Abstract

The recently published National Service Framework (NSF) (DH, 2004) places strong emphasis on normality and midwifery-led care. It comes more then ten years since the publication of Changing Childbirth (DH, 1993) with its emphasis on normality. Home birth is both normality and midwifery-led care at its best and is almost always physiological birth. Yet nationally the home birth rate runs at around 2% according to www.birthchoiceuk.com (2004). Why then are we not raising the rate of home births when it is estimated that when women are given true choice the rate would be around 8-10%?

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