The development of a consensus statement on normal physiologic birth: a modified Delphi study

Journal of Midwifery & Women's Health
Holly Powell KennedyNational Association of Certified Professional Midwives

Abstract

This article describes the process of developing consensus on a definition of, and best practices for, normal physiologic birth in the United States. Evidence supports the use of physiologic birth practices, yet a working definition of this term has been elusive. We began by convening a task force of 21 individuals from 3 midwifery organizations and various childbirth advocacy and consumer groups. A modified Delphi approach was utilized to achieve consensus around 2 research questions: 1) What is normal physiologic birth? and 2) What practices most effectively support its achievement? Answers to these questions were collected anonymously from task force members during multiple phases that included a preliminary briefing, an initial face-to-face roundtable, 9 iterative Delphi rounds, and reciprocal feedback from a wider audience of stakeholders at national and international conferences. Content analysis identified specific statements and concepts in the first Delphi round, which were subsequently ranked in following rounds. An initial draft was constructed based on the priorities that emerged and presented for feedback to peers and childbirth advocates whose comments were incorporated into the final document. Four key themes wer...Continue Reading

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Citations

Mar 19, 2015·Journal of Midwifery & Women's Health·Tekoa L King
Jan 26, 2017·The Journal of Perinatal & Neonatal Nursing·Ellise D Adams
Oct 28, 2015·The Journal of Perinatal & Neonatal Nursing·Lee RooseveltLisa Kane Low
Feb 21, 2018·Journal of Midwifery & Women's Health·Holly Powell KennedyIda Darragh
Aug 14, 2020·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Sally ElyHans Peter Dietz

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