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It suggests that the advantages of scale have been under-recognised by policy makers to date.

The birth centre displays organisational characteristics that contrast with the dominant Fordist/Taylorist model of large maternity units.

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These characteristics allow for greater temporal flexibility in labour care and tend to privilege relational, ‘being’ care over task-orientated, ‘doing’ care.

In addition, features of a bureaucracy are much less in evidence, enabling entrepreneurial activity to flourish.

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Most of the research to date on these models has examined clinical outcomes.

This paper, discussing key findings from an ethnographic study of a free-standing birth centre in the UK, explores organisational dimensions to care.

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