Limit of two support people                      Presence of friends, family, and children

Confinement to bed or one position          Freedom to walk and change positions as

                                                                desired

Induction and augmentation of labor:       Spontaneous labor or natural alternatives

   Stripping membranes; rupturing bag           Nipple stimulation, sex, homeopathy

   of waters; Pitocin or Cytotec

Frequent vaginal exams                          Vaginal exams at mother’s request unless a

                                                                 medical reason

IV fluids for hydration and energy             Drinking fluids and eating as desired

Continuous electronic fetal monitor           Intermittant listening to baby’s heartrate

Pain relief through medication                  Relaxation, emotional support, massage,

                                                                 homeopathy

Lithotomy position or semi-sitting for        Choice of position and freedom to move

   pushing

Prolonged breathholding and bearing        Mother follows her urge to push
   down

Required position for birth                        Position of mother’s choice

Almost routine episiotomy                        Warm compresses, massage, slow birth

Forceps or vacuum common                      Upright position and time for birth

Baby suctioned or intubated                      Suctioning only as needed

Cord clamped and cut immediately            Cord cut after pulsing has ceased

Immediate care out of sight of mother       Baby skin to skin with mom and non-essential

                                                                routines delayed

Hours of separation of baby from family     No separation of family

Many routines and interruptions                 Quiet time alone with baby

Delayed first breastfeeding                        Early and frequent nursing encouraged

Eye drops, vitamin K shot,                         Informed parental choice
   Hepatitis B shot