Choosing to have your baby at home is a deeply personal decision, one often rooted in moral beliefs and weighed carefully against safety concerns. Cost can sometimes take a backseat to these considerations.
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Less than 1 percent of U. But that percentage has been rising, climbing from 0.
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Goldstein, who recently documented her home birth experience in the medical journal Health Affairs , said the second time around was different, in outcome if not in potential cost. The cost of having a baby at a hospital is far from set in stone. According to the National Center for Health Statistics, 95 percent of midwife deliveries in Ohio in occurred in hospitals. That level of experience is offered, she said, by a Certified Professional Midwife who has received both educational and clinical training in an out-of-hospital setting in keeping with the standards of the North American Registry of Midwives NARM.
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Devon Horsman of Kettering has those credentials and now serves as chair for the Ohio Midwives Alliance. The group is actively seeking sponsors for a bill that will recognize the CPM designation.
Across the nation 49, babies were born at home in and combined. In Ohio, 1, were born at home in the same two-year time period.
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The reasons families want to give birth at home, Horsman said, may be religious, cultural or economic. The fees are not covered by insurance. The American Medical Association and the Ohio State Medical Association are among the organizations that take issue with the idea of licensure for midwives in a home setting. They do support Certified Nurse Midwives who work in collaboration with an obstetrician in a hospital. Jeff Smith, director of government relations for the Ohio State Medical Association, said obstetricians have specific education, residency requirements, training and experience that prepare them for a delivery of a baby in every type of situation.
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We found one through word of mouth. French had an apprenticeship working under a supervising midwife. Years later, she became a certified professional midwife through the North American Registry of Midwives. Asked if she would support licensure, she hesitated. Having a license comes with restrictions that would leave out people who would want to have a home birth, according to French, "things such as twins or having a vaginal birth after a caesarian. I don't think, just because your baby is breached, you have to have a caesarian.
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I think a woman should be able to have that choice. I think some of the other midwives would be more apt to let the excluded things go, but I feel very strongly that women should have the option.
It would be more difficult if you had a license and practiced outside the rules and regulations than if there were no license at all.