Abstract
How Traditional Research Design and Settings Make It Difficult to Prove the Benefits of Normal Labor and Birth A few weeks ago, I attended the Tri-State American College of Nurse-Midwives (ACNM) conference hosted by the South Carolina ACNM affiliate for midwives from South Carolina, North Carolina, and Georgia. At the conference, Amy Romano reviewed the evidence for various practices in labor and birth, including ambulation in labor, early cord clamping, elective induction, and routine neonatal suctioning following birth (Romano, 2015). In her review of the evidence, she mentioned several times that the optimal care for women and neonates may not be easy to discern in many studies of labor and birth, largely due to traditional settings for research studies and traditional research designs (Romano, 2015).
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