I have been trying to find information about studies that would show how the safety of homebirth relates to the distance to the hospital. In other words, what is, or is there a safe distance from hospital for a homebirth. I have come across many places that say that about 30 mins is a safe distance and many midwives refuse to attend homebirths if the distance is longer, but I haven't been able to find what basis this decision is usually made on. I also found that for example in England, in a place called cornwall local midwives favour homebirths although the closest hospitals are 45-60 mins away because they say the long journey is an unnecessary risk to the birthing mothers.
The reason I am asking this is because I live about 50-60 mins away
from the closest birthing hospital, and am still considering a home
birth. Where I live there really are no options, no birth centers,
etc. The hospital (as well as the others furher away) are places
where you cannot even chose who your care provider is going to be.
It is midwife led, but there are countless "standard
procedures" (=interventions) that are unneccessary and I would like
to avoid. I also have no way of chosing who the midwife who would
be in charge of me would be as it just depends on who's in turn
when the birth takes place (care during pregnancy is done by
community nurses who are not involved in birth). I had a very
negative experience with the birth of my second child in a local
hospital, which amounted to birth trauma and ppd. I don't want this
to happen again, but I also don't want to be stupid and take a risk
if I simply live too far from a hospital to have a safe home birth.
The distance is an issue to local home birth midwives. Ironically
the ones closer refused to assist a birth here, but I have found
one who lives 2hrs away who is willing to travel here for my birth
(my previous two have been very slow
So if you are aware of any studies or facts that would help me
research and understand this issue and make a truly informed choice
I would be very thankful for your help.