Each of these modification are predicated on the health of the mother and baby and the normal progress of labor, birth and immediate neonatal period. Likewise, they consider prayer to play a central role in the processes of childbearing. On occasion, this may entail a brief period of prayer before accepting or declining a proposed medical intervention. This process of utilizing prayer as an adjunct to medical management does not require the direct involvement of hospital personnel or the physician. In the absence of fetal distress , the above named expectant mother declines a routine episiotomy and requests the following modifications of perineal management.
Privacy needs of the mother are to be respected through out the period preceding the birth.
Privacy may be provided by a combination of approaches. Absolute minimum of unfamiliar persons in the LDR and elimination of the coming and going of different staff members is requested. Along with the elimination of strangers and the reduction of interruptions it is requested that labor room lights be kept low and that a generally quiet, protected environment be maintained. Research shows that all mammals, including higher primates and human beings, need a private, protected and secure environment in order to give birth spontaneously . Initial second stage pushing is to take place in the bathroom, usually with the mother on the toilet.