O&G Cases · Intrapartum care — place of birth and care model
Planning a home birth — counselling and transfer planning station
Communication and counselling station on planning a home birth: candidate elicits the woman's values, gives the parity-specific Birthplace numbers, explains eligibility and the transfer pathway, and supports an informed choice — whichever way it goes. Includes assessor timeline, marking domains, assessor key and fail criteria.
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Format. Communication and counselling station, approximately 12 minutes. You are the obstetric registrar in an antenatal clinic. A continuity midwife and a home birth programme are available. The assessor plays the woman; a faculty observer marks the domains. [1]
Candidate instruction. Conduct the counselling conversation. Elicit her values, give her the honest numbers for a nulliparous woman, confirm eligibility, explain the transfer pathway, and support an informed choice. Do not pressure her in either direction. [1][7]
References3ShowHide
- [1]Brocklehurst P, Hardy P, Hollowell J, et al. Perinatal and maternal outcomes by planned place of birth for healthy women with low risk pregnancies: the Birthplace in England national prospective cohort study. BMJ, 2011.PMID 22117057
- [7]American College of Obstetricians and Gynecologists Committee Opinion No. 697: Planned Home Birth. Obstet Gynecol, 2017.PMID 28333824
- [8]de Jonge A, Geerts CC, van der Goes BY, Mol BW, Buitendijk SE, Nijhuis JG Perinatal mortality and morbidity up to 28 days after birth among 743 070 low-risk planned home and hospital births: a cohort study based on three merged population-based datasets in the Netherlands. BJOG, 2015.PMID 25204886