ABSTRACT
The dominant medical philosophy of management of women in pregnancy is that pregnancy is a condition that can only be considered normal in retrospect and in labour is primarily focused on the efficient and safe removal of the fetus from the mother. Improving the experience of childbirth for women was nationally prioritised through Changing Childbirth, the report prioritised individuality of women’s needs, their need for information, involvement in planning care, an ongoing relationship with a lead professional and accessibility of services. The Changing Childbirth document clearly reflected the views of consumers as well as professionals. The aims of the document were to be achieved within a bold five-year timescale, and a number of pilot schemes emerged in an attempt to meet the policy doctrine. The Royal College of Midwives has consistently supported client choice with regard to the place of birth, and encourages midwives to offer choice.
