Introduction. The disagreement of the general public's views on home births is practically identical for the professional public and specialists also. The core of the problem lies in the disunity between individual countries of the European Union-complete prohibition under the risk of committing a crime on one side and standard procedure perceived as something completely common on the other side. Methods. The authors focused on the prevalence of home births in individual EU countries, together with the proportion of neonatological mortality compared to the number of live births, which are data that, unlike home births, are mandatory in each EU Member State. Data on home births were obtained from available official and verified sources such as the Ministry of Health, reviews published by the WHO, or published peer-reviewed scientific and professional works. Secondary data were procured via Web of Science, Scopus, or PubMed. Results. The aim of the study was to trace the documented numbers of home births in the individual states of the European Union in the years 2015 to 2019, to analyze them with data on live births together and with data on infant mortality. A comparative analysis of the compiled data can be used to conclude which countries have the highest domestic birth rates and how the birth rate is manifested in these countries. Based on the analysis of available data, it can be determined that the Netherlands, Denmark, and Germany have the highest share of domestic births. The link between home births and increased neonatal mortality has not been established. Eastern Europe countries have the highest neonatal mortality, namely Romania (1.19%) and Malta (0.63%). Conclusion. The Netherlands has the highest domestic birth rate per 100 000 inhabitants with a 5-year average of 161 922 (overall average of all live births 993.40), but is also in 11th place in neonatal mortality, together with Denmark and Belgium, which have 0.35% neonatal neonatal mortality. The country with the lowest neonatal mortality of 0.19% is Slovenia. The total average of all children born in 5 years (915 live births) is 1.422. When monitoring the number of domestic births in other countries in the years 2015 to 2019, an increasing tendency of this trend is observed.

Czech Technical University Prague Faculty of Biomedical Engineering Kladno Czech Republic

Emergency Medical Service of Karlovy Vary Region Karlovy Vary Czech Republic

Regional Hospital in Kladno Kladno Czech Republic

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Hermus MAA, Wiegers TA, Hitzert MF, et al.. The Dutch Birth Centre Study: study design of a programmatic evaluation of the effect of birth centre care in the Netherlands. BMC Pregnancy Childbirth. 2015;15(1):1. doi:10.1186/s12884-015-0585-1 PubMed DOI PMC

Gatt M, Zahra C. NOIS annual report, 2019. Directorate for Health information & Research. 2020. Accessed March 26, 2021. https://deputyprimeminister.gov.mt/en/dhir/Documents/rpt_NOIS_19_Annual_finalz.pdf

Statistisches Bundesamt. Births. 2020. Accessed March 26, 2021. https://www.destatis.de/EN/Themes/Society-Environment/Population/Births/_node.html

Skeide A. Enacting homebirth bodies: midwifery techniques in Germany. Cult Med Psychiatry. 2019;43:236-255. doi:10.1007/s11013-018-9613-8 PubMed DOI

STATBEL. Births and fertility. 2020. Accessed March 26, 2021. https://statbel.fgov.be/en/themes/population/births-and-fertility#figures

Christiaens W, Bracke P. Place of birth and satisfaction with childbirth in Belgium and the Netherlands. Midwifery. 2009;25(2):e11-e19. doi:10.1016/j.midw.2007.02.001 PubMed DOI

National Statistical Institute. Births by place of residence, statistical regions, districts and sex. 2020. Accessed March 26, 2021. Sofia, Bulgaria. https://www.nsi.bg/en/

Český Statistický Úřad. Živě narození a zemřelí v ČR od roku 1814. 2020. Accessed March 26, 2021. https://www.czso.cz/csu/czso/zive-narozeni-a-zemreli-v-cr-od-roku-1814

Křepelka P, Velebil P, Měchurová A, Straňák Z, Feyereisl J. Complications of planned home births in the Czech Republic between 2016–2017. Cent Eur J Public Health. 2020;28(3):230-236. doi:10.21101/cejph.a5641 PubMed DOI

Statistics Denmark. Births. 2020. Accessed March 26, 2021. https://www.dst.dk/en/Statistik/emner/befolkning-og-valg/foedsler/foedsler

Eesti Statistiaka. Live births by birth order. 2020. Accessed March 26, 2021. http://andmebaas.stat.ee/Index.aspx?DataSetCode=RV124

WHO. Place of birth in Europe. 2015. Accessed March 26, 2021. https://www.euro.who.int/data/assets/pdf_file/0010/277741/Place-of-birth-in-Europe.pdf?ua=1

