In this column, the author introduces a special issue of the Journal of Perinatal Education, in which a position paper and six care practice papers, published by Lamaze International and reprinted here with permission, are presented along with accompanying commentary. Together, these papers present evidence in support of the six care practices that promote, protect, and support normal birth.
Your search for all content returned 58 results
- Go to article: Listening to Mothers—The First National U.S. Survey of Women’s Childbearing Experiences
In this column, the author outlines some of the results of the Listening to Mothers Survey, conducted by the Maternity Center Association, and the implications of the results on childbirth education.
Since the publication of Lamaze's Six Healthy Birth Practice papers in 2014, there has been increasing concern with the safety of the current maternity care system. A doubling of the maternal mortality rate in the United States and the continued high cesarean rate, as well as ongoing research that supports physiologic birth and identifies the risks of interfering with the physiologic process, has resulted in updated guidelines for care and has spurred advocacy efforts to transform maternity care. This article presents a number of these advocacy efforts.
In response to a reader’s question, this column discusses the benefits and uses of pain to facilitate childbirth. Childbirth educators are urged to help women understand pain, so that they may work with pain and appreciate the role it plays in providing them with the inner wisdom to give birth.
- Go to article: Feature Article—The International Childbirth Initiative: Twelve Steps to Safe and Respectful MotherBaby–Family Maternity Care
Feature Article—The International Childbirth Initiative: Twelve Steps to Safe and Respectful MotherBaby–Family Maternity Care
In 2019, the International MotherBaby Childbirth Organization (IMBCO) and the International Federation of Gynecology and Obstetrics (FIGO) released The International Childbirth Initiative (ICI): Twelve Steps to Safe and Respectful MotherBaby-Family Maternity Care. The 12 steps reflect the most recent evidence and understanding of what constitutes safe, respectful maternity care. This column presents the 12 steps and describes the process for developing the ICI.
In nature, when a laboring animal feels threatened or disturbed, the stress hormone catecholamine shuts down labor. Similarly, when a laboring woman does not feel safe or protected or when the progress of her normal labor is altered, catecholamine levels rise and labor slows down or stops. This column discusses the importance of providing labor support that respects the woman’s privacy, protects her from unnecessary interventions, insures her safety, and allows her to trust her inherent ability to give birth normally.
This column discusses ways in which childbirth educators can promote, protect, and support normal birth to help make it the standard.
This updated edition of Care Practice Paper #4 presents the evidence for risks of routinely intervening in normal physiologic labor and birth. The authors review evidence related to the routine use of restrictions on oral intake, intravenous lines, continuous electronic fetal monitoring, artificial rupture of membranes, pharmacologic augmentation of labor, epidural analgesia, and episiotomy. Medical indications for each intervention are listed. Women are encouraged to avoid routine interventions in labor unless interventions are medically indicated.
In this column, a reader identifies the importance of accurate, up-to-date information in making informed decisions. She is shocked to find that the Lamaze classes she observes are not evidence-based. Evidence-based practice is described, and examples of the use of best evidence in childbirth classes are discussed. The implications for childbirth education are explored.
In this column, the associate editor of The Journal of Perinatal Education (JPE) discusses the joint statement of the American College of Nurse-Midwives (ACNM), Midwives Alliance of North America (MANA), and National Association of Certified Professional Midwives (NCPM)—“Supporting Healthy and Normal Physiologic Childbirth: A Consensus Statement by ACNM, MANA, and NCPM.” The statement is presented as a model of collaboration that has the potential to create needed change in maternity care. The associate editor also highlights the contents of this issue, which include birth stories (one, an autoethnography) as well as research on doulas, kangaroo mother care, and partners’ perceptions of prenatal care.