美国的家庭出生率飙升,但由于工作人员的抵制和系统性差距,医院转院延误,危及病人安全。 Home birth rates in the U.S. surged, but hospital transfer delays due to staff resistance and systemic gaps endanger patient safety.

2024年,50 000多名美国妇女选择家庭分娩,自2016年以来增加了71%,原因是对医院的不信任、文化偏好和产妇护理沙漠。 In 2024, over 50,000 U.S. women chose home births, a 71% increase since 2016, driven by distrust in hospitals, cultural preferences, and maternity care deserts. 在发生并发症时,助产士报告说,尽管有处理紧急情况的法律义务,但由于工作人员的抵制、拖延和轻视态度,经常难以将病人转移到医院。 When complications arise, midwives report frequent difficulties transferring patients to hospitals due to resistance from staff, delays, and dismissive attitudes, despite legal obligations to treat emergencies. 障碍包括缺乏记录、人员短缺和赔偿责任问题,以及关键时刻风险恶化。 Barriers include lack of records, staffing shortages, and liability concerns, worsening risks during critical moments. 没有一个国家系统跟踪转移的尝试或结果,专家们强调,改善协调对于确保安全至关重要,因为在需求不断增长和获得护理的机会有限的情况下,阻止家庭分娩是不切实际的。 No national system tracks transfer attempts or outcomes, and experts stress improved coordination is essential to ensure safety, as discouraging home births isn’t practical amid rising demand and limited access to care.