Attitudes towards home birth in the USA

Abstract

Home birth is highly controversial and divisive. Medical organizations oppose the practice, while other maternity-related organizations (nursing, midwifery, public health, consumer advocacy, doula and childbirth education) uphold home birth as a safe, reasonable choice for healthy pregnant women. Individual physicians and midwives have more complex perspectives on home birth than their professional organizations. Women choose home birth primarily for safety. In addition, they also have had negative hospital experiences, desire low intervention rates, trust birth and want a familiar, safe environment. Public opinion centers on four main issues: safety, choice, women’s experiences and critiques of maternity care. Ironically, medical opposition to home birth compromises safety. After reviewing current attitudes towards and research about home birth, this article discusses how discarding the status quo of hostility and mutual distrust in favor of a pragmatic, autonomy-based approach that fosters communication...