The nation's c-section rate is increasing at alarming rate. What can women do to avoid having
a c-section? By choosing a health care provider and birth facility with a holistic approach to
pregnancy and birth, women can improve the likelihood of having a vaginal birth. Birth
centers have documented significantly lower rates of cesarean births (4.4%), which are less
than rates recommended by the World Health Organization.
The landmark “National Birth Center Study” published in the New England Journal of Medicine in
December 1989 found that “few innovations in health services promise lower cost, greater
availability and a high degree of satisfaction with a comparable degree of safety [... and ...]
that modern birth centers can identify women who
are at low risk for obstetrical complications and can care for them in a way that provides
these benefits.” The study also showed that birth centers have a cesarean section rate of 4.4%,
which is about one half that of studies of low risk, in-hospital births. And, of mothers
evaluating their care in birth centers, 98.8% would recommend
it to friends and/or return to the center for a subsequent birth.
The birth center is a homelike facility, existing within a healthcare system with a program of
care designed in the wellness model of pregnancy and birth. Birth centers are guided by
principles of prevention, sensitivity, safety, appropriate medical intervention, and cost
effectiveness. Birth centers provide family-centered care for
healthy women before, during and after normal pregnancy, labor and birth.
The American Association of Birth Centers is the nation's most comprehensive resource on birth
centers. A non-profit membership organization founded by the Maternity Center Association under
a grant from the John A. Hartford Foundation of New York, AABC is dedicated to developing
quality holistic services for childbearing families that promote self-reliance and confidence
in birth and parenting. AABC publishes materials on birth centers, sets national standards for
birth center operation, and promotes state regulations for licensure and national accreditation
by the Commission for the Accreditation of Birth Centers. More information about AABC can be
found at www.BirthCenters.org*
*Article taken from a Press Release dated 3/14/2006 from the AABC














