Development of a co‐designed, evidence‐based, multi‐pronged strategy to support normal birth

Jyai Allen, Jocelyn Toohill, Debra K. Creedy, Emily J. Callander, Jenny Gamble

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Abstract: Australia's caesarean section (CS) rate has been steadily increasing for decades. In response to this, we co‐designed an evidence‐based, multi‐pronged strategy to increase the normal birth rate in Queensland and reduce the need for CS. We conducted three workshops with a multi‐stakeholder group to identify a broad range of options to reduce CS, prioritise these options, and achieve consensus on a final strategy. The strategy comprised of: universal access to midwifery continuity‐of‐care and choice of place of birth; multi‐disciplinary normal birth education; resources to facilitate informed decision‐making; respectful maternity care and positive workplace culture; and establishment of a Normal Birth Collaborative.
Original languageEnglish
Pages (from-to)(In-press)
Number of pages5
JournalAustralian and New Zealand Journal of Obstetrics and Gynaecology
Early online date13 Apr 2022
Publication statusE-pub ahead of print - 13 Apr 2022

Bibliographical note

This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.


This work was commissioned and funded by Clinical Excellence Queensland, Queensland Health


  • caesarean section
  • maternity
  • pregnancy
  • birth
  • women
  • health services


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