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Pathfinder: Childbirth Options

General Information and Where to Start

This guide is designed for pregnant or soon-to-be pregnant women who want to know more about their options for giving birth. There's so much information available about birth -- books, videos, web pages -- how do you know where to start? This Pathfinder will help clarify your choices so that you can make the best decisions for you, your baby and your family.

When it comes time to have your baby, there are three big choices that you need to make:

  1. Who will attend me?
  2. Where will I have the birth?
  3. How do I want my delivery to go?

1. Choosing A Care Provider

In most locations, you have the option of giving birth with a physician (an OB/GYN or a family practitioner) or a midwife (either a nurse-midwife or a direct-entry midwife). In addition, you can also choose to have a doula or a monitrice with you during labor.

A. Midwives are trained in normal birth (over 90% of all pregnancies). They deliver babies in hospitals, birth centers or at home, and are highly skilled at non-interventive care such as listening and communication, and non-medical pain relief for labor and delivery.

Resources About Midwife-Attended Birth:

B. Physicians are trained in abnormal birth, or birth with complications. OB/GYN's are specially trained to deal with pregnancy-related problems and surgical births. If your pregnancy is termed "high-risk", such as in the case of high blood pressure or other conditions, you will probably want to give birth with a physician.
Resources About Physician-Attended Birth:
C. A doula is a woman who is trained in supporting women in childbirth. She provides emotional support, information and reassurance. A monitrice is similar to a doula, except that she provides clinical skills as well. Monitrices are usually nurses. Both doulas and monitrices can be of great help during labor, especially if you choose to birth with a physician.

Resources About Doulas and Monitrices

2. Choosing A Birth Location

You have three choices for a birth site: at home, at a hospital or at a free-standing birth center.

Resources for Birth Sites

3. Choices In Labor

The foundation of a good labor is a carefully considered birth plan. This is simply a short document detailing the specific care measures, interventions and procedures you do or do not want at your birth.

Birthplan.com guides you through the process of creating a birth plan, and helps explain why you would want one.

The following books include information on how to write an effective birth plan. All books about pregnancy are listed in the 618 section of your local library.

This site details some specific choices which you may wish to consider for your labor and delivery.

More Resources on Childbirth Options

Reviews of 31 videos on birth, which you may be able to find at your local library.

Birthstories.com provides a wealth of birth stories shared by moms in all circumstances of labor and delivery.

Childbirth Bookstores -- these bookstores specially deal in hard-to-find books for midwives and interested consumers:

Journals and Magazines on Birth

This pathfinder was created by Maggi R. Seymour


You may also wish to see IPL Pregnancy, Birth and Breastfeeding Resources | IPL Frequently Asked Reference Questions

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Last updated Nov 9, 2000