Open Accessibility Menu

Coronavirus (COVID-19) Update - We are reopening slowly while keeping your safety in mind.

Click here to learn more.

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
Conveniently Located
News & Information
  • GW Midwifery Leadership Transition

    The Department of Obstetrics and Gynecology at The George Washington University Medical Faculty Associates (GWMFA) is pleased to announce a leadership transition in the Division of Midwifery. ...

    Read Full Article
  • Approaches for Ob-gyns and Maternity Care Providers to Limit Intervention During Labor and Birth in Low-Risk Pregnancies

    For low-risk pregnancies, obstetrician-gynecologists and other maternity care providers should consider labor and delivery approaches that facilitate limited medical intervention, according to ...

    Read Full Article