This type of delivery is suitable for normal deliveries in rural and inaccessible areas. It is best for home births to be attended by hospital and clinic medical staff or midwives, with the necessary instruments and medicines for delivery. During delivery, the labor process should be closely observed and correctly handled, and aseptic operation should be strictly carried out. However, the home delivery is limited to manpower, material resources, so only responsible for normal maternity, in the event of difficulties and accidents, we must be calm and resourceful, to obtain the cooperation of the family, and quickly transferred to the hospital to deal with.
The maternity home should choose a room sheltered from the wind and good light, and clean, ready to clean sheets, laying a good plastic sheet, ready for maternal clean pants, menstrual belts, straw paper and newborns, such as wraps, blankets, clothes, diapers, etc., boiled water, wash basins, the midwifery package in the appropriate location, the rest of the medicines in order to put the supplies.
For women in labor, wash the vulva, inner thighs and lower abdomen with soap and warm boiled water a few days before the expected date of delivery, and change into clean underwear. Continue washing once more when labor is imminent to keep the area clean. The midwife should disinfect the vulva with 0.1% Neosporin solution in order from the inside out before delivery, paying attention to the labia minora and around the vaginal opening should be changed to a clean cotton ball when disinfecting the labia minora and the vaginal opening.
In the three stages of labor, the first stage of labor focuses on the observation of the progress of labor; the second stage of labor focuses on the guidance of maternal cooperation and protection of the perineum, cleaning the fetal oral and nasal secretions and aseptic treatment of the umbilical cord; the third stage of labor focuses on the strict grasp of the signs of placental detachment and attention to the post-partum hemorrhage, prevention of infection. Perineal rupture should be sutured in time, and no abnormality should be observed for 2 hours after delivery before leaving. And note that before leaving the delivery home should assist the mother to urinate, empty the bladder to reduce postpartum bleeding caused by a full bladder and affect uterine contraction.
Home delivery is different from hospital delivery, although the former does not have the latter's advanced medical equipment, experienced medical staff, but it has the latter does not have the affection, familiar environment, which will give pregnant women great psychological comfort.
The advantages of home delivery are the beautiful environment, the husband's comfort and touch will reduce the pain of the mother, in addition, you can also play some melodious music, which will give the mother a great encouragement. The disadvantage is that the equipment conditions are not complete, especially in the process of labor and delivery at any time to use drugs, infusion, and even blood transfusion, resuscitation and so on.
In order to take the best of both worlds and make up for the shortcomings of both worlds, some foreign hospitals have established home delivery wards in hospitals in recent years. Maternity wards in the hospital is the delivery room, the room is arranged in accordance with the equipment required for home-based and delivery; the husband wears hospital clothes, shoes and hats, in line with the requirements of asepsis. The husband and wife welcome the birth of their baby together in this warm, comfortable environment*** and the husband shares his wife's labor pains. The woman is thoughtful and relieved, but also promotes the smooth progress of the labor process, so that the delivery can be safely completed.
Recently, some hospitals in China have opened home delivery rooms. The World Health Organization advocates the mother and baby in the same room is a more ideal method of childbirth management. However, due to the different living standards and material conditions in different countries, this method can only be gradually promoted according to the conditions of each country and the local conditions.