title: Evidence-based maternity care: can new dogs learn old tricks?
abstract: In this article, a Lamaze Certified Childbirth Educator describes her efforts to change the culture of birth in a community hospital in a small Midwestern town. Her experience highlights the challenges and the frustrations involved in creating change. The authors reflect on ways to enhance the success of change and advocacy strategies.
authors.forename: Marilyn
authors.initials: M
authors.lastname: Curl
authors.forename: Judith A
authors.initials: JA
authors.lastname: Lothian
keywords: advocacy; culture of birth; evidence-based maternity care; normal birth; planned change