Women who are low risk are suitable to have a home birth if they;
are age 40 years
--think they got that the wrong way round!
Check
parity >5
BMI 35
Again I think whoever wrote this is confused by less than/greater than. But H might struggle with that criteria.
have no pre-existing medical conditions
Maybe
have no previous history of obstetric complications
Like pre eclampsia and prem labour perhaps.
have a singleton pregnancy
Check
are in spontaneous labour
have a baby in the cephalic presentation
are in labour at 36 completed weeks of pregnancy i.e. are at or over 37 weeks
gestation.
7. High risk women
It is national and local policy that all women should be able to choose their place of birth. even if expecting the antichrist
During the antenatal period it is the midwives responsibility to identify any factors which may indicate the woman may have a higher risk of adverse birth outcomes.
These should be discussed with the women fully so the information can be considered in the decision making regarding place of birth. Midwives should also consult and refer appropriately
within the wider maternity services team.
Although this guideline recommends that all high risk women should receive care during labour and birth in the Consultant Obstetric unit [..] we must recognise that
despite this advice some high risk women will choose to give birth at home.
Where women are competent to make these decisions and have adequate information they should not be
judged and their decisions should be respected. even if giving birth to the antichrist
During the antenatal period midwives should:
clearly advise the women that she should labour/give birth in hospital.
continue to work in partnership with the women and provide appropriate care.
clearly document any discussions with the woman and record these in the Pregnancy Record
involve a Supervisor of Midwives (SOM) in planning care. The woman should be
aware she can contact an SOM for support/advice.
involve other relevant health care professionals in planning care.
agree and document an appropriate plan for care with the woman in the Pregnancy
Record, including strategies for managing any complications which may arise.
Etc. Etc.
[...]
review the management plan with the woman and her partner.
If appropriate have the second on-call midwife may be present during the first
stage of labour for support.