Free Mother-Friendly Documents and Downloads

The following documents are available for free downloads as PDF files. Permission is granted to freely reproduce in whole or in part along with complete attribution as indicated on the PDF itself.  Please contact us if you place any of our documents on your website, so that we can keep you updated when new versions are available.

The Mother-Friendly Childbirth Initiative (MFCI)

(Updated December, 2015)

The CIMS document that defines the ten steps of Mother-Friendly care. A must-read for all childbirth professionals, advocates and families. Read more about the history of the MFCI at About CIMS.

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Evidence Basis for the Ten Steps of Mother-Friendly Care in the Journal of Perinatal Education, 2007, Issue 16, a Special Supplement 
The result of a 2-year research project by a team of maternity care experts, this important work reviews 15 years worth of scientific studies which and found that the evidence supports complying with each aspect of the ten steps of Mother-Friendly Care.

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Mother-Friendly Childbirth: Highlights of the Evidence
This is a summary of the Evidence Basis document (above) contributed by consumer groups BirthNetwork National and Citizens for Midwifery that makes it possible to see at a glance the results of the research in a easy to comprehend, quick presentation. Great for educating others!

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Having a Baby? Ten Questions To Ask
Ten questions for prospective mothers to ask of their chosen birth center, hospital, or home birth service. These ten issues will help you determine whether the people assisting you in your birth support the philosophy of Mother-Friendly care.  

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CIMS Fact Sheet: Breastfeeding is Priceless 
This fact sheet lists the short- and long-term benefits of breastfeeding for babies, premature infants, children, and mothers. The fact sheet also covers the costs of not breastfeeding. Includes references.

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CIMS Fact Sheet: Problems and Hazards of Induction of Labor  

The Coalition for Improving Maternity Services (CIMS) is concerned about the dramatic increase and ongoing overuse of induction of labor. Despite modern techniques, induction of labor still introduces considerable risk compared with natural onset of labor, and many, if not most, inductions are done for reasons that are not supported by sound medical research.

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CIMS Fact Sheet: The Risks of Cesarean Section & Expectant Mother's Checklist  Cesarean section is the most common major surgical procedure performed in the United States.  The Coalition for Improving Maternity Services (CIMS) is concerned about the dramatic increase and ongoing overuse of cesarean section.  The surgical procedure poses short- and long-term health risks to mothers and infants, and a scarred uterus poses risks to all future pregnancies and deliveries.  For these reasons, CIMS recommends that cesarean surgery be reserved for situations when potential benefits clearly outweigh potential harms.  This resource includes an important companion document, “A Checklist for Expectant Mothers to Read During Pregnancy.”

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Are Your Birth Classes Mother-Friendly?
Are you up-to-date with the latest research? Does the information you provide your classes empower them to make informed decisions about their care and the care of their babies? 

Is Your Doula Practice Mother-Friendly?
Are you up-to-date with the latest research? Does the information you provide your clients empower them to make informed decisions about their care and the care of their babies? 

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Making the Case for Mother-Friendly Birth Practices

The Mother-Friendly Childbirth Initiative (MFCI), drafted in 1996, was an evidence-based consensus document ahead of its time. Since then, research, professional guidelines, state–wide health care directives, hospital systems, health care quality improvement initiatives, and federal and state-level maternity care legislation have identified many aspects of the MFCI and the Ten Steps of the Mother-Friendly Childbirth Initiative as key factors to improving maternal-infant health outcomes. This document provides the evidence to show that the MFCI can be used as a guide to meet professional and federal guidelines to make childbirth safer, less costly, and more satisfying to childbearing women and their families. Includes references.

Making the Case for Mother-Friendly Birth Practices (Summary)

This two-page document outlines national, state, and hospital quality improvement guidelines as well as legislative initiatives that reflect the philosophical principles and ten steps of the Mother-Friendly Childbirth Initiative. For the rationale and references that support the Summary, readers are referred to the complete document, Making the Case for Mother-Friendly Birth Practices.


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Coalition for Improving Maternity Services
P.O. Box 33590, Raleigh, NC 27627-3590 
Telephone: 1-866-424-3635   

CIMS is a not-for-profit organization recognized as tax-exempt under Internal Revenue Code section 501(c)(3).  

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