Planned home birth in Slovenia—Are we ready?

Iztok Takač, Urška Belak, Denis Gorjup, Gorazd Kavšek, Eva Macun, Robert Medved, Barbara Mihevc Ponikvar, Helena Mole, Faris Mujezinović, Peter Najdenov, Anita Prelec, Tanja Premru Sršen, Milena Mikluš, Tamara Serdinšek, Monika Sobočan, Lili Steblovnik, Zdenka Tičar, Martina Horvat, Tina Jamšek and Darja Arko

International Journal of Health Planning and Management, 2019, vol. 34, issue 4, e1961-e1967

Abstract: Nowadays, women want a more intimate and familiar atmosphere during labour, which results in increased planned home birth rates. Every woman has the autonomy to decide where she will give birth; however, it is important that she is informed of risks and advantages beforehand. Home births can be distinguished between planned and unplanned home births. Planned home births can be conducted by professional birth attendants (licensed midwives) or birth assistants (doulas, etc). The rates of Slovenian women who decided to deliver at home are increasing year by year. Researches on home births still present discordant data about home birth safety. Their findings have shown that the main advantage of home birth is a spontaneous birth without medical interventions, especially in multiparous low‐risk women. The main disadvantage, however, is a higher risk for neonatal death, in particular on occurrence of complications requiring a transfer to hospital and surgical intervention. Global guidelines emphasize careful selection of candidates suitable for home birth, well‐informed pregnant women, education of birth attendants, and strict formation of transfer indications.

Date: 2019
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