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Home Birth Transfers: A Growing Crisis?
26 Feb
Summary
- Data on home birth transfers is lacking nationally.
- Midwives report hospital staff questioning their decisions.
- Birth centers face challenges securing hospital transfer agreements.

A growing trend in home births is highlighting significant challenges and potential biases within the healthcare system regarding hospital transfers. Data tracking these transfers and their outcomes is notably absent at a national level, making it difficult to assess the scope of issues.
Midwives express concerns that as more women opt for home births, transfer-related problems may increase. They report instances where hospital staff question their medical judgment or treat patients negatively upon arrival, despite protocols for smooth transitions.
Factors contributing to the rise in home births include dissatisfaction with hospital experiences, a desire for less medical intervention, and distrust of mainstream medicine. The COVID-19 pandemic also played a role, as did the increasing number of maternity care deserts.
Obstacles persist for birth centers, which aim to bridge the gap between home and hospital births. Many states require these centers to have formal transfer agreements with hospitals, but securing these partnerships proves difficult due to hospital reluctance.
The lack of standardized data and potential stigma associated with home births underscore a critical need for improved collaboration and support within the maternal healthcare system.




