Out-of-hospital Birth Services

• Constant availability of primary midwife and secondary midwife or qualified birth assistant.

• Continuous presence of birth attendants (midwives and birth assistants) at birth

• Periodic evaluation of laboring mother and baby according to specified protocols to see whether or not labor is progressing normally and both participants are healthy.
  
  
• Extensive knowledge regarding non-pharmacological pain relief measures.
  
  
• Use of labor support tools.
  
  
• If a transfer to the hospital was indicated either before or immediately after birth, the midwife would facilitate this transition of care and would remain with the client until she felt comfortable in the new environment.  Midwifery care would be resumed after discharge, in the postpartum period. 

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