Place of birth — DRCOG MCQ

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HardLabourPlace of birthDRCOG

A 25-year-old multiparous woman with an uncomplicated singleton pregnancy at 38 weeks asks where she can give birth. Her previous birth was vaginal and uncomplicated. What would you advise?

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Correct answer: D — Discuss home, midwife-led and obstetric unit options with local safety information

The best answer is “Discuss home, midwife-led and obstetric unit options with local safety information”. Low-risk women should receive balanced information about place-of-birth options, including home, freestanding or alongside midwifery units and obstetric units. Multiparous low-risk women may be suitable for midwife-led settings, but transfer considerations should be discussed. Obstetric unit birth is not mandatory for every low-risk woman. Shared decision-making is central. Antenatal decisions combine gestation, maternal stability, fetal risk and whether care can safely remain in the community. Screening, diagnostic testing and urgent assessment are not interchangeable. The UK pathway should be followed with clear safety-netting whenever symptoms may evolve before the next routine appointment.

Reference: NICE NG201: Antenatal care: https://www.nice.org.uk/guidance/ng201/chapter/recommendations