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Insights from a publicly funded homebirth program.
Women Birth
January 2025
School of Nursing and Midwifery, College of Health, Medicine and Wellbeing, University of Newcastle, Australia.
Background: There are high levels of consumer demand for homebirth in Australia, however access is limited due to a wide range of factors, including associated costs of a private midwife and the limited number of publicly funded homebirth models. Homebirth with a qualified midwife, networked into a health system, is a safe option for women with a low-risk pregnancy. This paper has two aims.
View Article and Find Full Text PDFThe relationship between ethnicity and place of birth in England: a mixed-methods study.
BMC Pregnancy Childbirth
November 2024
School of Health and Psychological Sciences, City, University of London, London, EC1V 0HB, England.
Background: UK maternity policy advocates a choice of birthplace in an obstetric-led unit (OU), a midwife-led unit (MLU) or at home. Although robust evidence supports the safety of birth in midwife-led settings, particularly for women with uncomplicated pregnancies, most births are in the OU. Women and babies from ethnic minority communities experience major health disparities and inequitable care, but there is limited research examining birthplace choices through an ethnicity lens.
View Article and Find Full Text PDFOut-of-hospital birth training, experience and confidence of Australian rural volunteer ambulance officers.
Rural Remote Health
July 2024
School of Medical and Health Sciences, Edith Cowan University, 270 Joondalup Drive, Perth, WA 6027, Australia.
Introduction: Unplanned out-of-hospital births represent less than 1% of ambulance requests for assistance. However, these call-outs have a high risk of life-threatening complications, which are particularly complex in rural or remote settings with limited accessibility to specialist care support. Many community hospitals no longer provide obstetrics care, so birth parents must travel to larger regional or metropolitan hospitals for assistance.
View Article and Find Full Text PDF"I had no choice": A mixed-methods study on access to care for vaginal breech birth.
Birth
June 2024
School of Nursing, Vanderbilt University, Nashville, Tennessee, USA.
Introduction: Although current recommendations support vaginal breech birth as a reasonable option, access to breech birth in US hospitals is limited. This study explored the experiences of decision-making and perceptions of access to care in people who transferred out of the hospital system to pursue home breech birth.
Methods: We conducted a mixed methods study of people with a singleton, term breech fetus who transferred out of the US hospital system to pursue home breech birth.
The financial impact of offering publicly funded homebirths: A population-based microsimulation in Queensland, Australia.
Women Birth
February 2024
Monash Centre for Health Research and Implementation, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia. Electronic address:
Background: Despite strong evidence of benefits and increasing consumer demand for homebirth, Australia has failed to effectively upscale it. To promote the adoption and expansion of homebirth in the public health care system, policymakers require quantifiable results to evaluate its economic value. To date, there has been limited evaluation of the financial impact of birth settings for women at low risk of pregnancy complications.
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