1.4.i Public Health Implications
It is well established that the birth environment can affect the caregiver’s use of technology and influence the physiology of normal labour and birth. Researchers have demonstrated reduced costs to the health care system, with no increase in complications, when healthy people plan to birth in low technology settings with skilled providers, even if some of them actually deliver in the hospital after transfer (36, 37). Hence, public health researchers and human health resource planners globally and provincially recommend that maternity care should occur in the lowest resource setting where the person feels safe and comfortable, and can access skilled attendants as appropriate to their individual clinical situation for each labour and birth (15, 17).
Personal Reflection
What might be the differences in costs between birth settings?