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Four years' experience with home birth by licensed midwives in Arizona.

D A Sullivan and R Beeman

In 1978, Arizona began licensing lay midwives under regulations designed to maintain adequate standards of care for women desiring a home birth. During four years of this program, 3 per cent of home birth clients were hospitalized for complications and another 15 per cent received postnatal outpatient care, primarily for second degree lacerations. Five per cent of the newborns required medical care after delivery; half of these were hospitalized. Complications declined over the period due to increased experience, close supervision, and continuing education.

This article has been cited by other articles:

				K. C Johnson and B.-A. Daviss Outcomes of planned home births with certified professional midwives: large prospective study in North America BMJ, June 18, 2005; 330(7505): 1416. [Abstract] [Full Text] [PDF]