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Out of Hospital Birth

Issue Summary

While the overwhelming majority of births take place in a hospital, a growing number of women are choosing to have their babies in either a birth center or at home.  In either of those two setting, midwives are the predominant attending provider.  
A growing body of literature examines birth center and home birth outcomes and costs and policy makers have taken notice.  However, not all states license birth centers, and not all states allow midwives to legally attend home births.  Furthermore, midwives who practice in either a birth-center or patient's homes must necessarily take on business responsibilities that may not exist for those working in the hospital setting.  

Available Literature and Resources


Birth Centers



American College of Nurse-Midwives.
8403 Colesville Rd, Suite 1550 | Silver Spring MD 20910
Phone: 240-485-1800 | Fax: 240-485-1818
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