Statistics Finland. Birth rate. 2020. Accessed March 26, 2021. https://www.stat.fi/tup/maahanmuutto/perheet/syntyvyys_en.html

Jouhki M-R, Suominen T, Åstedt-Kurki P. Supporting and sharing—home birth. Am J Mens Health. 2015;9(5):421-429. doi:10.1177/1557988314549413 PubMed DOI

Ined. Births by parents’ place of birth. 2020. Accessed March 26, 2021. https://www.ined.fr/en/everything_about_population/data/france/births-fertility/births_nationality_parents/

Midwifery Around the World. Midwifery in France. 2018. Accessed April 2, 2021. https://medium.com/midwifery-around-the-world/midwifery-in-france-450b3b5821e2

Eurostat. Marriages and births in Croatia. 2020. Accessed March 26, 2021. https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Marriages_and_births_in_Croatia&oldid=252071

Central Statistics Office. Vital Statistics Yearly Summary. 2020. Accessed March 26, 2021. https://www.cso.ie/en/releasesandpublications/ep/p-vsys/vitalstatisticsyearlysummary2019/

Istat. Births. 2020. Accessed March 26, 2021. https://www.istat.it/en/archivio/births

Campiotti M, Campi R, Zanetti M, Olivieri P, Faggianelli A, Bonati M. Low-Risk planned out-of-hospital births: characteristics and perinatal outcomes in different Italian birth settings. Int J Environ Res Public Health. 2020;17(8):2718. doi:10.3390/ijerph17082718 PubMed DOI PMC

Cystat. Population. 2020. Accessed March 26, 2021. https://www.cystat.gov.cy/en/SubthemeStatistics?s=46

Hadjigeorgiou E, Kouta C, Papastavrou E, Papadopoulos I, Mårtensson LB. Women’s perceptions of their right to choose the place of childbirth: an integrative review. Midwifery. 2012;28(3):380-390. doi:10.1016/j.midw.2011.05.006 PubMed DOI

Statistics Lithuania. Births. 2020. Accessed March 26, 2021. https://osp.stat.gov.lt/paieska?q=births

Spanish Statistical Office. Births in Spain. 2020. Accessed March 26, 2021. https://www.ine.es/dyngs/INEbase/en/operacion.htm?c=Estadistica_C&cid=1254736177007&menu=ultiDatos&idp=1254735573002

Sánchez-Redondo MD, Cernada M, Boix H, et al.. Home births: a growing phenomenon with potential risks. An Pediatr. 2020;93(4):266.e1-266.e6. doi:10.1016/j.anpede.2020.04.012 PubMed DOI

Statistics Sweden. Number of births. Central Statistical Population Statistics. 2020. Accessed March 26, 2021. https://www.scb.se/en/finding-statistics/statistics-by-subject-area/population/population-composition/population-statistics/

Lindgren HE, Rådestad IJ, Hildingsson IM. Transfer in planned home births in Sweden–effects on the experience of birth: a nationwide population-based study. Sex Reprod Healthc. 2011;2(3):101-105. doi:10.1016/j.srhc.2011.03.001 PubMed DOI

Hungarian Central Statistical Office. Births. 2020. Accessed March 26, 2021. https://www.ksh.hu/search?q=births

Papp RK. Decriminalizing childbirth. Eurozine. 2018. Accessed April 2, 2021. https://www.eurozine.com/decriminalising-childbirth-power-dynamics-in-hungarian-birthing-care/

Government of Malta. Birth & life with your new-born. 2020. Accessed March 26, 2021. https://www.gov.mt/en/Life%20Events/Pages/Pregnancy%20and%20Birth/Birth-And-Life.aspx

StatLine. Population dynamics. 2020. Accessed March 26, 2021. https://opendata.cbs.nl/statline/#/CBS/en/dataset/83474ENG/table?ts=1616745401228

Statistics Poland. Demographic situation in Poland up to 2019. International migration of population in 2000–2019. 2020. Accessed March 26, 2021. https://stat.gov.pl/en/topics/population/internationa-migration/demographic-situation-in-poland-up-to-2019-international-migration-of-population-in-20002019,6,1.html

Doroszewska A. Home births in Poland – the method of demedicalization of births or professionalization of midwifery? In: European Sociological Association Mid-Term Conference of the Research Network on Sociology of Health & Illness New Directions in Health Care Work and Organisations, Lisbon Portugal, May 2016. doi:10.13140/RG.2.2.27973.24804 DOI

