13/09/2026
Policies, procedures and guidelines.
Three words that probably mean very little to most pregnant women.
For those of us providing maternity care, they’re often at the forefront of our minds. They shape how we practise, what we recommend and how we communicate with women.
They have an important place in maternity care. They help provide a framework for practice and support consistency in care.
The problem is when we start treating them as gospel.
A recommendation is not the same as a requirement.
Yet I see too many situations where a woman is told, “That’s our policy,” as though the conversation is over.
I’ve supported women who have declined recommended care, only to find themselves facing escalating pressure from multiple clinicians. At what point does supporting informed choice become an exercise in persuading a woman to do what we’ve recommended?
Policies and guidelines should be a framework for good care, not a reason to stop thinking, stop listening or stop supporting a woman’s autonomy.
We can recommend. We can explain. We can advise.
The woman should never be left feeling that she has no choice.