The decision has been made by the Inspectorate for Health and Care (Ivo) with reference to significant danger to patients' lives, health or personal safety.
The midwife was early in advocating for home births. She has been active for many years, held online courses on giving birth at home and also taken initiatives for collaborations with midwives who work with home births.
According to Ivo's decision, she has offered to be present at home births even when twins are to be born and when the baby is in a breech position, i.e. not having its head down.
Then you need to have access to the rest of the healthcare resources, both for the mother and for the child, says Peder Carlsson, department manager at Ivo.
"A choice she has made"
From the midwife's side, it has not been about ignorance of the guidelines, he means.
We perceive that it is a choice she has made based on her own stance.
Ivo also attaches importance to the fact that the midwife offers to be present at home births "regardless of distance to the nearest hospital”.
In the business, giving women have received medication without individual prescription from a doctor. The journals also show that the midwife does not listen to fetal sounds to a sufficient extent.
Similarly, Ivo criticizes serious deficiencies in record-keeping.
Deep-seated deficiencies
Usually, Ivo decides on a directive, where you list the deficiencies that must be rectified in a business. But here, Ivo means, it's about such deep-seated and comprehensive deficiencies that a directive is not enough. Therefore, it becomes a ban.
I want to emphasize that it's not that we prohibit home births. What we do is prohibit a business that does not meet what we think are important and necessary requirements to conduct a safe and secure home birth, says Peder Carlsson.
