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Intrapartum Care – Communication
Normal Birth Consensus Statement
Mary Newburn
Head of Policy Research
Intrapartum Care - communication
• Welcoming
• Informing
• Supporting
• Encouraging
Normal Birth Consensus Statement
• Who has developed
it?
• What is it?
• Why is it needed?
• How should it be
used?
Maternity Care Working Party
Expert advisory body to the All-Party Group on Maternity
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The Royal College of Midwives
The Royal College of Obstetricians and Gynaecologists
Nursing and Midwifery Council
The Healthcare Commission
The Association for Improvements in the Maternity Services (AIMS)
Independent Midwives Association
RCM Consultant Midwives Forum
Association of Radical Midwives
BirthChoiceUK
Birth Centre Network – UK
NSPCC
A positive focus on normal birth
• Most healthy women can
give birth with a minimum of
medical procedures.
• Most women prefer to avoid
interventions.
• Procedures that increase
medical interventions to be
avoided where possible, e.g.
 continuous electronic
fetal monitoring
 epidural anaesthetic.
A positive focus on normal birth
A straightforward birth
• makes it easier to
establish breastfeeding
• helps get family life off
to a good start
• and protects long-term
health
Objective
A standard definition for normal labour and birth
• to raise awareness that normal birth rates matter
• to facilitate better auditing
• to enable accurate comparisons to be made for similar
women using different services and models of care.
Definition
Birth “without induction, without the use
of instruments, not by caesarean
section and without general, spinal or
epidural anaesthetic before or during
delivery”
episiotomy < 1%
How should it be used?
We want all NHS Trusts and Boards across the UK to:
 use this definition
 collect and publish these annually.
 The overall normal birth rate for England including
home births, is estimated by BirthChoiceUK to be
48.1%, using Information Centre data
How should it be used?
Recommendations for
Maternity commissioners,
providers and NHS Boards
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Set normal birth targets realistic objective of 60% by
2010
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Develop a strategy – signed off
by clinical leads
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Active one-to-one midwifery
support
How should it be used?
Recommendations for
Maternity commissioners,
providers and NHS Boards
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antenatal courses
 realistic expectations
 practical skills: relaxation,
massage, active positions
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access to birth pools, facilities,
e.g. aromatherapy
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information about factors that
make a normal birth more or
less likely.
How should it be used?
Recommendations for
Government
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Set normal birth targets - realistic
objective of 60% by 2010
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Revise PbR tariffs
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Active one-to-one midwifery
support
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Sponsor education and training
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Fund research on
- facilitating normal birth
- case-mix.
Normal Birth Consensus Statement
• Developed by
stakeholders
• A tool to raise
awareness, facilitate
change and monitor
performance
• Inform parents and
professionals