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ACOG statementFrom: Kris Bagiu, CPM, RM (kris@metromidwifery.com)Mon Nov 13 19:33:51 2006
Can any ACOG members here share some insight as to what motivated this random statement? How does it affect obstetricians willing to back up midwives (CNMs and DEMs) in OOH birth including free-standing birth centers? Thanks... ---- ACOG Statement of Policy As issued by the ACOG Executive Board OUT-OF-HOSPITAL BIRTHS IN THE UNITED STATES Labor and delivery is a physiologic process that most women experience without complications. Ongoing surveillance of the mother and fetus is essential because serious intrapartum complications may arise with little or no warning, even in low risk pregnancies. In some of these instances, the availability of expertise and interventions on .an urgent or emergent basis may be life-saving for the mother, the fetus or the newborn and may reduce the likelihood of an adverse outcome. For these reasons, the American College of Obstetricians and Gynecologists (ACOG) believes that the hospital, including a birthing center within a hospital complex, that conforms to the standards outlined by American Academy of Pediatrics and ACOG,1 is the safest setting for labor, delivery, and the immediate postpartum period. ACOG also strongly supports providing conditions that will improve the birthing experience for women and their families without compromising safety. Studies comparing the safety and outcome of U.S. births in the hospital with those occurring in other settings are limited and have not been scientifically rigorous. The development of well-designed research studies of sufficient size, prepared in consultation with obstetric departments and approved by institutional review boards, might clarify the comparative safety of births in different settings. Until the results of such studies are convincing, ACOG strongly opposes out-of-hospital births. Although ACOG acknowledges a woman's right to make informed decisions regarding her delivery, ACOG does not support programs or individuals that advocate for or who provide out-of-hospital births. 1American Academy of Pediatrics and /American College of Obstetricians and Gynecologists. Guidelines for Perinatal Care, 5th Edition. Elk Grove Village, IL, AAP/ACOG, 2002. Approved by the Executive Board October 2006 The American College of Obstetricians and Gynecologists 409 12th Street, SW, PO Box 96920. Washington, DC 20090-6920 Telephone 202 6385577
-- Kris Bagiu, CPM, RM Denver, CO
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