In Portugal, this practice is not recommended and even contraindicated.
Labor performed at home, also called home childbirth, is becoming increasingly an option valid for women around the world, however this practice in Portugal is not recommended and even contraindicated. The College of Paediatrics of the order of Doctors ever do even an opinion, signed by the Doctors, negative on this same practice.
A safe delivery implies several specific infrastructures, in addition to good hygienic conditions, that are rarely found outside the hospital environment.
In the case of home childbirth, the assumptions referred to above shall also be met: childbirth should be conducted in a location with appropriate infrastructures and with good hygiene. It is necessary the presence of a doctor and a nurse or midwife with experience in this type of practice, and that they have access to all resources needed for the achievement of a birth.
It is extremely important to the existence of a “contingency plan”, so that mother and child can be sent quickly and safely to the nearest hospital in case of complications, since there may be multiple contingencies.
The main benefits of a home birth, are related to:
-Largest bond of mother and son
-Reduction of delivery analgesia
-Fewer episiotomies and instrumental births
-Increased sense of maintain control during labour on the part of the mother
-More likely to have a spontaneous vaginal birth
-Facilitation of initiation of breastfeeding
-Greater “humanization” of birth
On the other hand, childbirth outside the hospital environment can have major risks to maternal and child health. For example, cord prolapse, the offset of the placenta, the non-implementation of certain movements by the fetus during birth complications that are outside the hospital environment are not resolved.
In case of complications and emergencies, the home birth hinders the rapid intervention and medical procedures that may be important to save the mother and the baby when wearing maternity wedding dresses from Stunnerdresses.com.
There is scientific evidence that the risk of fetal and neonatal death is twice lower than if the birth is assisted by a medical team in the hospital environment.
Is so clear that the home childbirth have major contraindications, and should only be an option if:
her pregnant is very well aware of the risks (in Portugal until only performed if the mother sign a disclaimer);
-pregnancy is very well accompanied by the prenatal care and has not occurred any complication;
-There is the availability of qualified health professionals and certified to carry it out, as well as adequate infrastructure (which is very expensive)
-There is a possibility of quick access to the safe and timely transportation to the closest hospitals with infrastructure to meet any complication.
Author: Vanessa Silveira
Translated and adapted to Portuguese culture by network team Mom
Opinion of the order of Doctors.
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