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Homebirth and the future child.

Lachlan de Crespigny1, Julian Savulescu1

  • 1Melbourne, Victoria, Australia Faculty of Philosophy, The Oxford Uehiro Centre for Practical Ethics, Oxford, UK.

Journal of Medical Ethics
|January 24, 2014
PubMed
Summary
This summary is machine-generated.

Focusing on birth outcomes often overlooks the risk of long-term disability for children. Ethical considerations and further research are needed to inform parents about avoidable risks associated with birth location choices.

Keywords:
Future Child DisabilityHomebirthMaternal MortalityPerinatal MorbidityPerinatal Mortality

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Area of Science:

  • Medical Ethics
  • Obstetrics
  • Pediatric Health

Background:

  • Current debates on birth location primarily address maternal and perinatal mortality.
  • The risk of long-term disability for the child resulting from birth location is under-discussed.

Purpose of the Study:

  • To highlight the ethical obligation to minimize avoidable, foreseeable disability in future children.
  • To argue that the risk of long-term disability is as morally relevant as mortality in birth outcome discussions.

Main Methods:

  • Ethical argument based on the moral importance of future children's well-being.
  • Analysis of the current medical literature's focus on birth outcomes.

Main Results:

  • Maternal and perinatal mortality discussions overshadow the significant risk of avoidable disability.
  • The medical literature inadequately addresses the prevalence and impact of long-term disability linked to birth place decisions.

Conclusions:

  • Elective birth location choices must be justified by not increasing the risk of avoidable disability for the child.
  • Further research is essential to quantify disability risks associated with different birth settings.
  • Informed consent and counseling are crucial to guide couples away from birth locations posing undue risk to the child.