As we entered the 21st century, Childbirth Connection (then known as Maternity Center Association) took a close look at the childbirth experience in the U.S.  Our assessment highlighted serious concerns about the quality of maternity care.  We found major gaps between the care that mothers and babies actually receive and the care that they should receive based on the best scientific evidence.  We refer to this as the "evidence-practice gap."

To address these concerns, Childbirth Connection launched a long-term national program to promote safe, effective, and satisfying care that is consistent with the best scientific research.  Our program helps women, health professionals, policymakers, and the media understand the best available research, take steps to make care more consistent with the best research, and fill in gaps in knowledge about safe and effective maternity care. We support improved clinical decision making and changes in policy and education to ensure that childbearing women have access to high-quality care. 

Our program places special emphasis on helping women to:
  • gain access to accurate information and supportive resources for making informed decisions about their care
  • navigate the complex health care system, and
  • understand and exercise their legal maternity rights.

Childbirth Connection's website, research, and other programs are recognized by a broad spectrum of health professionals and many key organizations as a leading national resource for evidence-based maternity care.  Many health professionals are committed to practicing according to the best evidence and welcome Childbirth Connection's help with understanding the evidence-based paradigm, lessons from the best research on specific topics, and how to gain access to basic resources for evidence-based maternity care.  And, many childbearing women rely on our resources for trustworthy, high-quality information to help them make informed maternity care decisions.

To extend its reach and resources, Childbirth Connection collaborates extensively with a broad range of organizations and with many leaders in the field.

Childbirth Connection works to promote safe, effective and satisfying maternity care through 4 major ongoing initiatives: Cesarean Alert Initiative, Listening to Mothers Initiative, Labor Pain Initiative and Labor Support Initiative. 


Inside Programs:


Cesarean Alert Initiative

Cesarean section is on the rise in the U.S. About 1 woman in 3 now gives birth by major surgery.  Childbirth Connection carried out the first in-depth review of the relevant research to identify all adverse effects in mothers and babies that are more likely with a cesarean or a vaginal birth. A booklet based on the results, What Every Pregnant Woman Needs to Know About Cesarean Section, helps pregnant women understand the key results from this research and provides evidence-based tips for women who wish to avoid unnecessary cesareans. The goal of this initiative is to raise awareness and educate the public about the importance of using the best research to guide personal decision making, policy making and maternity care practice.

Go to Cesarean Alert Initiative cesarean alert


Listening to Mothers Initiative

Childbirth Connection's ongoing Listening to Mothers Initiative is devoted to understanding experiences and perspectives of childbearing women and using this knowledge to improve maternity policy, practice, education and research. National Listening to Mothers surveys provide an unprecedented understanding of experiences that affect women, babies, and families in the United States during a critical period in human and family development. They enable us to compare actual experiences of childbearing women and newborns to mothers' preferences, as well as to optimal evidence-based care, optimal outcomes, and protections granted by law. Identified gaps present opportunities to improve conditions for over four million mothers and babies annually in the U.S. In addition to the landmark first national Listening to Mothers survey (2002), we carried out and reported Listening to Mothers II in 2006. A follow-up survey with Listening to Mothers II participants that focused on postpartum experiences will be reported in spring 2007. Childbirth Connection will also issue Recommendations based on results of both Listening to Mothers II surveys in 2007.

Go to Listening to Mothers Initiative listening to mothers


Labor Pain Initiative

Labor pain is a matter of great concern to the 4 million U.S. women who give birth annually, yet controversy and incomplete knowledge about methods to relieve it still exist. Many women lack access to valid and complete information and a choice among pain relief methods. Childbirth Connection's Labor Pain Initiative helps ensure that women and their caregivers have access to the best research on the safety and effectiveness of available methods for relieving labor pain, and that women have access to a full array of drug and non-drug pain relief methods.

Go to Labor Pain Initiative labor pain


Labor Support Initiative

Continuous support during labor offers women many benefits and has no known downsides. This initiative helps increase women's access to and understanding of the positive impact of continuous care from a supportive companion during labor. Childbirth Connection participated in a comprehensive study describing the experiences of nearly 13,000 women has found that women who receive supportive care from a companion throughout labor are more likely than women without such care to avoid cesarean birth and other major medical interventions and to be satisfied with their birth experience.

Labor Support Initiative labor support



© 2008 Childbirth Connection. All rights reserved.

Childbirth Connection is a national not-for-profit organization founded in 1918 as Maternity Center Association. Our mission is to improve the quality of maternity care through research, education, advocacy and policy. Childbirth Connection promotes safe, effective and satisfying evidence-based maternity care and is a voice for the needs and interests of childbearing families.
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"The only thing that I did not like was that after my son was born, I was having trouble breastfeeding and the hospital staff seemed too busy to help me. I had a Lactation Consultant come to my house to help, when I really should have received that help at the hospital."
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