Thanks Jo and Melissa for your responses. Whilst your comments are invaluable, I was actually wondering about midwives perceptions on whether they think it is possible to have an active birth in a public hospital. As a clinician myself, I find that it is becoming a rarity to see a woman come into the unit in which I work and have an active birth, without some form of intervention. Indeed it is not all about the obstetrical model. The last woman I cared for in labour, during a night shift, was in the unit 10 minutes and stated, "I want an epidural. It is my right!" That's a hard call!
 
Nola
 
 

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