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5 Cards in this Set
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What are the differences in opinions/guidelines on home birth from ACNM and ACOG?
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*Guidelines from the ACNM
-Criteria for Provision of Home Birth Services *Position of ACOG -Long standing opposition to home birth but... -Support ACNM/ACMB CNMs/CMs in birth centers *Plus... -There is supportive data from International Community |
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What guidelines are there for home birth?
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-Home Birth Practice Manual
-US does not have universal guidelines for home birth |
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What are general important characteristics of criteria/setting up a home birth?
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-Woman is low risk for complications
-Birth is planned to take place at home -Care is provided by a qualified provider |
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What would be an "at risk" patient who would not qualify as a good candidate for a home birth?
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At risk – prematurity, fetal intolerance to labor, substance abuse, multiple gestation, non-vertex presentation, IDDM
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What were the general conclusions of the recent article released in 2009 titled "Outcomes of planned home birth with registered midwife versus planned hospital birth with midwife or physician"
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-78.8% of women planning a home birth did so successfully
-96.9% of women planning a hospital birth with a midwife did so successfully -Planned home birth is associated with very low and comparable rates of perinatal death -Planned home birth reduces rates of obstetric interventions -Planned home birth reduces adverse perinatal outcomes -Home birth had significantly less interventions, eg, EFM, augmentation of labour, assisted vaginal delivery, cesarean delivery and episiotomy |