No matter where an obstetrician stands on the question of out-of-hospital births, they will most likely care for a transfer from a home or birth center to the hospital at some point.
Lawrence Michael Leeman, MD, professor in the Departments of Obstetrics & Gynecology and Family & Community Medicine at the University of New Mexico School of Medicine, and co-medical director of the Mother Baby Unit at the University of New Mexico Hospital, will talk about how to make that transfer safer during the Clinical Seminar “Transfer from Planned Home Birth to Hospital: Improving Interprofessional Collaboration and Patient Safety Through the Use of Best Practice Guidelines at 9:15 am today in Room 140 A.
“Home birth remains a controversial issue, and this clinical seminar will not focus on whether physicians should ‘support’ home birth,” Dr. Leeman said. “The College recommends hospitals and birth centers as the safest options but respects women’s rights to make an informed decision about the site of delivery. The proportions of births occurring at home are increasing and recent data show that for non-Hispanic white women, 1 out of every 44 births — 2.25 percent — take place outside the hospital.”
Dr. Leeman, who worked on the U.S. Home Birth Summit in 2014, said that Tuesday’s session will look at ways to improve the transfer process. He will review guidelines from that Summit along with recommendations from ACOG and the American College of Nurse-Midwives. He will review research that demonstrates improved outcomes in settings where there is integration and collaboration between hospital and home-based providers and share examples of successful collaboration.
“As home birth will continue to occur, the patient safety issue is, ’how are we going to respond as hospital-based providers to give the best care we can?’” Dr. Leeman said.