1
|
Takač I, Belak U, Gorjup D, Kavšek G, Macun E, Medved R, Mihevc Ponikvar B, Mole H, Mujezinović F, Najdenov P, Prelec A, Premru Sršen T, Mikluš M, Serdinšek T, Sobočan M, Steblovnik L, Tičar Z, Horvat M, Jamšek T, Arko D. Planned home birth in Slovenia-Are we ready? Int J Health Plann Manage 2019; 34:e1961-e1967. [PMID: 31436355 DOI: 10.1002/hpm.2893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2019] [Revised: 08/08/2019] [Accepted: 08/09/2019] [Indexed: 11/07/2022] Open
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.
Collapse
Affiliation(s)
- Iztok Takač
- Division of Gynaecology and Perinatology, University Medical Centre Maribor, Maribor, Slovenia.,Faculty of Medicine, University of Maribor, Maribor, Slovenia
| | - Urška Belak
- Division of Gynaecology and Perinatology, University Medical Centre Maribor, Maribor, Slovenia
| | - Denis Gorjup
- Rescue Station, University Medical Centre Ljubljana, Ljubljana, Slovenia
| | - Gorazd Kavšek
- Department of Perinatology, Division of Obstetrics and Gynaecology, University Medical Centre Ljubljana, Ljubljana, Slovenia
| | - Eva Macun
- Department of Gynaecology and Obstetrics, General Hospital Jesenice, Jesenice, Slovenia
| | - Robert Medved
- Ministry of Health of the Republic of Slovenia, Ljubljana, Slovenia
| | | | - Helena Mole
- Paediatrician, office-based doctor participating in the publicly-funded health care network, Ljubljana, Slovenia
| | - Faris Mujezinović
- Division of Gynaecology and Perinatology, University Medical Centre Maribor, Maribor, Slovenia
| | - Peter Najdenov
- Department of Paediatrics, General Hospital Jesenice, Jesenice, Slovenia
| | - Anita Prelec
- Nurses and Midwives Association of Slovenia, Ljubljana, Slovenia
| | - Tanja Premru Sršen
- Department of Perinatology, Division of Obstetrics and Gynaecology, University Medical Centre Ljubljana, Ljubljana, Slovenia
| | - Milena Mikluš
- Division of Gynaecology and Perinatology, University Medical Centre Maribor, Maribor, Slovenia
| | - Tamara Serdinšek
- Division of Gynaecology and Perinatology, University Medical Centre Maribor, Maribor, Slovenia.,Faculty of Medicine, University of Maribor, Maribor, Slovenia
| | - Monika Sobočan
- Division of Gynaecology and Perinatology, University Medical Centre Maribor, Maribor, Slovenia.,Faculty of Medicine, University of Maribor, Maribor, Slovenia
| | - Lili Steblovnik
- Department of Perinatology, Division of Obstetrics and Gynaecology, University Medical Centre Ljubljana, Ljubljana, Slovenia
| | - Zdenka Tičar
- Ministry of Health of the Republic of Slovenia, Ljubljana, Slovenia
| | - Martina Horvat
- National Institute of Public Health, Ljubljana, Slovenia
| | - Tina Jamšek
- Ministry of Health of the Republic of Slovenia, Ljubljana, Slovenia
| | - Darja Arko
- Division of Gynaecology and Perinatology, University Medical Centre Maribor, Maribor, Slovenia.,Faculty of Medicine, University of Maribor, Maribor, Slovenia
| |
Collapse
|