What are the most common reasons for a home birth transfer?

If you’ve found yourself wondering about this, you’re exactly where you need to be.

In this episode of The Birth Lounge, HeHe sits down with birth doula, childbirth educator, business owner, former teacher, and MSW student Jen Walts to talk about something that doesn’t get discussed enough: creating a thoughtful transfer plan to support a smooth, patient-centered, trauma-informed transition from a home or birth center setting to the hospital if the need arises. Because here’s the truth: planning for transfer isn’t planning for failure — it’s planning for safety, flexibility, and peace of mind.

HeHe and Jen walk through why transfer planning matters and encourage parents to ask their midwife about transfer timing and transfer rates (and why a rate of zero can actually be a red flag). They gently reframe transfer as a responsible, informed pivot when circumstances call for additional support.

This conversation covers common reasons for transfer, like maternal health, baby’s health, and access to additional tools such as pain management (including epidurals), assisted vaginal delivery options, and postpartum repair.

They also explore how fear of the hospital can complicate transfer, the importance of understanding the “why” behind birth location choice, how a transfer can impact the nervous system, and the role of surrender and flexibility when a birth plan changes. Jen recommends developing a hospital backup birth preference sheet, including a shorter “top 10” list of non-negotiables to share with the receiving team, with examples such as immediate skin-to-skin, backup skin-to-skin plans if separation occurs, delayed cord clamping, newborn feeding preferences, and cesarean-specific requests. 

Guest Bio:

Jen has been a birth doula, childbirth educator and business owner for five years. She taught high school for ten years and is now pursuing her second Masters degree. She hopes to become a licensed social worker and therapist to children and families in Massachusetts.

Connect with Jen here: Thebirthpath.org

https://www.pioneervalleydoulas.com/

Get $100 OFF Hypnobirthing with Jen Walts (virtual or in person) when you mention that heard about it here! 

Connect with HeHe on Instagram: https://www.instagram.com/tranquilitybyhehe/ 

Connect with Jen on IG: https://www.instagram.com/_thebirthpath_/

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And if you haven’t grabbed it yet…

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