The leading purpose of this article is to understand why cesarean deliveries are overused, considering the increased risk of complications that affect mother and fetus. The author makes it a point to focus on the larger scale of cultural factors that are associated with a key clinical measure of quality care for the maternal population. In this study, they recruited obstetricians, family physicians, midwives, anesthesiologists, and labor nurses from 79 hospitals in California. The Labor Culture Survey (LCS) consisted of 29 items with 6 subscales: Best Practices to Reduce Cesarean Overuse, Fear of Vaginal Birth, Unit Microculture, Physician Oversight, Maternal Agency, and Cesarean Safety. These factors were included on a large scale validation study that suggested the LCS was a valid, reliable instrument to use. The authors of this study believe that the quality of care has been compromised because of lack of clear quality metrics, a strong history of the individualistic approach to caring for pregnant mothers, and undervaluing maternal outcomes in birth. Why is a low-risk female delivering her newborn by a cesarean delivery? A cesarean delivery is an invasive procedur
e specifically indicated for fetal intolerance of labor, failure to progress, or other complications that hinder the fetus or mother. Furthermore, the factors analyzed were closely observed and measured, creating the LCS to focus on constructs unique to birth. This being the value of vaginal birth, reducing unnecessary intervention, and empowering women. The article concludes that the LCS is beneficial because it targets the process of implementation towards specific attitudes, unit norms, knowledge deficits, communication gaps, and behaviors. After all, future work should look at testing individuals among a diverse population in states other than California. This being said, the attitudes about birthing practices show a positive correlation when it comes to mothers experience. The birthing process is a time in a womans life that is surreal. A woman giving birth vaginally, unless contraindicated, is an empowering moment for her because her body made this human being and she was able to bring it into this world. Ultimately, if a female is able to have a normal birth, then her healthcare staff should respect her decision and properly educate her (Van Gompel et.al, 2019).