Keeping Birth Normal: Position Statement
Keeping Birth Normal: Position Statement
Keeping Birth Normal: Position Statement
Position Statement
Background
Midwives’ practice must be informed by evidence-based knowledge to improve the quality
and outcomes of midwifery care. ‘Keeping birth normal’ is an area of ICM strategy
associated with women’s health, midwives’ education and practice, and existing health care
systems.
Midwives are advocates of normal childbirth. They can provide evidence to support the
advantages of normal birth but women’s decisions are affected by factors such as:
Culture
Socio-economic issues and health care systems
Lack of information about the benefits of normal birth
A fear of normal birth
An inability to trust their innate ability to give birth
Position
ICM supports normal childbirth, since for the majority of women, pregnancy and childbirth
are physiological life events. The promotion of normal childbirth is included in the ICM
Scope of Practice; therefore midwives should be competent in all means of supporting the
physiology of childbirth. Women should have access to midwifery-led care, one-to-one
support, including the choice of a home birth and immersion in water.
Note: the term childbirth encompasses pregnancy, birth and postnatal period.
Recommendations
Member Associations are encouraged, in partnership with women, to:
Promote normal childbirth within the maternity service.
Confirm midwives as the primary caregiver and expert in normal childbirth.
Enrich midwives’ education in order to enhance skills and competencies in normal
childbirth.
Organise educational courses to enhance midwives’ practice in normal childbirth.
Increase midwives’ awareness of the benefits of normal childbirth in terms of
maternal and neonatal health.
Establish and use health care indicators and evaluate the results of midwives’
practice in normal childbirth.
Carry out research to demonstrate the effectiveness of midwifery care in normal
childbirth.
Influence and work in collaboration with Ministries of Health and other
organisations.
Participate in the strategic planning and decision making process related to
maternity services thereby encouraging politicians to support normal birth.