Hundreds of women have joined an online campaign in opposition to the cuts, which NHS Fife is considering.
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Facebook group ‘right to home birth for parents of Fife’ has more than 400 supporters and the RCM has voiced fears that the cuts would ‘remove a woman’s choice’.
The move is being considered in a review of the service under money-savings measured across the board.
It follows a decrease in women choosing to have home births, alongside health boards looking for cash-saving measures.
Gillian Smith, director of the RCM UK Board for Scotland, said: ‘It came as quite a surprise as it was just tucked away in 200 other potential cost-saving measures.
‘Women should have a choice between hospitals, midwife-led units and home - this is removing a woman’s choice.
‘I’m worried that women who want a birth at home will stay at home until the last minute and might not get the support that they need.’
She added: ‘It will almost become a postcode lottery and those who can afford it will have a birth at home with an independent midwife and those who can’t will be left with no choice.’
NHS Lanarkshire is also currently reviewing its service and Belinda Phipps, chief executive of the NCT, said she was concerned that if the measures went through ‘other parts of Scotland would follow’.
NHS Fife has released figures showing that last year there were 39 home births and ten have been booked for this year, which they said ‘will be honoured’.
A spokesperson said: ‘The majority of women are transferred home after six hours into the care of the community maternity teams.
‘That coupled with the numbers of women choosing to give birth in our alongside midwife led unit and the falling number of home birth requests has led to our review of our home birth service.’
The spokesperson added that NHS Fife will be having discussions with local groups with an interest in the service.