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We
are mothers. We are fathers. We are grandmothers, grandfathers,
brothers, sisters, daughters and sons. We are individuals.
We are communities.
We
believe in:
Normalcy
of the Birthing Process
* Birth is a normal, natural, and healthy process.
* Women and babies have the inherent wisdom necessary for
birth.
* Babies are aware, sensitive human beings at the time of
birth, and should be acknowledged and treated as such.
* Breastfeeding provides the optimum nourishment for newborns
and infants.
* Birth can safely take place in hospitals, birth centers,
and homes.
* The midwifery model of care, which supports and protects
the normal birth process, is the most appropriate for the
majority of women during pregnancy and birth.
Empowerment
* A woman's confidence and ability to give birth and to care
for her baby are enhanced or diminished by every person who
gives her care, and by the environment in which she gives
birth.
* A mother and baby are distinct yet interdependent during
pregnancy, birth, and infancy. Their interconnected-ness is
vital and must be respected.
* Pregnancy, birth, and the postpartum period are milestone
events in the continuum of life. These experiences profoundly
affect women, babies, fathers, and families, and have important
and long-lasting effects on society.
Autonomy
Every woman should have the opportunity to:
* Have a healthy and joyous birth experience for herself and
her family, regardless of her age or circumstances;
* Give birth as she wishes in an environment in which she
feels nurtured and secure, and her emotional well-being, privacy,
and personal preferences are respected;
* Have access to the full range of options for pregnancy,
birth, and nurturing her baby, and to accurate information
on all available birthing sites, caregivers, and practices;
* Receive accurate and up-to-date information about the benefits
and risks of all procedures, drugs, and tests suggested for
use during pregnancy, birth, and the postpartum period, with
the rights to informed consent and informed refusal;
* Receive support for making informed choices about what is
best for her and her baby based on her individual values and
beliefs.
Do
No Harm
* Interventions should not be applied routinely during pregnancy,
birth, or the postpartum period. Many standard medical tests,
procedures, technologies, and drugs carry risks to both mother
and baby, and should be avoided in the absence of specific
scientific indications for their use.
* If complications arise during pregnancy, birth, or the postpartum
period, medical treatments should be evidence-based.
Responsibility
* Each caregiver is responsible for the quality of care she
or he provides.
* Maternity care practice should be based not on the needs
of the caregiver or provider, but solely on the needs of the
mother and child.
* Each hospital and birth center is responsible for the periodic
review and evaluation, according to current scientific evidence,
of the effectiveness, risks, and rates of use of its medical
procedures for mothers and babies.
* Society, through both its government and the public health
establishment, is responsible for ensuring access to maternity
services for all women, and for monitoring the quality of
those services.
* Individuals are ultimately responsible for making informed
choices about the health care they and their babies receive.
These
principles are adopted from the Ten
Steps of the Mother-Friendly Childbirth Initiative -
a program of the Coalition
for Improving Maternity Services (CIMS)
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