02/17/2025
Planned Home Births in the United States Have Outcomes Comparable to Planned Birth Center Births for Low-Risk Birthing Individuals is available to read on the National Institutes of Health website: https://pmc.ncbi.nlm.nih.gov/articles/PMC11542973/
One of the things that makes this study important is that it is based in the United States, whereas most available studies looking at homebirth are from other countries where midwifery is better integrated into the broader healthcare system (and there is universal healthcare coverage in most of these places, their cities are more walkable so people have more movement in their daily lives, they have paid leave for parents, etc).
Currently ACOG recommends birth centers in North America as a safer option than homebirth for low-risk individuals. This study done by Oregon State that looked at two large birth registries and ultimately included over 114,000 families across the U.S. comes to a different conclusion.
It’s important to note this study did not include individuals having VBACs, twins, or breech babies. It’s also interesting to read about how one birth registry showed slightly higher rates of cesarean birth among homebirth families, but showed higher rates of transfer and intervention among birth center families. It notes that this could be due to homebirth families generally being more motivated to avoid the hospital, or fear of stigma and poor treatment from hospital staff upon arrival.
Researchers behind this study conclude that current recommendations elevating birth center birth over homebirth for low-risk individuals should be revisited, and many experts continue to argue that better integration of midwives in healthcare and confrontation of stigma in the medical community is needed to improve outcomes when transfer of care is needed. I agree!