title: Management or care: different outcomes.
abstract: Recently a popular magazine published a birth story of a long, medically managed, first labor of a low-risk woman, which ended in a cesarean. (1) The doctor/writer was convinced that the labor could not be safely managed other than how he described it and that no safe alternative existed to a cesarean delivery. This is another example of the media trend of promoting medical birth stories and not midwifery-supported birth stories. The article below provides two versions of the same woman's labor to show how a woman's choice of birth attendant and labor support can influence the course of labor and the likelihood of cesarean surgery. judyslome@hotmail.com.
authors.forename: Judy Slome
authors.initials: JS
authors.lastname: Cohain
mesh_terms: D000328:Adult; D002755:Choice Behavior; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008425:Maternal Behavior / Q000523:psychology*; D008880:Midwifery / Q000379:methods*; D009035:Mothers / Q000523:psychology*; D009321:Natural Childbirth / Q000451:nursing* / Q000523:psychology*; D009723:Nurse-Patient Relations; D011247:Pregnancy; D011256:Pregnancy Outcome; D012063:Relaxation