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Pregnancy: Deciding Where to Deliver

British Columbia Specific Information

If you have any questions or concerns about pregnancy, labour and baby care speak with your health care provider or contact HealthLink BC at 8-1-1 to speak with a registered nurse anytime of the day or night, any day of the year, or a pharmacist from 5:00 p.m. to 9:00 a.m.

You can also read Baby's Best Chance (PDF 14.88 MB), a parent’s handbook on pregnancy and baby care.

Topic Overview

When it's time to give birth, you may have a choice of where to deliver your baby. Do you want to have your baby in a hospital? Is a birthing centre more your style? Or would you prefer to have your baby at home? Do you plan to use a midwife? What will your provincial or private health insurance cover? All of these questions are things to think about as you weigh your options.

Hospitals

Most medical doctors (MDs) deliver only at hospitals. Some hospitals also allow registered midwives to deliver there. Many hospitals offer special birthing rooms. These rooms are comfortable and homey. They have large beds, wooden furniture such as rocking chairs, and pictures on the walls.

Different hospitals have different rules about who can be in the room during the birth. Most hospitals allow the woman to have visitors during her labour. But during the actual birth, the hospital may limit who can be in the room. These rules are to avoid overcrowding and the risk of infection.

Ask for a tour of the hospitals near you. See what options they offer. One advantage of a hospital birth is access to the staff and equipment. They are right there if you have problems or complications with the birth. And a hospital offers a wide range of options for pain relief.

Birthing centres

A birthing centre is usually staffed by registered midwives who have the option of sending you or your baby to a nearby hospital if there are problems or complications. Birthing centres are less formal and less institutional than hospitals. You may be allowed to have several people, including other children and family members, with you during the birth.

Birthing centres are not recommended if you have a high-risk pregnancy. Emergency medical equipment and options for pain relief are limited.

Home

Some registered midwives will deliver in a home setting.

The major disadvantage of a home birth is the risk of an emergency situation. In that case, you or your baby would need to be taken in an ambulance to a hospital. The time it takes to get you or the baby to the hospital may be critical.

A home birth also has advantages. You may feel more comfortable staying in a familiar place during childbirth. And you can choose who you want in the room with you.

A home birth is not recommended if you have a high-risk pregnancy.

Credits

Current as of:
June 16, 2021

Author: Healthwise Staff
Medical Review:
Sarah Marshall MD - Family Medicine
Kathleen Romito MD - Family Medicine
Femi Olatunbosun MB, FRCSC - Obstetrics and Gynecology
Adam Husney MD - Family Medicine
Kirtly Jones MD - Obstetrics and Gynecology