What affects levels of interventions?
As with all types of birth, whether it is vaginal or by caesarean section, it is only through retrospective analysis of the data that you can measure the number of interventions and the potential for unwarranted variation.
The systems in place to support women and families to make informed choices about their care with access to quality care during antenatal, labour, birth and postnatal care supports positive maternal and neonatal outcomes.
“Attention should be paid to providing a comfortable and supportive environment to all women during labour to help them relax and feel secure. When it is possible to use fewer medical procedures in labour, with the woman’s agreement and without jeopardising safety, this should be the objective. A straightforward birth makes it easier to establish breastfeeding, helps get family life off to a good start, and protects long-term health.” (MCWP, 2007)
Access to antenatal preparation classes for all women, informed decision-making and true choice on place of birth (including home births) and active one-to-one midwifery support during established labour, are noted in the evidence base as helping to promote good outcomes.