Home Birth

Table of contents:

Home Birth
Home Birth
Video: Home Birth
Video: Should I consider home birth? 2023, February
Anonim

Home birth

In addition to an inpatient or outpatient birth in a hospital, there is the possibility of giving birth to the offspring in your own four walls. The prerequisite is that the mother and child are healthy and the pregnancy goes without complications. However, there are medical reasons that rule out a home birth (e.g. premature birth).

In principle, a home birth is possible three weeks before to two weeks after the calculated due date. The midwife is on call during this period.

navigation

  • Continue reading
  • more on the subject
  • Advice, downloads & tools
  • What are the requirements for a home birth?
  • How is midwifery care provided for a home birth?
  • How does a home birth work?
  • How is mother and child cared for after the birth?
  • Whom can I ask?
  • How are the costs going to be covered?

What are the requirements for a home birth?

A prerequisite for a home birth is that the mother and child are healthy and the pregnancy was uncomplicated. Based on the findings of the mother-child pass examinations, the doctor and midwife decide whether a home birth can be carried out. There are medical reasons that rule out a home birth. These include, among others

  • chronic diseases of the mother (e.g. diabetes, cardiovascular diseases,)
  • Diseases of the unborn child,
  • premature labor
  • , Multiple pregnancies
  • Premature births,
  • Complicated or childbirth impossible child position (breech position, transverse position),
  • Placenta previa.

A home birth is possible three weeks before to two weeks after the calculated due date.

Note The majority of doctors and clinic midwives, however, are critical of home obstetrics. This is due to the limited monitoring and intervention options and the increased risks for mother and child during childbirth. In the event of an emergency, the emergency transport to a clinic must first be arranged, in which valuable time is lost for the mother and / or child. Due to the sometimes incalculable risks, the German Society for Gynecology and Obstetrics, for example, has spoken out against home obstetrics, although it is generally legally permitted if the medical requirements are observed.

How is midwifery care provided for a home birth?

In the case of a home birth, in addition to the planned mother-child examinations, the mother-to-be will already be looked after by a midwife during pregnancy. It is recommended to look for a suitable midwife early on - at the latest by the 20th week of pregnancy.

The first conversation with the midwife serves to get to know each other and to provide general information about home births. The midwife explains the risks associated with home birth assistance and has the consent to the home birth signed by the parents-to-be. During home visits, the midwife on site finds out about the spatial conditions and discusses with the pregnant woman what needs to be prepared for the home birth. The midwife can monitor the course of the pregnancy through regular home visits. The pregnant woman should also consult her gynecologist in advance and discuss the possible wish for a home birth individually and critically.

How does a home birth work?

If the first signs of the impending birth appear, it is time to call the midwife. After the midwife clarifies the signs, she comes to the place of birth. To make sure that the birth is going normally, she examines the expectant mother at regular intervals. The midwife usually brings equipment for monitoring and, if necessary, oxygen supply to the newborn. Various aids for childbirth can also be used during a home birth, such as a Pezzi ball, a birthing stool or relaxing in the bathtub. More on the topic: Birth methods and birthing positions.

The woman should clarify her wishes and individual ideas with the midwife during the pregnancy and discuss what is possible. Whether an accompanying person should be present at the birth is also the sole decision of the woman, but the midwife should also be informed about this in advance.

Pain-relieving measures that may only be carried out by a doctor (e.g. epidural anesthesia, PDA) are not possible with a home birth. More on the topic: Birth: Special Measures

If complications arise during the birth that require medical attention, a doctor must be consulted. A change to a hospital can be necessary at any time.

Note If you are planning a home birth, register in good time at a nearby hospital for the birth (with a reference to a planned home birth). Please note the time limits of the respective hospital. More on the topic: hospital birth

How is mother and child cared for after the birth?

After the birth, the midwife examines the newborn and enters the first test results in the mother-child passport. A determination of the blood oxygen content of the child after the birth, which is mandatory in everyday clinical practice, cannot be carried out in contrast to the hospital birth. This is disadvantageous because the child's condition cannot be objectively tracked immediately after birth. If a perineal incision was necessary during the birth or if a perineal tear has occurred, the midwife will sew it up - depending on the severity. The midwife stays with mother and child for about three hours after the birth to check for bleeding and make sure that mother and child are well.

The midwife also looks after the mother and child during childbirth. A home visit is planned for the first five days after the birth, and seven more visits up to the eighth week of the child's life. The midwife checks whether the uterus has regressed, checks the weekly flow and is available for all questions about breastfeeding, breast care and caring for the newborn. Postnatal gymnastics can be started as early as the puerperium. The midwife shows the first exercises to strengthen the pelvic floor and to regress the uterus. More on the topic: Sport after the birth

The first visit to the pediatrician is planned for the first week of the child's life. In the case of a home birth, it can be helpful if the pediatrician comes home for it. Find a pediatrician in good time before the birth to carry out such home visits.

Whom can I ask?

You can find midwives accompanying home visits on the website of the Austrian Midwives Committee.

How are the costs going to be covered?

If it is a midwife with a health insurance contract, four home visits will be paid for by the health insurance company if a home birth is planned until the end of the 40th week of pregnancy. If the baby is born later than calculated, up to three further home visits are planned in the 41st and 42nd week of pregnancy.

If the birth takes place in a hospital despite a planned home birth, there must be medical reasons for the health insurance to pay the costs of midwifery care during pregnancy.

After the birth, the midwife comes home every day for the first five days and seven more times until the eighth week after the birth. All additional midwifery services must be paid privately.

If you wish to have a midwife of your choice (midwife without a health insurance contract), the costs must first be borne entirely by yourself. On request, the health insurance company can reimburse 80 percent of the applicable tariffs that a midwife with a health insurance contract would receive. More on the subject: midwife

Information on costs and current health insurance rates can be found on the website of the Austrian Midwives Committee.

Popular by topic