A Case Study of Maternal Response to the Implied Antepartum Diagnosis of Inevitable Labor Dystocia


  • The author reports no conflict of interest or relevant financial relationships.


Barbara S. McAlister, PhD, CNM, Texas Woman's University, The Houston J. and Florence A. Doswell College of Nursing, 5500 Southwestern Medical Avenue, Dallas, TX 75235. bmcalister@twu.edu


Two pregnant women, one obese and one of extremely small stature, received antepartum recommendations from their health care providers to schedule cesarean births. In response, both women sought providers who would support their desire to attempt vaginal birth. The women's perspectives on their birth experiences along with the pertinent medical record data from their pregnancies and births provide a reminder about the inherent normalcy of birth amid the current culture of interventive obstetrical practices.