[Deliveries out of medical facilities].
OBJECTIVE
Analysis of reasons and risks of planned and unplanned deliveries out of medical facilities.


METHODS
Review of literature and casuistry. NAME AND SITE OF DEPARTMENT: Department of Obstetrics and Gynaecology, Teaching Hospital Na Bulovce, 1st Faculty of Medicine, Charles University in Prague.


METHODS
Authors of this paper are discussing published evidences concerning the reasons and the risks of planned and unplanned deliveries out of the medical facilities. They are pointing out at the activities of some independently practising midwives, who systematically encourage females against medically conducted deliveries during their prenatal courses, thus obtaining clients for home deliveries. At the end of the paper the authors present three casuistries from their own practice to document the outcomes of disinformation and prenatal courses guided in a wrong way.


CONCLUSIONS
According to the results of foreign studies and own experience home deliveries are accompanied by senseless risks for mother and child. Dubitable benefits of the home surroundings cannot counterbalance these risks. Prenatally purposely misinformed woman and her partner often threaten themselves and their arriving child during labour with senseless risks.
Záhumenský
J
J
Gynekologicko porodnická klinika 1. LF UK a FN na Bulovce, Praha.
Halaska
M
M
Kolarík
D
D
Sehnal
B
B
Sottner
O
O
Krcmár
M
M
D000328:Adult; D005260:Female; D006700:Home Childbirth / Q000009:adverse effects*; D006801:Humans; D008880:Midwifery; D007744:Obstetric Labor Complications / Q000628:therapy*; D011247:Pregnancy