Skip to main content
Not Found
Digital Seminar

Avoiding the Preventable Cascades of Intervention: Understanding the Secrets of Natural Labor for Normal Birth

Kathy Fray
1 Hour 53 Minutes
Audio and Video
Jan 24, 2023
Product Code:
Brochure Code:
Media Type:
Digital Seminar


Over recent decades it is widely known obstetric intervention rates of labor and birth, especially in the USA, have continued to increase, with NO corresponding improvement in maternal/neonatal morbidity and mortality rates.

The hospital system is oftentimes intervening in labor, devoid of strongly indicated “Best Practice” justifications, to the point that for many hospitals/obstetricians all the medicalized labor interference of inductions, augmentations and spinal anesthesia have become so normalized and so routine, that they are correctly titling themselves as “Delivery Wards” – rather than “Birthing Units”. To describe a woman whose labor had an oxytocin drip and epidural anesthesia, was her experiencing a “normal” birth (just because the baby was born vaginally without instrumental assistance) has become such a commonly accepted term, it simply absurd just how much the truly abnormal has become utterly normalized.  Strong women give birth – Pizzas are delivered.

In the same breath, many American Student Midwives complete their qualifications, having never assisted at dozens of natural labors, and have likely never witnessed a water-birth, breech birth, or hands-and-knees birth. How on earth can they teach women the “Art of natural labor”, when practically all they have seen is the medicalized Science of epidural’ized and oxytocin’ized childbirth?

However, when we deep-dive into the practices of Birth Practitioners who have exceptionally fantastic statistics of high normal births and low maternal/neonatal compromise, what is the holistic “Art” they are using, every day, as part of their Practice? What are they doing differently?

Kathy Fray is a senior Midwife who has been New Zealand’s #1 best-selling birth, babies and motherhood Author since 2005. And New Zealand is internationally regarded as the having the world’s #1 best maternity healthcare system, with its continuity-of-care practices being the only country globally that follows all the WHO’s recommended guidelines for best maternity healthcare.

During this session on “BECOMING MOTHERWIDSE”, you will learn those “tricks of the trade” from the #1 Author-Midwife, from the world’s #1 country of maternity healthcare …hear from the “best of the best”!


Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.


CE credit is available. This self-study course consists of 1.75 continuing education credit hours for Midwives. The Certificate Maintenance Program of the American Midwifery Certification Board recognizes and accepts for continuing education credit courses that are specifically applicable and pertinent to the practice of midwifery and by entities approved by the ACCME (Accreditation Council for Continuing Medical Education). This endruing material is certified for a maximum of 1.75 AMA PRA Category 1 Credits™ by PESI as an accredited ACCME provider authorized to award credit by the AMA. PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Nurses, Nurse Practitioners, and Clinical Nurse Specialists - ANCC

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 1.75 contact hours. Expires: 12/22/2025.

California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 1.5 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 1.5 self-study contact hours.

CE Broker

Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 1.75 self-study contact hours. Please email with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

Physician Assistants

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME such as PESI. Physician assistants may receive a maximum of 1.5 hours for completing this self-study program. This activity was originally recorded on 01/24/2023. It was last reviewed on 03/14/2023 and is valid until 03/13/2026


PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credit(s)™.


PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. This activity was originally recorded on 1/24/2023. It was last reviewed on 3/14/2023 and is valid until 03/13/2026.


Physicians should only claim credit commensurate with the extent of their participation in the activity. You are required to successfully complete and submit a post-test prior to receiving a certificate of completion.

Other Professions

This self-study activity qualifies for 1.75 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Kathy Fray's Profile

Kathy Fray Related seminars and products

Kathy Fray, Midwife/Author/Perinatal Integrative Healthcare Thought-Leader, has been New Zealand’s #1 best-selling birth, babies and motherhood author since 2005. Kathy is a senior Midwife, who has “by default” specialized in Natural Labor for Normal Birth, with complex higher-risk cohorts (producing impressive outcomes statistically). Kathy is also managing director of the MotherWise resources (creators of the advanced prenatal online education MotherWise.App), and she is the founding director of IIMHCO (Intl Integrative Maternity HealthCare Org) who are global thought-leaders on Perinatal Integrative Medicine.

Speaker Disclosures:
Financial: Kathy Fray is the managing director of the resources and receives royalties as a published author. She receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Kathy Fray is the voluntary founding director of [Intl Integrative Maternity HealthCare Org] and is co-creator of the voluntary Facebook pay-it-forward forum "Ask the Maternity Guru's".

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Visit our FAQ page at or contact us at


  1. Understanding obstetrically the medical repercussion consequences of the “Cascade of Intervention”.
  2. Understanding holistically the natural flow of uninterrupted spontaneous labor.
  3. Epidurals – understanding the consequences – are you really obtaining fully informed Consent? Know the stats.
  4. Re-defining how we explain to women the Four Stages of Childbirth.
  5. Re-defining how to explain pharmaceutical and natural pain management options.
  6. 'To Do' lists for Birth Practitioners and 'To Do' their expectant Clients - to achieve the best birth outcome.


Re-Learning How We Explain to Women the Stages of Childbirth 

  • Redefining 1st Stage – Latent, Active, Transitional Labor – Do’s & Don’ts 
  • Redefining 2nd Stage – Birth – Do’s & Don’ts 
  • Redefining 3rd Stage – After Birth – Do’s & Don’ts 
  • Introducing 4th Stage – The Vibe – Do’s & Don’ts 
  • Giving Birth vs Being Delivered 

Pain Management 

  • Pharmaceutical Drugs options  
  • Holistic & Naturopathic options  

Summary To Do List 

  • For Birth Practitioners 
  • For your expectant Clients 


Target Audience

  • Nurses
  • Nurse Practitioners
  • Physicians
  • Physician Assistants
  • Midwives
  • Doulas


Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

PESI Mobile App

Access CE trainings on your phone or tablet through our free mobile app. Choose video or audio-only versions of live webcasts and online courses from the world’s best instructors, and complete your CE requirements anywhere, anytime, at your own pace.

Please wait ...

Back to Top