Home birth with a midwife is as safe as hospital birth only if 3 conditions are met: 1. if home birth is well regulated, so it is extremely well defined who falls into a high risk vs low risk category and under what circumstances hospital transfers have to be made 2, if the midwife is well trained to recognize boundaries between normal and pathological, 3. if transfer conditions between home and hospital are good, which would include features like distance to transfer, cooperation of the hospital staff, or perhaps even access for the midwife to hospital resources to continue the woman’s care...
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