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Created on : 21 Sep 2008
Modified on : 21 Sep 2008

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Bibliographical entry (without author) :

Closing the theory-practice gap: intrapartum midwifery management of planned homebirths. J Midwifery Womens Health. 2007 May-Jun;52(3):291-300.Click here to read

Author(s) :

Vedam S, Goff M, Marnin VN.

Year of publication :

2007

URL(s) :

http://www.ncbi.nlm.nih.gov/pubmed/17467596?ordina…

Résumé (français)  :

Abstract (English)  :

In the United States, access to qualified homebirth providers varies by state, city, and community, and consistent, evidence-based guidelines for intrapartum management at home are not available. This article examines the similarities and differences in midwifery management of the intrapartum, postpartum, and neonatal course between planned homebirths and planned hospital births. Characteristics of qualified attendants, essential medical supplies and equipment, methods for maternal and fetal surveillance, and common intrapartum indications for transfer are discussed. Unique features of management of the healthy woman and baby in the home are described, as well as the process of consultation and/or referral for collaborative or medical management. Current evidence for the management of fetal intolerance of labor, meconium stained amniotic fluid, prolonged labor, postpartum hemorrhage, and the unstable newborn is discussed in the context of homebirth practice. Aspects of homebirth care that require cultural competency and affect the informed consent process are included. Homebirth practice may provide opportunities to increase the congruence between espoused midwifery philosophy and actual practice.

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Keywords :

➡ homebirth ; planned homebirth

Author of this record :

Emmanuelle Phan — 21 Sep 2008
➡ latest update : Bernard Bel — 21 Sep 2008