The development of a consensus statement on normal physiologic birth: a modified Delphi study

Area of Science:

• Maternal Health
• Obstetrics
• Public Health

Background:

• Physiologic birth practices are evidence-supported but lack a clear definition in the U.S.
• A consensus definition and best practices for normal physiologic birth are needed.

Purpose of the Study:

• To develop a consensus definition of normal physiologic birth.
• To identify best practices that support normal physiologic birth.

Main Methods:

• A modified Delphi approach involving a 21-member task force from midwifery and advocacy groups.
• Multiple iterative rounds of anonymous data collection, content analysis, and ranking.
• Feedback from a wider audience of stakeholders at national and international conferences.

Main Results:

• Four key themes emerged: definitions, mechanisms/outcomes, influencing factors, and recommendations for normal physiologic birth.
• A multi-organizational consensus statement was created based on these themes.

Conclusions:

• The consensus statement provides a template for education, practice, and research in maternity care.
• This initiative aims to promote systemic changes supporting normal physiologic birth.
• The project has the potential to improve maternal and infant outcomes.