Tunisia's midwives push for regulation of home births

Tunisia's Association of Midwives is advocating for a national dialogue to establish a clear legal framework for home births. The call comes on World Home Birth Day, emphasizing the need to regulate this growing demand for care outside traditional hospital settings.

The association stresses that a legislative and regulatory framework is crucial. It should define conditions for home births, set safety standards, and outline coordination mechanisms with health facilities. The goal is to guarantee the safety of both mother and newborn, acknowledging evolving social norms and the increasing desire for personalized care.

Midwives highlight that home births in Tunisia often occur due to urgent situations, rapid labor, or difficulties accessing healthcare facilities. Some women also choose home births to receive care within their family environment. While current law doesn't explicitly prohibit home births, the existing regulations for private midwifery practice allow interventions outside health institutions, including at home.

However, the absence of a clear legal structure creates regulatory and legal precarity for both women and healthcare professionals. It also limits the health system's ability to ensure safe and clear care pathways. The association seeks to reinforce the role of midwives in community healthcare, supporting women through pregnancy, childbirth, and postpartum care.