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'Normal birth': Time to change our tune?
Sally Ely1, Ka Lai Shek1, Hans Peter Dietz1
1Sydney Medical School Nepean, Sydney, New South Wales, Australia.
The Australian & New Zealand Journal of Obstetrics & Gynaecology
|August 14, 2020
Summary
The term "normal birth" is misleading, as research shows it occurs in only 33-40% of intended vaginal births. This article examines the term
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Public Health Policy
Background:
- Recent research indicates that atraumatic 'normal vaginal birth' occurs in only 33-40% of women intending vaginal delivery.
- The definition of 'normal birth' significantly impacts reported incidence rates.
Purpose of the Study:
- To critically evaluate the continued use of the term 'normal birth' in obstetric practice and policy.
- To explore the historical, political, and practical implications of the term 'normal birth'.
- To recommend a reconsideration of terminology surrounding childbirth outcomes.
Main Methods:
- Literature review and critical analysis of historical, political, and obstetric contexts.
- Examination of current birth policies and their alignment with scientific evidence.
- Discussion of the impact of terminology on maternal health outcomes and expectations.
Main Results:
- The actual incidence of 'normal birth' is significantly lower than often implied by policy and practice.
- The term 'normal birth' may be outdated and potentially misleading for women and healthcare providers.
- Current policies may not accurately reflect the reality of childbirth experiences.
Conclusions:
- A reconsideration of the term 'normal birth' is urgently needed.
- Updated terminology should better reflect the diversity of childbirth experiences and outcomes.
- Aligning terminology with evidence is crucial for informed decision-making in maternal healthcare.
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