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Managing Labour to Promote Physiologic Birth


There is no standard definition of labour onset. Without such a definition, there is no benchmark against which to evaluate length and patterns of labour, including dystocia (prolonged, non-progressive labour), the leading indication for primary CS. As well there are major discrepancies in standards for diagnosis of dystocia in Canada, the US, and the UK.  Our research cluster will explore clinical algorithms to define labour onset and indicators of developing dystocia that can may serve as “early warning systems” to create opportunities for early intervention. Accurate methods of predicting CS among healthy women are non-existent. Mobilization, managing the physical and psychosocial environment, and use of nonpharmacologic pain management techniques are commonly used among midwives to promote physiologic birth but have not been rigorously evaluated. We will identify opportunities to evaluate cost-effective, low technology methods to increase rates of healthy normal birth.

Theme Lead

Name Role and Department Affiliated Institution Email
Vedam, Saraswathi Professor, Midwifery, Principal, Birth Place Lab University of British Columbia

Theme Researchers

Name Role and Department Affiliated Institution Email
Brunton, Ginny Associate Professor Ontario Tech University
Downe, Soo Professor, Midwifery Studies University of Central Lancashire
Elliott, Dana Dana Elliott Physiotherapy
Gross, Mechthild Professor and Director, Midwifery Research and Education Unit Hannover Medical School
Grylka-Baeschlin, Susanne Professor and Deputy Head of the Research Institute of Midwifery ZHAW Zurich University of Applied Sciences
Hundley, Vanora Professor of Midwifery, Centre for Maternal and Perinatal Health Bournemouth University
Janssen, Patti Professor, School of Population and Public Health University of British Columbia
Jevitt, Cecilia Director Midwifery, Associate Professor, Department of Family Practice, Faculty of Medicine University of British Columbia
Klein, Michael C. Emeritus Professor, Family Practice (UBC), Senior Scientist Emeritus (Child and Family Research Institute in Vancouver) University of British Columbia
Kotaska, Andrew Generalist Obstetrician/Gynecologist
Levett, Kate Senior Research Fellow and NHMRC ECR Fellow, School of Medicine University of Notre Dame Australia
Salomons, Emilie Doctor of Traditional Chinese Medicine OAK Integrative Health
Spiby, Helen Lead, Maternal Health and Wellbeing Research Group, Professor in Midwifery, School of Health Sciences University of Nottingham
Tilden, Ellen Associate Professor, School of Nursing, Nurse-Midwifery Department, and School of Medicine, OBGYN Department Oregon Health and Science University