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"Lamaze" redirects here. For other uses, see Lamaze (disambiguation). This article has multiple issues. Please help improve it or discuss these issues on the talk page. It may require cleaning up to meet Wikipedia's quality standards. Tagged since August 2009. The Lamaze Technique, often referred to as Lamaze, is a prepared childbirth technique developed in the 1940s by French obstetrician Dr. Fernand Lamaze as an alternative to the use of medical intervention during childbirth. The goal of Lamaze is to increase a mother's confidence in her ability to give birth; classes help them understand how to cope with pain in ways that both facilitate labour and promote comfort, including focused breathing, movement and massage.[1] Dr. Lamaze was influenced by Soviet childbirth practices, which involved breathing and relaxation techniques under the supervision of a "monitrice", or midwife. The Lamaze method gained popularity in the United States after Marjorie Karmel wrote about her experiences in her 1959 book Thank You, Dr. Lamaze. The rise of the epidural by 1980 and the widespread use of continuous electronic fetal monitoring as standard care practices changed the nature and purpose of the Lamaze method. Today, Lamaze International is an organisation which promotes a philosophy of personal empowerment while providing general childbirth education. Modern Lamaze childbirth classes teach expectant mothers many ways to work with the labour process to reduce the pain associated with childbirth, and to promote normal (physiological) birth and the first moments after birth. Techniques include allowing labour to begin on its own, movement and positions, massage, aromatherapy, hot and cold packs, informed consent and informed refusal, breathing techniques, the use of a "birth ball" (yoga or exercise ball), spontaneous pushing, upright positions for labour and birth, breastfeeding techniques, and keeping mother and baby together after childbirth. The Lamaze technique is not an evidence-based medical therapy. Its effectiveness benefit could be explained by a placebo effect, or simply by diverting the woman's attention from the pain of labour to the breathing exercise.[2] The philosophy is increasingly becoming relevant in India, specially in the metros, with the high rate of cesarean births being declared abnormal by World Health Organisation.[3] A majority of cesarean births in India being reported from private hospitals and gynecologist - indicating the financial advantage that is derived by them in promoting such births - was highlighted by CNN-IBN on national television.[4] Contents 1 Lamaze Approach to Birth 2 Lamaze Healthy Birth Practices 3 See also 4 References 5 External links Lamaze Approach to Birth Birth is normal, natural and healthy. The experience of birth profoundly affects women and their families. Women's inner wisdom guides them through birth. Women's confidence and ability to give birth is either enhanced or diminished by the care provider and place of birth. Women have the right to give birth free from routine medical interventions. Birth can safely take place in homes, birth centers and hospitals. Childbirth education empowers women to make informed choices in health care, to assume responsibility for their health and to trust their inner wisdom. Lamaze Healthy Birth Practices This section is written like an advertisement. Please help rewrite this section from a neutral point of view. (August 2010) In Lamaze, the following birth practices are thought to promote a safe and healthy birth. Let labour begin on its own. Letting the body go into labour on its own is considered by followers of Lamaze to be the best way to know that the baby is ready for birth and the body is ready for labour. Walk, move around and change positions throughout labour. Moving in labour (not confined to a bed) reportedly helps women cope with strong and painful contractions, while gently moving the baby into the pelvis and through the birth canal. Bring a loved one, friend or doula for continuous support. In childbirth, a woman is said to feel better when supported by people she trusts and those who use encouragement. Avoid interventions that are not medically necessary. As the basis of Lamaze is natural birth process, the use of medical interventions is considered to be negative. When interventions (e.g., induction, epidural, continuous monitoring) are used in a routine manner, women and babies are exposed to unnecessary risks, according to Lamaze practitioners. Avoid giving birth on back and follow the body's urges to push. Lamaze reports upright positions are safe during pushing and can make it easier to push the baby out. This could mean squatting, sitting or lying on the side Keep mother and baby together - it's best for mother, baby and breastfeeding. Mother and baby share a natural instinct to be close after birth, and experts recommend(cite needed) that a healthy newborn be placed and cared for skin-to-skin on the mother's abdomen or chest. See also Natural childbirth References ^ Childbirth education: Get ready for labor and delivery, Mayo Clinic, July 25, 2009, accessed July 10, 2011. ^ Experts: Placebo power behind many natural cures. ^ "World Health Organisation". World Health Organisation.  ^ "Cesarean for a quick buck?".  External links Official site of Lamaze International v · d · ePregnancy and Childbirth Planning Birth control · Pre-conception counseling Conception Assisted reproductive technology (Artificial insemination, Fertility medication, In vitro fertilisation) · Fertility awareness Testing 3D ultrasound · Home testing · Obstetric ultrasonography · Prenatal diagnosis Prenatal Anatomy Amniotic fluid · Amniotic sac · Endometrium · Placenta Development Fundal height · Gestational age · Human embryogenesis · Maternal physiological changes Care Nutrition · Concomitant conditions: Diabetes mellitus, SLE Procedures Amniocentesis · Chorionic villus sampling · Cardiotocography · Nonstress test Childbirth Preparation Adaptation to extrauterine life · Bradley method · Hypnobirthing · Lamaze · Nesting instinct Roles Doula · Midwife · Perinatal nurse · Men's roles · Obstetrician Delivery Pelvimetry/Bishop score: Cervical dilation · Cervical effacement · Position Home birth · Natural childbirth · Unassisted childbirth · Water birth Bloody show · Childbirth positions · Contraction · Presentation (Breech, Cephalic, Shoulder) · Rupture of membranes Postpartum Childcare · Congenital disorders · Sex after pregnancy G/P Gravida/para/abortus · TPAL M: OBS phys/devp/memb mthr/fetu/infc, epon proc, drug(2A/G2C)