Childbirth: how safe is safe enough?

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Abstract
Concerns have been expressed by women and professionals alike as a result of negative media and research reports on the effectiveness and safety of alternative models of childbirth for women (The Observer 28 September 2003; Gottvall et al, 2004). But what is ‘safety'? The concept of safety in maternity care is ambiguous and appears to be ‘person', politically and socio-economically dependent. Some may, for example, regard a composite measure of ‘birth asphyxia’ as the most important indicator of safety. Others regard emotional wellbeing, mode of delivery and control as the most important indicators of safety.

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