Issue Summary
While the overwhelming majority of births take place in a hospital, a growing number of women are choosing to deliver their babies in either a birth center or at home. In either of those two settings, 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
Advocacy
Birth Centers
- ACNM Discussion of Coverage Requirements for Birth Centers under Medicaid and the Health Insurance Marketplaces (October 5, 2013)
- "Outcomes of Care in Birth Centers: Demonstration of a Durable Model," JMWH Vol. 58, Issue 1, pages 3-14.
Home Birth
- ACNM Responds to ACOG Home Birth Committee Opinion: ACNM welcomes ACOG's shift from an absolute "no" on home birth to the recognition of a woman's right to make informed decisions about birth setting. (January 2011)
- ACNM Provides Information to FDA on Benefits and Risks of Pools/Tubs Indicated for Use During Birthing Process (November 16)
- Blog by Zora Javorska, a community activist from the Czech Republic and State Department Fellow
Archives
- Transforming Birth Fund Awards Grant to Convene Home Birth Summit (January 4, 2011)