Statistics Portugal. Demographic statistics. 2020. Accessed March 26, 2021. https://ine.pt/xportal/xmain?xpid=INE&xpgid=ine_publicacoes&PUBLICACOESpub_boui=463528456&PUBLICACOESmodo=2

Associacao Gravideze Parto. Experiences of birth in Portugal. 2019:1-44. Accessed March 26, 2021. https://associacaogravidezeparto.pt/wp-content/uploads/2019/04/SURVEY-ON-EXPERIENCES-OF-BIRTH-IN-PORTUGAL.pdf.pdf

Statistik Austria. Geborene. 2020. Accessed March 26, 2021. http://www.statistik.at/web_de/statistiken/menschen_und_gesellschaft/bevoelkerung/geborene/index.html

National Institute of Statistics. Vital statistics in December 2020 in the framework of the health crisis. 2020. Accessed March 26, 2021. https://insse.ro/cms/sites/default/files/com_presa/com_pdf/pop12e20.pdf

MEDIHELP International. Birth choices in Romania: At home or in a hospital? Public or private? What if complications arise? 2016. Accessed March 26, 2021. https://www.medihelp-assistance.com/press/Press-releases/study-birth-choices-in-romania-at-home-or-in-a-hospital-public-or-private-what-if-complications-arise/

Hellenic Statistical Authority. Births. 2020. Accessed March 26, 2021. https://www.statistics.gr/en/statistics/-/publication/SPO03/2018

Nusbaum J. Childbirth in modern Athens: the transition from homebirth to hospital birth. Penn Bioeth J. 2006;2(2):33-37. PubMed

Statistical Office of the Slovak Republic. Population and migration. 2020. Accessed March 26, 2021. https://slovak.statistics.sk/wps/portal/ext/themes/demography/population

Statistical Office. Births and deaths. 2020. Accessed March 26, 2021. https://www.stat.si/StatWeb/en/Field/Index/17/95

Central Statistical Bureau of Latvia. Number of births. 2020. Accessed March 26, 2021. https://www.csb.gov.lv/en/statistics/statistics-by-theme/population/fertility/key-indicator/number-births

Statistics Portal. Births, deaths, surplus of births, birth rate and mortality rate by nationality 1967-2019. 2020. Accessed March 26, 2021. https://statistiques.public.lu/stat/TableViewer/tableViewHTML.aspx?sCS_ChosenLang=en&ReportId=12869

Offerhaus P, Jans S, Hukkelhoven C, de Vries R, Nieuwenhuijze M. Women’s characteristics and care outcomes of caseload midwifery care in the Netherlands: a retrospective cohort study. BMC Pregnancy Childbirth. 2020;20(1):517. doi:10.1186/s12884-020-03204-3 PubMed DOI PMC

Eurostat. Infant mortality. 2020. Accessed March 26, 2021. https://ec.europa.eu/eurostat/databrowser/view/demo_minf/default/table?lang=en

UZIS. Narození a zemřelí do 1 roku. 2020. Accessed March 26, 2021. https://www.uzis.cz/index.php?pg=vystupy–knihovna&id=243

DESTATIS. National data for UN-SDGs 2018. 2018. Accessed April 3, 2021. https://www.destatis.de/EN/Themes/Society-Environment/Sustainable-Development-Indicators/Publications/Downloads/national-data-un-sdgs-2018-xlsx.html

Statistics Austria. Births and deaths in 2019. 2020. Accessed April 3, 2021. https://www.statistik.at/web_en/statistics/PeopleSociety/population/births/122659.html

Hendrix MJ, Evers SM, Basten MC, Nijhuis JG, Severens JL. Cost analysis of the Dutch obstetric system: low-risk nulliparous women preferring home or short-stay hospital Birth–a prospective non-randomised controlled study. BMC Health Serv Res. 2009;9(1):211. doi:10.1186/1472-6963-9-211 PubMed DOI PMC

Galera-Barbero TM, Aguilera-Manrique G. Planned home birth in low-risk pregnancies in Spain: a descriptive study. Int J Environ Res Public Health. 2021;18(7):3784. doi:10.3390/ijerph18073784 PubMed DOI PMC

Pařízek A. ed Plánovaný porod doma v České republice: Stanovisko České lékařské společnosti J.E. Purkyně a České asociace sester. Česká lékařská společnost J.E. Purkyně, 2012. Accessed July 16, 2021. https://www.cls.cz/stanovisko-k-porodum-doma

Vintrová J, Pařízek A. Plánovaný domácí porod – Česká republika 2018. Čes Gynekol. 2018;83(3):204-211. PubMed

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