title: Keeping normal labor normal.
abstract: Labor and delivery have been viewed by physicians as processes that can and must be managed by physicians for their pregnant patients. This article asserts that most births do not need to be interventionally managed and that a birth attendant's highest order skill is knowing when and how not to intervene. Further, the article looks at what birth interventions are likely to keep normal labor normal. The authors propose a new paradigm: The 10 "P's" of keeping normal labor normal.
authors.affiliation: Department of Community and Family Medicine, University of South Florida, Tampa, USA.
authors.forename: W L
authors.initials: WL
authors.lastname: Larimore
authors.forename: M K
authors.initials: MK
authors.lastname: Cline
mesh_terms: D036861:Delivery, Obstetric / Q000191:economics / Q000379:methods*; D005260:Female; D006801:Humans; D007743:Labor, Obstetric / Q000502:physiology / Q000523:psychology; D010146:Pain / Q000517:prevention & control; D010686:Philosophy, Medical; D011247:Pregnancy; D011369:Professional-Patient Relations; D012051:Reimbursement Mechanisms; D018454:Spouses