Where it is necessary to give birth: at home or in clinic?

Now in the majority of the western countries of 90 % of all sorts are accepted in clinics. It speaks first of all aspiration to secure childbirth, to avoid complications and to receive the qualified help. The modern equipment and skilled experts reduce risk of many complications during the patrimonial certificate to a minimum. At house sorts it is impossible to guarantee all necessary conditions for successful родоразрешения. After all can arise and the unforeseen circumstances demanding urgent acceptance of measures. For example, operative intervention, suppose, a Cesarean section on which the life of mother and the child depends can be necessary. But, certainly, each woman has the right to solve itself where it to give birth; if she is assured of a normal current of sorts and there are necessary sanitary-and-hygienic conditions childbirth can occur and houses.
Now to give birth to houses the woman induce not so financial reasons. Motives for house sorts have sentimental character, this desire to bring into the world the child, so to say, in a family circle more likely. It is necessary to weigh carefully all pro's and con's, considering advantages of sorts in clinic.
If the woman all the same has decided to give birth to houses, it is necessary together with the doctor and the accoucheur to find out in advance, that for this purpose it is necessary, and to execute all their councils. The premise where there will be a lying-in woman, should is good to be aired and be warm (temperature 18 — 20 °С>. Subjects, in which the dust collects (carpets, upholstered furniture, etc.), it is necessary to take out and make damp cleaning. The bed should not be too low, it is necessary to use a rigid mattress. It is necessary to put a bed so that it was possible to approach to it from both parties, but it is whenever possible not too close from a window or a heating source. Is better, if it is a premise opposite to a bathroom. Otherwise in a room where there is a lying-in woman, there should be constantly a basin with pure water for disinfection of hands. In bed feet it is necessary to establish portable and powerful enough light source. Having prepared all necessary in advance, it is necessary to cause the midwife in due time.
In most cases, though, unfortunately, not always, already during pregnancy it is possible to predict, whether there will be it childbirth with the raised degree of risk. Everyone «risk childbirth» should be accepted only in specially equipped clinics. There any minute in case of need the skilled doctor, the anaesthesiologist and assistants who without the slightest delay will take urgent measures, including the operative to the aid can come; it is possible to make any urgent analysis, laboratory research or blood transfusion. Further in clinic careful care of newborn is provided.
The doctor predicts «risk childbirth», proceeding from following reasons:
Narrow basin (discrepancy between the size of a head of the child and a basin of mother);
Wrong position of the child (cross-section or тазовое prelying);
многоплодная pregnancy;
Premature birth;
переношенная pregnancy;
Pregnancy toxicoses (нефропатия, преэклампсия, эклампсия);
Incompatibility of blood;
Diabetes, heavy diseases of heart, lungs, kidneys, etc., adiposity;
Childbirth at первородящей the woman is more senior 32 years, mothers of four children or the woman are more senior 40 years;
многоводие (the raised quantity околоплодных waters);
Bleedings last months pregnancy or during sorts;
The raised body temperature during sorts;
Childbirth at the women who have transferred a Cesarean section, gynecologic operations (including abortion), complications at previous беременностях and sorts, various diseases of kidneys;
Childbirth at women who have given birth earlier to the large child in weight more than 4,5 kg, at previous sorts has lost the child or has given birth to the child with deviations in development;
The childbirth lasting more 12 ч.
As in all resulted situations degree of risk for a life of mother and the child is great, childbirth should be accepted only in clinic.