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TABLE 1

Recommendations When Considering Planned Home Birth

Candidate for home deliverya 
 • Absence of preexisting maternal disease 
 • Absence of significant disease occurring during the pregnancy 
 • A singleton fetus estimated to be appropriate for gestational age 
 • A cephalic presentation 
 • A gestation of 37 to <41 completed weeks of pregnancy 
 • Labor that is spontaneous or induced as an outpatient 
 • A mother who has not been referred from another hospital 
Systems needed to support planned home birth 
 • The availability of a certified nurse-midwife, certified midwife, or physician practicing within an integrated and regulated health system 
 • Attendance by at least 1 appropriately trained individual (see text) whose primary responsibility is the care of the newborn infant 
 • Ready access to consultation 
 • Assurance of safe and timely transport to a nearby hospital with a preexisting arrangement for such transfers 
Candidate for home deliverya 
 • Absence of preexisting maternal disease 
 • Absence of significant disease occurring during the pregnancy 
 • A singleton fetus estimated to be appropriate for gestational age 
 • A cephalic presentation 
 • A gestation of 37 to <41 completed weeks of pregnancy 
 • Labor that is spontaneous or induced as an outpatient 
 • A mother who has not been referred from another hospital 
Systems needed to support planned home birth 
 • The availability of a certified nurse-midwife, certified midwife, or physician practicing within an integrated and regulated health system 
 • Attendance by at least 1 appropriately trained individual (see text) whose primary responsibility is the care of the newborn infant 
 • Ready access to consultation 
 • Assurance of safe and timely transport to a nearby hospital with a preexisting arrangement for such transfers 

Data are from refs 6, 7, 10, 11, and 13.

a

ACOG considers previous cesarean delivery to be an absolute contraindication to planned home birth.7 

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