The Stockholm Region abolishes the contribution to the home birth

In the county council, which at the end of the year was the region of Stockholm, it has long been the option for healthy women who are not first-time mothers, that under certain criteria to get a grant from the county council in order to give birth at home, assisted by two midwives. The midwives have at the same time had an approval from the county council to perform hemfödslar.

the Demand for home deliveries has increased slightly in recent years, at the same time as two of the county's maternity with small-scale home environment, BB Sophia, and the Southern BB closed down. In 2018, was 87 home deliveries with the contribution after the approval of the county council.

demand has the county council made the assessment that care must be regulated in the agreement that is missing today in order to be lawful, patientsäker and able to be followed up. After a long investigation is expected to health and sjukvårdsnämnden on Tuesday, deciding to abolish the grant.

– In the form in which it has been so far, so suggest to the management that home birth is abolished, and in the majority is we agreed to go on the line, " says Anna Starbrink (L), sjukvårdslandstingsråd.

the existence of a political division around whether the county should finance the home deliveries.

Vårdutvecklingsregionrådet Ella Bohlin (KD) has previously said that she is sympathetic to the type of care and want it to remain.

Anna Starbrink, however, have been skeptical.

" this is not an activity I think should be extended in all cases, she has previously said to DN.

Now, says Anna Starbrink that she thinks it is very important that the business is carried out on the basis of patient safety.

it is now to be investigated if home birth can be a tilläggsuppdrag in the choice of childbirth, for any of the existing förlossningsklinikerna. All maternity has so far refused to take responsibility for a hemförlossningsverksamhet.

Several of the hembarnmorskorna working in the day even on delivery at Södertälje hospital, the only one of the county's maternity outside the choice of care. Maria Hedström, chefsbarnmorska on the birth, saying that the proposal to make home birth to a part of the choice of care raises many questions.

– It is difficult to say whether we would be able to build up such a business. Do they think that we employ the midwives? If they would then have a contractual salary, and paid for well into five weeks in preparation for a home birth , so it would be extremely expensive. Yes, and in addition, we have not agreement in the choice of care, so we do not know if it would be possible for us.

worked so far, childbirth was carried out with the readiness to cancel if something tillstöter to bring over the woman to the hospital.

" We know that in our neighborhood there are women who will birth at home regardless of whether there is agreement or not. The important thing for us is to ensure that families feel confident that they can come in to the hospital if something tillstöter and then to be treated with respect. It is about all children have a right to a safe childbirth, no matter what we think about parents choosing to birth at home.

I currently pay region out 22,000 crowns in compensation for a single home birth, which roughly corresponds to the compensation förlossningsklinikerna may for a birth.

" I do not believe that you have understood how little paid hembarnmorskorna get that it is about non-profit work. They are prepared to do this for a pittance, " says Maria Hedström.

is that the activities of the new form should not cost more than in the day.

– The goal is that this business should be able to be developed much like in the day and have a cost approximately the same as it is now, " says Tobias Nässén (M), valfrihetsregionråd.

None of the current förlossningsenheter has so far opted to integrate hemförlossningsverksamhet of the existing business, when the management asked.

"I have good hopes that it will be able to function," says Tobias Nässén.