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Refused a home birth
  1. The Home Birth Association receives many complaints from women who feel that their choice of a home birth has not been available. The numbers of woman who are contacting us appear to be increasing as more women become more aware of home birth as an option and as the provision of the service remains static and in some areas have actually decreased. We often cite these issues to the HSE and The Department of Health when we are trying to advocate for a more geographically equitable and extensive service. However, we are usually meet with a response that very few women are interested in home birth(as the take up number is so small) or that the number of women that have been refused a home birth is very small. The numbers of women who are refused a home birth service are calculated based on the number of women originally accepted by the service, but who then transfer out of it for a variety of reasons.We know that whilst this figure accounts for a proportion of women who are unable to access a home birth service, the true number is far greater as the vast majority of women who want a home birth service are ether unable to access the service in the first place or don't bother trying because they know that there is no service in their area or because they know that they are not eligible. This is especially true of women who have had a previous caesarean section.
  2. In addition to geographic limitations on the service, the lack of SECMs and the tight criteria of the MOU, it now appears that the requirement for a pre allocated second midwife to be named as available on the woman's application form months before her due date is causing further limitations to the service for some women. The HSE are currently unaware of any such issues. The NPEC audit on home births for 2012 indicates that the majority of births in Ireland (65.2%) were attended by a second midwife, with percentages in the south and west being particularly high (93.3% and 81.6% respectively). However what is unclear is whether these were student midwives, newly registered midwives or midwives who had signed an MOU and agreed to be present and available at the birth (ie not working in a hospital or a university during the woman's due dates). The figures in Dublin North East and Dublin Mid Leinster paint a different picture (0% and 13.3% respectively).
  3. The HBA have therefore decided to maintain a log of the inability of the HSE to provide a home birth service to women in Ireland. If you have been refused a home birth since the HSE National Home Birth Service started in Sept 2008 please consider filling in the log.
  4. The log will be fully compliant with the data protection registrar requirements and the confidentiality of women's identity will be maintained. Any data released to the HSE or other bodies will be aggregated to maintain confidentiality.
  5. At no point will you be able to be identified. If you make a submission to the log, your data will go directly to the coordinator of the HBA by automated email and your personal details will not be disclosed to any other party.
  6. This is an opportunity for women who have been denied the birth choice that they wanted to stand up and be counted. Please use it if you want to make a difference.
  7. I consent to my information being used by the HBA to log the refusal of home birth as a choice for women in Ireland
  8. Please tick to proceed
  9. First Name(*)
    Please let us know your name.
  10. Last Name
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  11. Your Email(*)
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  12. Address
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  13. Postcode
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  14. County(*)
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  15. Due Date
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    Note: Due date can be in the future or the past.
  16. Date Refused
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    Use 1st of month if unsure of exact day.
  17. Please select the reason the HSE were not able to provide you with your choice of a home birth:
  18. If you were refused by more than one health care professional please give additional information in the box provided below.
  19. (*)








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  20. I fall outside the MOU because
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  21. The DMO was not willing to authorise my application because
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  22. My midwife was no longer able to attend me because
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  23. Other Reason
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  24. Midwife
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  25. Midwife
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  26. or Hospital scheme
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  27. Hospital
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  28. DMO (Domiciliary Midwifery Officer)
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  29. GP or Obstetrician
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  30. Further Information
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  31. Anything else you would like to tell us about trying to get a home birth?
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  33. Would you like to be informed of home birth support meetings?
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  34. Would you like to receive regular updates from the HBA?
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  35. Captcha(*)
    Captcha
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