All families deserve the right to start or grow their family with dignity by accessing safe, supportive, and empowering childbirth care.


Women and newborns can be harmed in two ways during childbirth: from too much care too soon, and too little care too late. In some places, women do not receive even the most basic care, placing them at grave risk for complications and death. In other places, women are receiving medically unnecessary cesarean sections, a problem of over treatment that is equally dangerous to women’s health. In all cases, the system fails to deliver appropriate care for women, even when clinicians are well intended and well informed. To transform the systemic barriers, we need new approaches and solutions to childbirth care that promote quality, dignity and equity.

Despite growing alarm, improving the accuracy of delivery decisions has appeared intractable. The Delivery Decisions Initiative is a bold effort by leading maternal health and system innovation experts to tackle this challenge in new ways.

Engineering Solutions