Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden; Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Research Unit Women's and Children's Health, The Juliane Marie Centre, Copenhagen University Hospital, Rigshospitalet, Denmark; Institute of Gynecology, Obstetrics and Paediatrics, Faculty of Health and Medical Sciences, Copenhagen University, Denmark.
Sex Reprod Healthc. 2014 Mar;5(1):3-8. doi: 10.1016/j.srhc.2013.12.002. Epub 2013 Dec 17.
The objective of this overview was to investigate the current situation regarding guidelines and praxis for planned homebirths and also to investigate possibilities for comparative studies on planned homebirths in the Nordic countries (Denmark, Iceland, Norway, Finland and Sweden).
National documents on homebirth and midwifery and recommendations regarding management and registration of planned homebirths in the included countries were investigated.
Guidelines regarding planned home birth were found in four of the included countries. In Denmark any woman has the right to be attended by a midwife during a homebirth and each county council must present a plan for the organization of birth services, including homebirth services. In Norway and Iceland the service is fully or partly funded by taxes and national guidelines are available but access to a midwife attending the birth varies geographically. In the Stockholm County Council guidelines have been developed for publicly funding of planned home births; for the rest of Sweden no national guidelines have been formulated and the service is privately funded.
Inconsistencies in the home birth services of the Nordic countries imply different opportunities for midwifery care to women with regard to their preferred place of birth. Uniform sociodemography, health care systems and cultural context in the Nordic countries are factors in favour of further research to compare and aggregate data on planned home births in this region. Additional data collection is needed since national registers do not sufficiently cover the planned place of birth.
本综述旨在调查关于计划在家分娩的指南和实践现状，并探讨北欧国家（丹麦、冰岛、挪威、芬兰和瑞典）进行计划在家分娩比较研究的可能性。
调查了所纳入国家的关于家庭分娩和助产的国家文件，以及关于计划在家分娩的管理和登记的建议。
在所纳入的四个国家中，都发现了关于计划在家分娩的指南。在丹麦，任何妇女都有权在分娩期间由助产士陪伴，每个郡议会都必须制定生育服务组织计划，包括家庭分娩服务。在挪威和冰岛，该服务完全或部分由税收资助，有国家指南，但获得助产士分娩的机会因地理位置而异。在斯德哥尔摩郡议会，已经为计划在家分娩的公共资金制定了指导方针；在瑞典的其他地区，没有制定国家指南，该服务由私人资助。
北欧国家在家分娩服务方面的不一致性意味着，在产妇首选分娩地点方面，妇女获得助产护理的机会不同。北欧国家具有统一的社会人口统计学、医疗保健系统和文化背景，这是在该地区比较和汇总计划在家分娩数据的有利因素。需要进一步收集数据，因为国家登记册不能充分涵盖计划分娩地点。
