Cons

• Specialist doctors and equipment won’t be at hand if there is a problem with mother or baby, therefore they may have to be transfered to hospital
• Limited pain relief available (cannot give epidurals)
  
  • Entonox (gas and air)
  • Pethidine (opioid injection)

Question 2

Contraindications for home birth

Answer 2

• First baby
  
  • Maternal pelvis is untested and experience of childbirth is new
• Maternal age >35
• Difficulty conceiving
  
  • Those who have difficulty conceiving are more likely to have complications during labour
• Breech
• Placental abnormalities
• Prematurity/Postmaturity
• Multiple birth
• Maternal health problems
  
  • Hypertension
  • Diabetes
  • Obesity

Question 3

Social criteria for home birth

Answer 3

• Housing with adequate heating, lighting and hygeine
• Adequate support (partner, mother etc.)
• Accessibility