The Six Care Practices that Support Normal Birth
The six care practices below are supported by research studies that examine the benefits and risks of maternity care practices. Therefore, they represent "evidence-based care," which is the gold standard for maternity care worldwide. Evidence-based care means "using the best research about the effects of specific procedures, drugs, tests, and treatments, to help guide decision-making." (3) The Lamaze Institute for Normal Birth Care Practice Papers provide more information about the evidence that supports each care practice. Please note: The English versions were revised in 2007.
- Labor begins on its own
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- Freedom of movement throughout labor
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- Continuous labor support
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- No routine interventions
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- Spontaneous pushing in upright or gravity-neutral positions
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- No separation of mother and baby after birth with unlimited opportunities for breastfeeding
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Unfortunately, a recent study of women's childbirth experiences showed that interference in the normal processes of labor and birth is extraordinarily common. For instance, labor began by artificial induction for more than one-third of women, almost 70% of women who delivered vaginally were immobile during labor, and 74% of women gave birth lying on their backs. (2)
To complete an online continuing education module based on the Six Care Practices that Support Normal Birth, click here.
- World Health Organization Department of Reproductive Health and Research (1999). Care in normal birth: a practical guide. Geneva, World Health Organization : pg. 3.
- Declercq, E. R., C. Sakala, et al. (2002). Listening to mothers: report of the first national U.S. survey of women's childbearing experiences. New York, Maternity Center Association.
- Childbirth Connection. (2006) A guide to safe and effective care during labor and birth. Access at http://www.childbirthconnection.org/article.asp?ClickedLink=194&ck=10218&area=2