ABSTRACT

The chapter begins by exploring the concepts of 'salutogenesis' and 'pathogenesis' in order to reveal the way society's view of childbirth has resulted in a particular set of familiar features in the architecture and design of birth units. Salutogenic design for birth requires much more than providing a restful 'ambiance' in the birth space or even simply adding nature views. The infant resuscitaire located beside the cardio-toco-graphic machine is a constant reminder that in this setting, birth is regarded as a situation of high risk for the baby who may need urgent resuscitative measures at birth. The concept of the "Fear Cascade" describes neurohormonal responses women may have to birth spaces that may be overtly or covertly considered to be unsafe or fear-inducing. Exploring how the built environment facilitates or inhibits the supporters' role provides additional insights into the experiences of women during childbirth.