There is an expectation that there are guarantees of perfect outcomes with childbirth. Maternity care providers have fostered the notion that 'doing something is better than doing nothing' since the introduction of a high tech approach to birth. It has lulled women and health professionals alike into a false sense of security that by providing the very best of appropriate care we can always avoid an unexpected outcome. It is this fallacy of guarantees and the unreal expectation of perfection in a process ultimately beyond our control that has fuelled the litigation apparent in maternity services today. When one considers these tenets of midwifery care mentioned above, the presence of any alerting factor does not alter the integrity of woman-centred care.
Considerations remain individually determined.
To illustrate how this occurs aspects of the label associated with a breech baby will be examined. The 'evidence' The Toronto Term Breech Trial, a multinational trial studying outcomes for mother and baby, ended in April of last year. The study compared perinatal and maternal morbidity and mortality differences between planned vaginal deliveries and planned Caesarian sections when the baby was in a flexed or extended legs breech presentation at term. Mandatory Caesarian section To give a blanket statement that all breech babies should be born by Caesarian section is very problematic. Within the study 9.6 percent of babies were born vaginally despite their allocation to the Caesarian section group.