Regardless of the circumstances surrounding baby's birth (including location), every newborn infant deserves health care that adheres to the AAP standards. The AAP also agrees with the most recent statements from the American College of Obstetricians and Gynecologists (ACOG) that the safest setting for a child's birth is a hopsital or birthing center, but recognizes that women and their families may deserve a home birth for a number or reasons. That said, pediatricians should advise parents interested in planning a home birth that the AAP and the ACOG recommend using only midwives that are certified by the American Midwifery Certification Board.
In addition to being certified, the AAP recommends that there should be at least one person present at the delivery of baby whose primary responsibility is the care of the newborn, with the appropriate training, skills and equipment. The AAP advises that all medical equipment and the telephones in the home should be tested before baby's delivery and the weather should be monitored closely. Additionally, an arrangement with a nearby medical facility should be made to ensure a safe and timely transport in the event of an emergency for the mother or baby.
AAP guidelines include warming, a detailed physical exam, monitoring of temperature, heart and respiratory rates, eye prophylaxis, vitamin K administration, hepatitis B immunization, feeding assessment, hyperbilirubinemia screening and other newborn screening tests. If allowed, infants may also require monitoring for group B streptococcal disease and glucose screening.
Following baby's birth, comprehensive documentation and a follow-up with the child’s primary health care provider is essential.