birthcentered

Birthcentered is a term describing a model or philosophy of maternity care that centers the birth experience on natural physiological processes and the values of respect for autonomy, informed choice, and continuity of care. It treats childbirth as a normal life event in low-risk pregnancies and aims to minimize unnecessary interventions while ensuring safety through appropriate screening and timely access to higher-level obstetric care when needed.

Core elements include midwifery-led or collaborative care, continuous support during labor, a homelike environment, and care that prioritizes movement, privacy, and informed decision-making. Pain management combines non-pharmacologic methods with pharmacologic options, and choices are guided by consent and cultural preferences.

Settings vary from freestanding birth centers to hospital-based centers and maternity units designed for low-intervention care. They typically use clear transfer protocols to obstetric care if risk factors develop, and emphasize continuity with the same care team when possible.

Evidence suggests potential benefits for low-risk pregnancies, including reduced intervention rates and higher satisfaction, but outcomes depend on context, staffing, and access to emergency services. Limitations include availability, cost, and geographic access.