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1 Professor of Evidence Based Midwifery Practice, Florence Nightingale School of Nursing and Midwifery, Waterloo Bridge Wing, King’s College London. debra.bick@tvu.ac.uk 2 MD, MSc, Research Obstetrician, Division of Health and Social Care Research, King’s College, London. maria.bastos@kcl.ac.uk 3 Assistante Professor, Maternal and Child Health Department, School of Public Health, University of São Paulo, SP, Brazil. sidiniz@usp.br There is increasing recognition among women, academics, policy makers, service providers and clinicians of the need to increase the normal birth rate. The reasons include enhanced maternal and neonatal health outcomes and more cost effective use of finite health care resources. The drive to increase normal birth is to be applauded, although ironically, in many countries, including the UK and Latin America, the normal birth rate continues to decline. Clearly, there is a long way to go before normal birth (defined in the UK as birth with no intervention at all becomes a reality for many women. However the focus on normal birth may inadvertently detract key maternity service stakeholders from promoting what should be an effective continuum of care through pregnancy, birth and the postnatal period, with each phase of a woman's pregnancy and birth journey not managed or resourced as a separate entity, and no phase of the journey taking precedence over another.

revista da escola de enfermagem da usp

Revelando o potencial do cuidado eficaz para a saúde maternal e infantil por toda vida: a necessidade de abordar o serviço 'invisível' no período pós-natal