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Providers Management Styles A Comparison

Active Management of Labor Standardized Labor Natural, Instinctive Labor Pure Birth
Hospital Setting Hospital or Birth Center Free-Standing Center or Home Home Setting
Physician Managed Physician/Midwife Midwife/Parent Team Unassisted
Little/No Parent Input Possible Parent Input Parents/Provider Team Input Parents Manage
Induction is Scheduled May/May Not Induce Spontaneous Onset Spontaneous Onset
Early Rupture of Membranes Release of Membranes Spontaneous ROM Spontaneous ROM
Mandatory IV/Heplock May Possibly Decline IV No Needle Insertions No Needle Insertions
Continuous EF Monitor Mandatory/Intermittent EFM Manually Monitored Self-Monitored
Fragmented Labor Fragmented Labor Labor is a Continuum Labor is a Continuum
Total Food Restriction Possible Food Restriction Food Allowed Food Allowed
Early Augmentation Augmentation Natural Augmentation Natural Augmentation
Frequent Augmentation Possible Frequent Augmentation Augmentation Only as Needed Augmentation Only as Needed
Chronological Insistence Some Chronological Expectation Clock is Irrelevant Clock is Irrelevant
Routine Epidural Epidural Available Little or No Epidural Use Natural Relaxation
Coached, Forced Pushing Coached, Forced Pushing Bodys Natural Expulsive Reflex Bodys Natural Expulsive Reflex
Frequent Infant Heart Decels Frequent Infant Heart Decels Less Frequent or No Heart Decels Less Frequent or No Heart Decels
Use of Oxytocics Post-Birth Probable Oxytocics Post-Birth No Oxytocics Used No Oxytocics Used
Suctioning of Infant Probable Suctioning of Infant Necessary Infant Suctioning Only Necessary Infant Suctioning Only
Episiotomy is Routine Infrequent Episiotomy Infrequent Episiotomy No Episiotomy
Immediate Cord Clamping Probable Immediate Cord Delayed Cord Clamping Delayed Cord Clamping
Clamping
Land Births Only Probably Land Births Water Births and Land Births Mothers Choice

Managed Labor or Science Experiment? Instinctive, Gentle Labor

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