{"doi":"10.1016/j.wombi.2019.09.007","title":"A pathway to establish a publicly funded home birth program in Australia","abstract":null,"journal":"Women and Birth","year":2020,"id":679872,"datarank":0.31191623125197543,"base_score":2.0794415416798357,"endowment":2.0794415416798357,"self_citation_contribution":0.31191623125197543,"citation_network_contribution":0.0,"self_endowment_contribution":0.31191623125197543,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":7,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1776376,"name":"Mark Tarrant","orcid":null,"position":1,"is_corresponding":false},{"id":1557739,"name":"Ryan Hodges","orcid":null,"position":2,"is_corresponding":false},{"id":773605,"name":"Euan M. Wallace","orcid":"0000-0002-4506-5233","position":3,"is_corresponding":false},{"id":1776377,"name":"Arunaz Kumar","orcid":null,"position":4,"is_corresponding":false},{"id":1776375,"name":"Colleen White","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"A pathway to establish a publicly funded home birth program in Australia","abstract":"<h4>Background</h4>Home births provide women a birth choice where they may feel more comfortable and confident in their ability to give birth.<h4>Problem</h4>Most women in Victoria do not have publicly funded access to appropriately trained health professionals if they choose to give birth at home.<h4>Methods</h4>This paper describes the process of setting up a publicly funded home birth service and provide details of description of the set up and governance. We also report outcomes over 9 years with respect to parity, transfer to hospital, adverse maternal and neonatal outcomes.<h4>Results</h4>Of the 191 women who were still booked into the home birth program at 36 weeks gestation, 148 (77.5%) women gave birth at home and 43 (22.5%) women were transferred into the hospital. The overall rate of vaginal birth was also high among the women in the home birth program, 185 (96.9%) with no added complications ascribed to home births. Such as severe perineal trauma [n=1] 0.6% PPH [n=4] 2.7%, Apgar score less than 7 at 5min [n=0] admissions post home birth to special care nursery [n=2] 1.35%.<h4>Discussion</h4>This unique study provides a detailed road map of setting up a home birth practice to facilitate other institutions keen to build a publicly funded home birth service. The birth outcome data was found to be consistent with other Australian studies on low risk home births.<h4>Conclusion</h4>Well-designed home birth programs following best clinical practices and procedures can provide a safe birthing option for low risk women.","is_dataset_classified":null,"base_score":2.0794415416798357,"endowment":2.0794415416798357,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"31668870","pmcid":null,"openalex_id":"https://openalex.org/W2981534627","authors":[],"funders":[],"total_grants":0,"fwci":0.1853,"citation_percentile":0.59203526,"influential_citations":0,"citation_trend":[{"year":2021,"count":1},{"year":2023,"count":2},{"year":2024,"count":2},{"year":2025,"count":1},{"year":2026,"count":1}],"oa_status":"closed","license":"https://www.elsevier.com/legal/tdmrep-license","oa_locations":[{"url":"https://api.elsevier.com/content/article/PII:S1871519219300551?httpAccept=text/xml","host_type":"publisher"},{"url":"https://api.elsevier.com/content/article/PII:S1871519219300551?httpAccept=text/plain","host_type":"publisher"},{"url":"https://doi.org/10.1016/j.wombi.2019.09.007","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/31668870","host_type":"repository"}],"fields_of_study":["Maternal and Perinatal Health Interventions","Maternal Mental Health During Pregnancy and Postpartum","Preterm Birth and Chorioamnionitis","Medicine","Adult","Australia","Delivery, Obstetric","Female","Home Childbirth","Humans","Infant, Newborn","Maternal Health Services","Midwifery","Models, Nursing","Parity","Pregnancy","Program Development","Program Evaluation"],"mesh_terms":["Adult","Australia","Female","Home Childbirth","Humans","Infant, Newborn","Maternal Health Services","Midwifery","Parity","Pregnancy","Program Evaluation","Models, Nursing","Program Development","Delivery, Obstetric"],"keywords":["Home birth","Medicine","Home Childbirth","Vaginal birth","Low birth weight","Obstetrics","Family medicine","Pregnancy","Childbirth","Health services","Population","Environmental health","Caseload","Midwife","Homebirth","Birth Centre","Woman-centred","Birth Choice"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-17T13:57:09.836199Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}