The reason why the father wished to close down the branch was that it appeared to be making a loss. However, it is quite the reverse; if the branch was closed then, the positive contribution from the branch would be lost and overall profits would fall.
Types[ edit ] Home births are either attended or unattended, planned or unplanned. Women are attended when they are assisted through labor and birth by a professional, usually a midwifeand rarely a general practitioner. Women who are unassisted or only attended by a lay person, perhaps their spouse, family, friend, or a non-professional birth attendantare sometimes called freebirths.
A "planned" home birth is a birth that occurs at home by intention. An "unplanned" home birth is one that occurs at home by necessity but not with intention. Reasons for unplanned home births include inability to travel to the hospital or birthing center due to conditions outside the control of the mother such as weather or road blockages or speed of birth progression.
Others prefer home birth because they feel it is more natural and less stressful.
The top five reasons given were safety, avoidance of unnecessary medical interventions common in hospital births, previous negative hospital experiences, more control, and a comfortable and familiar environment.
There are some medical conditions that can prevent a woman from qualifying for a home birth. These often include heart disease, renal disease, diabetes, preeclampsia, placenta previa, placenta abruption, antepartum hemorrhage after 20 weeks gestation, and active genital herpes.
Prior cesarean deliveries can sometimes prevent a woman from qualifying for a home birth, though not always. It is important that a woman and her health care provider discuss the individual health risks prior to planning a home birth.
Since a shift back towards home births has brought the rate up from 0. In Japan the change in birth location happened much later, but much faster: You find a bed that has been slept on by the husband, wife and one or two children; it has frequently been soaked with urine, the sheets are dirty, and the patient's garments are soiled, she has not had a bath.
Instead of sterile dressings you have a few old rags or the discharges are allowed to soak into a nightdress which is not changed for days. The mother lies in a well-aired disinfected room, light and sunlight stream unhindered through a high window and you can make it light as day electrically too.
She is well bathed and freshly clothed on linen sheets of blinding whiteness You have a staff of assistants who respond to every signal Only those who have to repair a perineum in a cottar's house in a cottar's bed with the poor light and help at hand can realize the joy.
Ina May Gaskinfor example, sometimes called "the mother of authentic midwifery"  helped open The Farm Midwifery Center in Summertown, Tennessee inwhich is still in operation.
However, although there was a steep increase in midwife-attended births between and from less than 1. Hence, the actual rate of home birth in the United States remained low 0. Their report noted that intrapartum-related perinatal mortality was low in all settings in the UK, but that in cases of unanticipated obstetric complications, the mortality rate was higher for home births due to the time needed to transfer the mother to an obstetric unit.
The uncertain evidence suggests intrapartum-related perinatal mortality IPPM for booked home births, regardless of their eventual place of birth, is the same as, or higher than for birth booked in obstetric units. If IPPM is higher, this is likely to be in the group of women in whom intrapartum complications develop and who require transfer into the obstetric unit.
When unanticipated obstetric complications arise, either in the mother or baby, during labour at home, the outcome of serious complications is likely to be less favourable than when the same complications arise in an obstetric unit.
The study concluded that for low-risk women there was no increase in perinatal mortality, provided that the midwives were well-trained and there was easy and quick access to hospitals.
Further, the study noted there was evidence that "low risk women with a planned home birth are less likely to experience referral to secondary care and subsequent obstetric interventions than those with a planned hospital birth.
They found that the rate of intrapartum infant mortality was 0. They further found that the death rate for planned home births attended by direct-entry midwives was 5.
The study noted that the statistics for Oregon were different for other areas, such as British Columbia, which had different licensing requirements.Hyperlinks to non-FAO Internet sites do not imply any official endorsement of or responsibility for the opinions, ideas, data or products presented at these locations, or .
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