Obstet Gynecol. 2011 Feb;117(2 Pt 1):425-428. doi: 10.1097/AOG.0b013e31820eee20.
Although the Committee on Obstetric Practice believes that hospitals and birthing centers are the safest setting for birth, it respects the right of a woman to make a medically informed decision about delivery. 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.
尽管产科实践委员会认为医院和分娩中心是最安全的分娩场所，但它尊重妇女做出有关分娩的医学知情决策的权利。对于询问计划在家分娩的妇女，应根据最新证据告知其风险和益处。具体而言，应告知她们，尽管绝对风险可能较低，但与计划在医院分娩相比，计划在家分娩与新生儿死亡的风险增加两倍至三倍相关。重要的是，应告知妇女，适当选择适合在家分娩的人选；获得认证的护士助产士、认证的助产士或在综合和监管的卫生系统内执业的医生；随时可以咨询；并确保安全且及时地转往附近的医院，这些对于降低围产期死亡率和实现有利的在家分娩结果至关重要。
