The Home Birth Safety Act and the Healthcare Professional’s Needs
Healthcare professionals know complications can arise with any birth. When emergencies happen, minutes count. Working as a team where each member has clearly defined
responsibilities provides for the best outcomes.
The Home Birth Safety Act (HBSA) has been developed to meet the needs of hospitals, physicians and other health-care professionals who do not want to bear undue liability or see unnecessary tragedy during births.
HBSA licenses only midwives who have obtained NCCA (National Commission for Certifying Agencies) accredited midwife credentials. Lay midwives and informally apprenticed midwives need not apply.
HBSA requires midwives to practice according to evidence-based guidelines and nationally recognized and legally defensible practice standards.
HBSA requires rules and regulations that ensure timely consultation and referral to obstetricians and other members of the healthcare team when needed. Midwives who fail to offer referral to a higher level of care at the earliest sign of complications will not be allowed to practice.
HBSA requires rules and regulations regarding appropriate transfer of care with complete records, full disclosure of all history and facts related to the patient's care, and continuation of emergency measures until hand-off to an accepting physician is completed. There will be no more mysterious catastrophes abandoned at emergency room doors.
HBSA restricts prescribing privileges from licensed midwives. Physicians remain in control of prescription medications. Licensed midwives use medications only according to guidelines established under this act and will only be able to obtain medications on the prescription of a physician.
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