Today in Spain, home births are outside the public healthcare system. According to the National Institute of Statistics (INE), they represent approximately 1% of all births. In any case, they must meet a series of conditions: they must be low-risk pregnancies, single births, and the baby must be in a head-down position. Furthermore, the births, which are performed without an epidural, must be attended by at least two professional midwives. Additionally, the homes must have running water and electricity and be located less than 30 minutes from a hospital so that, in case of complications, the midwife can be transferred. The price of the service ranges from 2,500 to 3,000 euros.
Romina Pagnotta, a resident of Consell, is the mother of two daughters, aged 21 and 14. "I had both of them at home," she says. "I was 25 when I had my first. The idea of giving birth in a hospital terrified me. I had my prenatal care through the public health system and then hired a home birth service. I was prepared to go to a hospital in case the birth didn't go well or lasted longer than expected and they saw me getting too tired."
Pagnotta has very fond memories of both experiences. "It was a very intimate atmosphere. I was surrounded by my partner and some friends. My eldest daughter, who was seven at the time, was also there for the second birth. It's true, though, that with the last one, since I was older and more aware of everything, I felt a bit more sadness in the hospital. I was clear that the priority was the baby's life." Now, 14 years after her last birth, her approach would be different. "If I had to become a mother again, I might go to the public healthcare system. I know that some of my friends have centers like the Inca Hospital that offer more humanized care to midwives. There's the option of requesting music and soft lighting during labor. The care isn't so impersonal, and there aren't as many of those places anymore."
In the 1960s, during the era of rapid economic development, the so-called "industrial birthing" system was imposed, replacing the "traditional birthing" at home with a rural midwife. Many families then left the countryside to move to the cities, which had become the new economic centers. To accommodate so many midwives and prevent maternal and infant mortality, hospitals had to be deployed to the city. Sometimes, this led to excessive medical intervention and practices that disregarded the emotional and physical well-being of pregnant women.