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Ebook WHO Recommendations Intrapartum Care for a Positive Childbirth Eperience
It has been more than two decades since the World Health Organization (WHO) issued technical guidance
dedicated to the care of healthy pregnant women and their babies – Care in normal birth: a practical guide.
The global landscape for maternity services has changed considerably since that guidance was issued.
More women are now giving birth in health care facilities in many parts of the world, and yet suboptimal
quality of care continues to impede attainment of the desired health outcomes. While in some settings too
few interventions are being provided too late to women, in other settings women are receiving too many
interventions that they do not need too soon.
WHO has released several recommendations to address specific aspects of labour management and the
leading causes of maternal and newborn mortality and morbidity in response to the needs of countries. The
focus of the global agenda has also gradually expanded beyond the survival of women and their babies, to
also ensuring that they thrive and achieve their full potential for health and well-being. These efforts have
been catalysed by the Global Strategy for Women’s, Children’s and Adolescents’ Health (2016–2030), and
the Every Woman Every Child movement. In addition, the third goal of the 2030 agenda for sustainable
development affirms global commitment to ensuring healthy lives and the promotion of well-being for all at all
ages.
One of the WHO strategic priorities over the next five years for achieving Sustainable Development Goal
(SDG) targets is to support countries to strengthen their health systems to fast-track progress towards
achieving universal health coverage (UHC). WHO is supporting countries to ensure that all people and
communities have access to and can use the promotive, preventive and curative health services that are
appropriate to their needs, and that are effective and of sufficient quality, while not exposing them to financial
hardship. An integral part of these efforts is the design of the package of essential services across the
spectrum of health disciplines, including reproductive, maternal, newborn, child and adolescent health, from
which a set of basic service-delivery indicators can be identified for use in monitoring countries’ progress
towards UHC.
This guideline is a consolidated set of new and existing recommendations on essential labour and childbirth
practices that should be provided to all pregnant women and their babies during labour and childbirth
irrespective of socioeconomic setting. It promotes the delivery of a package of labour and childbirth
interventions that is critical to ensuring that giving birth is not only safe but also a positive experience for
women and their families. It highlights how woman-centred care can optimize the quality of labour and
childbirth care through a holistic, human rights-based approach. By outlining a new model of intrapartum
care that is adaptable to individual country contexts, the guideline enables substantial cost-savings through
reduction in unnecessary interventions during labour and childbirth.
We encourage health care providers to adopt and adapt these recommendations, which provide a sound
foundation for the provision of person-centred, evidence-based and comprehensive care for women and their
newborn babies.
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