Your choices of where to deliver your baby include a hospital, a
birthing center, or your home. The location you choose may affect, or be
affected by, your choice of doctor or midwife or health insurance plan.
Most medical doctors (MDs) deliver only at hospitals. Some hospitals
also allow registered nurses with advanced training (certified nurse-midwives)
to deliver there under a doctor's supervision. Many hospitals offer special
birthing rooms that are comfortable and homey, with large beds, wooden
furniture such as rocking chairs, and pictures on the walls.
Hospital policies vary with respect to who can be present during the
birth besides the partner or labor coach. But most hospitals allow the
woman to have visitors during her labor. The hospital may reduce the number of
visitors at the delivery to avoid overcrowding and risk of infection.
You can request a tour of the hospitals near you to see what options
they offer. The advantage of a hospital birth is the availability of
experienced staff and equipment if problems or complications develop. Also, a
hospital offers a wide range of options for pain relief.
Birthing centers are usually staffed by certified nurse-midwives who
have the option of calling in a doctor or sending you or your baby to a nearby
hospital if problems or complications develop. Birthing centers are less formal
and less institutional than hospitals. You may be allowed to have several
people, including other children and family members, present at the
Birthing centers are not recommended if you have a
high-risk pregnancy. Emergency medical equipment and
options for pain relief are limited. Delivering in a birthing center is usually
less expensive than delivering in a hospital, although it may not be covered by
certified nurse-midwives (CNMs) will deliver in a home
setting, as will
certified professional midwives (CPMs) and
The major disadvantage of a home birth is the risk of an emergency
situation, which will require that you or your baby be taken in an ambulance to
a hospital. The time it takes to get you or the baby to hospital care may be
The advantage of a home birth is that you may feel more comfortable
staying in familiar surroundings during labor and delivery. And you can have
whomever you want in the room with you.
A home birth is the least expensive option, although it may not be
covered by insurance. A home birth is not recommended if
you have a high-risk pregnancy.
July 23, 2012
Sarah Marshall, MD - Family Medicine
& Kirtly Jones, MD - Obstetrics and Gynecology
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