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Home Birth (Hausgeburt) in Germany: Laws, Requirements, Responsibilities, and Costs
Is home birth legal in Germany?
Yes — home birth is fully legal, but regulated.
Conditions:
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It must be supervised by a licensed midwife.
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It is not allowed or recommended in high-risk pregnancies.
When is home birth not permitted?
Home birth is restricted or not advised in cases such as:
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Twin or multiple pregnancy
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Abnormal fetal presentation (e.g., breech position)
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Maternal chronic illnesses (diabetes, hypertension)
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Previous Caesarean section
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Preterm birth or significantly overdue pregnancy
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Previous birth complications
The midwife is legally responsible for determining whether home birth is medically safe.
Who carries legal responsibility?
| Party | Responsibility |
|---|---|
| Midwife | Legally responsible for assessment, decision-making, and full supervision; must have professional liability insurance. |
| Parents | Make the final decision after full counselling and must sign informed consent. |
| Physician | Not required unless an emergency transfer to hospital becomes necessary. |
Who pays?
Public health insurance (GKV) covers:
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Midwife consultation and preparation
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The home birth itself
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Postnatal home visits
Additional midwife fees: 50–300 € depending on region and service package.
What do you need for a home birth?
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Experienced home-birth midwife
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Clean, quiet room at home
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Simple supplies (towels, protective sheets, good lighting)
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Emergency transfer plan to the hospital
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Partner or family member for support
What happens after birth?
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Midwife examines mother and newborn
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Cuts the umbilical cord
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Daily checkups for the first 10 days
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Registers the birth with the civil registry office (Standesamt)
Important notes
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Home birth does not mean “birth without supervision.”
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Specialized preparation courses are strongly recommended.
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Baby’s safety comes first; parents must accept hospital transfer if the midwife deems it necessary.
