TY - CHAP M1 - Book, Section TI - Current Barriers to Natural Birth A1 - Aristizabal, Michelle PY - 2018 T2 - Natural Labor and Birth: An Evidence-Based Guide to the Natural Birth Plan AB - The obstacles preventing natural birth practices from becoming part of the routine options presented to women are numerous and complex, but they are important to understand, both for medical providers working with patients who desire a natural birth and for women themselves who may be meeting resistance toward their natural birth plan. One of the harder to define barriers is the general culture of labor and delivery units that often stands in opposition to the natural birth plan. That culture can be a product of the stressful, dynamic, and fast-paced working environment nurses and doctors find themselves within, but it is also a result of the way in which nurses and resident doctors are trained and their own life experiences. An obstetrical residency is one of the most challenging and often demoralizing residencies a physician may undergo and this impacts both their relationship with patients and their approach to labor management. Obstetrical residencies also rarely include formal training in low-intervention techniques. This is because most training tends to occur within busy, high-risk centers which provide the opportunity for residents to be exposed to a large volume of delivery and surgical experiences, as well as a wide range of complications and unusual pathology, but little time for the actual one-on-one work with laboring women that really promotes understanding of the labor process. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/11/07 UR - obgyn.mhmedical.com/content.aspx?aid=1159260332 ER -