Needs of Healthy Childbearing Women
What proportion of pregnant women are at low risk for problems?
Do low-risk pregnant women receive appropriate maternity care?
What do healthy childbearing women need?
What kind of maternity care is appropriate if I'm healthy and low-risk?
Why should I avoid routine interventions if I'm healthy and low-risk?
Many programs address the important needs of the minority of pregnant women who have medical problems, or are at a high risk for developing them. But, limited attention is given to ensure that the millions of healthy women who give birth every year receive the appropriate care. Childbirth Connection and this website address the needs of this group.
support these processes and avoid interfering with them, labor, birth, attachment, and breastfeeding reflect these processes, and the need for medical intervention is limited. It is important to find caregivers and places for giving birth that understand, respect, and work with these inborn processes.
Maternity care that is supportive and respectful, and that reflects the best available research about safe and effective care, has the best potential to lead to:
Listening to Mothers survey found high rates of intervention among women giving birth in U.S. hospitals. Examples of commonly used interventions include: inducing labor, using continuous electronic fetal monitoring, giving intravenous fluids, and cutting an episiotomy. Women themselves may also request interventions that are not medically needed, such as labor induction for convenient scheduling.
Although select women in specific situations may benefit from such maternity interventions, the best research finds that many interventions do not offer benefits to healthy women but do increase their risk for potentially harmful side effects.
If there is no clear, well-supported justification for use, it is wise to avoid interventions because they may:
The chain of unintended effects of maternity interventions has been called a "cascade of intervention." Many women feel that their bodies have failed them, and are unaware that things that have gone wrong were triggered by maternity practices themselves.
Moreover, the use of unnecessary interventions compromises the quality of maternity care and wastes resources of the employers, governments and families who pay for this care.
© 2014 Childbirth Connection. All rights reserved.
Childbirth Connection is a national not-for-profit organization founded in 1918 as Maternity Center Association. Our mission is to improve the quality of maternity care through research, education, advocacy and policy. Childbirth Connection promotes safe, effective and satisfying evidence-based maternity care and is a voice for the needs and interests of childbearing families.
Most recent page update: 7/11/2011