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Pearls for Physiologic Birth

Below are the evidence-based strategies that GW Midwifery Follows to promote natural, physiologic birth:

  • Oral hydration and nutrition in labor optimize outcomes
  • Avoid routine intravenous fluids
  • Intermittent auscultation is safe for low-risk labors
  • Ambulation and freedom of movement facilitate labor progress
  • Hydrotherapy is a safe and effective comfort measure during labor
  • Continuous labor support is the standard of care
  • Avoid routine rupture of the membranes
  • Expect individualized labor progress
  • Support initial passive descent and self-directed open-glottis pushing
  • Avoid routine episiotomy and aggressive perineal massage
  • Delayed cord clamping improves neonatal outcomes
  • Facilitate immediate skin-to-skin contact and breastfeeding
  • Trial of labor after cesarean is the standard of care
  • Planned vaginal breech birth may be a safe option in an inter-professional setting
  • Inter-professional education, collaboration, and team-based care promote optimal outcomes
  • Practice according to current evidence and trust the body’s innate capacity to birth
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News & Information
  • GW MFA Midwifery Services Winner in Washington Parent Picks 2020

    Washington Parent magazine readers recently voted The George Washington University Medical Faculty Associates (GW MFA) Midwifery Services as the best in the Washington, D.C., metro area for the ...

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