Midwives are undisputed experts at helping women with unmedicated, natural childbirth, but it is certainly not a requirement with in-hospital midwife care. It's a very personal choice and we don't make it for you, either way. About half our clients complete their labors without pain medication, and about half choose to use some. During the pregnancy, we discuss with each woman her desires and intended approach to the birth experience, and make up the "Birth Wish List" which goes in her chart to the hospital. Women who wish low-intervention, unmedicated birth are supported, as are women who desire epidural or other pain management.

Labor-coping options include:

• Deep, warm-water soaking tubs
• Breathing & Relaxation techniques
• Massage, position changes, and walking
• Intravenous medication
• Epidural