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Related Concept Videos

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Updated: Apr 20, 2026

A Common Marmoset Model of Mother-Infant Intervention for Breastfeeding Disorders in the Presence of Paternal Inhibition and Maternal Neglect
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Healthy birth practice #4: avoid interventions unless they are medically necessary.

Judith A Lothian

    The Journal of Perinatal Education
    |November 21, 2014
    PubMed
    Summary
    This summary is machine-generated.

    Routine interventions in U.S. maternity care disrupt normal birth physiology, increasing risks for mothers and babies. Limiting these interventions promotes safer, more natural childbirth experiences.

    Keywords:
    augmentation of laborcascade of interventionscesarean surgeryelectronic fetal monitoringepidural analgesiaepisiotomyintravenous fluids in laboroptimal carerestrictions on eating and drinking in labor

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    Area of Science:

    • Obstetrics and Gynecology
    • Maternal-Fetal Medicine
    • Evidence-Based Practice

    Background:

    • U.S. maternity care is characterized by high rates of intervention.
    • Common interventions include IV fluids, restricted eating/drinking, continuous fetal monitoring, epidural analgesia, labor augmentation, and episiotomy.
    • These practices can interfere with the natural physiological processes of labor and birth.

    Purpose of the Study:

    • To provide an updated, evidence-based review of Lamaze International's Care Practice #4: No Routine Interventions.
    • To examine the impact of routine interventions on the normal physiological process of labor and birth.
    • To highlight the potential risks associated with an intervention-intensive approach to maternity care.

    Main Methods:

    • Review of existing evidence on common maternity care interventions.
    • Analysis of the physiological effects of interventions on labor and birth.
    • Evaluation of the association between interventions and adverse outcomes, including cesarean surgery.

    Main Results:

    • Routine interventions such as IV fluids, continuous electronic fetal monitoring, and epidural analgesia are prevalent in U.S. births.
    • These interventions can disrupt labor physiology and limit a woman's coping abilities.
    • A cascade of interventions increases the risk of cesarean surgery for mothers and babies.

    Conclusions:

    • Reducing routine interventions is crucial for promoting normal physiological birth.
    • An evidence-based approach supports minimizing interventions to enhance maternal and infant safety.
    • Adherence to practices like 'No Routine Interventions' can lead to better birth outcomes.