When considering where to give birth, women can choose to have their babies at home, at a freestanding birth center or at a hospital. Ultimately, the question that will lead each woman to the right place for her is, “Where do I feel safe?” Different things help different people to feel safe. For some, feeling safe may mean being supported emotionally so that they can be vulnerable. For others, it may be about where their babies can get the most effective and quickest medical care. Most likely it is a combination of the two.

For those who prefer to give birth at home, it is reassuring to know that statistics from the United States, and other developed countries, show that, for low-risk mothers, homebirth attended by quali?ed midwives can be as safe as birth at a hospital or birth center. This kind of personalized, continuous care and the absence of routine interventions can lead to increased satisfaction and empowerment for birthing mothers and their families. The midwife in attendance witnesses the process of birth as a rite of passage, while being attentive to possible complications and trained to provide appropriate interventions. The ability to transfer to a nearby hospital ensures quick access to medical interventions, if needed.

Freestanding birth centers attended by qualified midwives provide a second option for those considering an out-of-hospital birth. Birth centers offer a ‘homier’ setting than hospitals and present a safe and comfortable option for low-risk women. Some people believe that giving birth at a birth center is safer than giving birth at home as they expect that more equipment would be available in case of an emergency. In fact, the equipment at a birth center is the same equipment that a midwife brings with her to a homebirth. Other women may just prefer to go “somewhere,” other than their homes, to give birth. Therefore, for those who live too far from a hospital that provides maternity services, or whose homes do not feel comfortable or appropriate for a homebirth, a birth center may be the best choice.

Some mothers may choose to deliver their baby in a hospital due to a medical condition that develops during pregnancy. Other mothers will simply feel safer or more comfortable in a hospital setting. For those who do choose a hospital, and hope to have an unmedicated birth without routine interventions, it will first be important to choose a medical practitioner who shares the same philosophy of birth. It is important to keep in mind, however, that very few doctors or hospital-based midwives can guarantee that they will be available to attend the births of all of their clients. Thus, it will also be very helpful to work with an experienced doula and give thorough consideration to a birth plan. This thoughtful planning and preparation can help women ensure they have the information and support they need for a positive and satisfying birth experience.

If you are having a hard time choosing among these options you may want to talk with your doula, your childbirth instructor or other moms. Many midwives and doctors are also happy to talk with families to help them decide what is right for them.

Regardless of your choice, there is no wrong place to go. Each offers a different opportunity as well as a different challenge. Remember that only you and your family can choose what feels right for you.