Guidelines are likely to detail the trusts recommendations on whether women are required to transfer to hospital after the birth or can stay at home. 2Įach NHS trust will have its own clinical guidance for the management of born before arrival births. Birth before the arrival of a midwife is associated with multiparity (more than one birth) and previous short second stage of labour. This is not a planned unassisted birth but rather a birth that occurs prior to the planned arrival of a midwife. 1īirth that happens away from a hospital or birth centre setting, prior to the arrival of a midwife is referred to as born before arrival (BBA). In second or subsequent labours the length of time between the start of established labour and being fully dilated is usually shorter (around 5 hours) than in a first labour. This factsheet will provide you with practical advice and information on what to do in the unplanned event of a birth before the arrival of a midwife.Īll labours vary in duration and the time between your first noticeable contraction and the second stage of labour will vary from woman to woman. It may also have occurred due to the other birth commitments or travel circumstances of the midwives due to attend your birth.
Different from a ‘freebirth’ in which you plan to give birth unattended/ unassisted, a birth before the arrival of a midwife is usually unplanned and is likely to have occurred due to the speed at which your labour and birth have taken place or because of a short second stage of labour.
This factsheet provides information about the circumstance of a baby or babies being born before the arrival (BBA) of a midwife or medical professional. What happens when you birth your baby without the presence of a midwife or medical professional? You may have chosen to have your baby at home, or gone into labour and not had the time to make it to your planned birth centre or hospital, and then give birth to your baby prior to the arrival of a midwife or paramedic.
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