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Home Birth Essay

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Home birth is not an unusual occurrence for certain areas in our country. It has been practiced by traditional midwives and untrained birth attendants for many decades, since before the existence of modern medical facilities and hospitals. However by improving our health care system for pregnant women, it has managed to reduce catastrophic complications that lead to maternal and perinatal death.
Why then are there still a few women keen for home birth although they have access to local area hospitals? Surprisingly the majority of these women are those with a formal education. This however does not include those who deliver at home due to unbooked or unwanted pregnancies. There could be a few reasons why:
Feeling of self control and more satisfaction with home birth
Religious belief that requires only female birth attendants
To avoid unnecessary intervention such as instrumental delivery or caesarean section
More natural birth experience, without involvement of drugs or analgesia

In certain countries such as the United Kingdom (UK), home birth is allowed for low risk pregnancies after proper counseling during their antenatal follow up. Home births are one of their norms as the number of the trained midwives is more than enough to take care of pregnant women in certain areas. Good access to communication services, short distances to area hospitals and experienced midwives who have received accreditation from the Midwifery Colleges in the UK make this service applicable to their area.

“Last time, all our grandmothers delivered normally in the village. There was no need to go to a hospital”

That was one of the common statements heard, especially from older members of the population. Well, I would say that is true but bear in mind t...


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...having husband friendly hospitals and epidural analgesia to make sure the delivery process would be a pleasant experience for our patients. The safety of the patient is our main concern as well trying to respect certain patient’s wishes. Perhaps, one day, Malaysia will be ready home birth services but at present that day has not arrived. All mothers who wish to discuss this issue are encouraged to speak to their local health care providers.

We want the delivery process to be one of the best moment and memorable joy in your life. Don’t let it become a tragedy in your life.



Dr Mardiana Kipli M.D (UNIMAS) is an Obstetric & Gynaecology registrar currently in Kuching and is in her final year of completing her Masters in Obstetric & Gynaecology.


Works Cited

Royal College of Obstetricians and Gynaecologist/Royal Collage of Midwives Joint statement. Home Birth; 2007


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