Which mode
of birth?
Women necessarily give birth either naturally or by caesarean section. The choice of one or the other method is not without consequences for the health of mother and baby.
In spite of a high level of awareness among women and health professionals, the practice of caesarean sections is increasing all over the world. This growth is very often linked to a choice for reasons of comfort, and not for medical reasons.
To counter this, the QUALI-DEC project offers a new vision by providing tools and a method to help you decide on the best method for giving birth.

Natural childbirth or scheduled caesarean section: making the right decision
Childbirth is an important moment in a woman’s life. It is a real project that deserves reflection and careful study. Natural childbirth, also known as vaginal delivery or caesarean section? How do you choose the right method before you go into labour?
Sometimes for medical reasons, a scheduled caesarean section before the start of labour is necessary. But it is possible, more often than not, to attempt a natural birth, which has many advantages over a scheduled Caesarean section.
You are pregnant and you are thinking about the best method for giving birth.
Natural childbirth or planned Caesarean section, click here to decide which method is best suited to your situation.
You are a healthcare professional: how to advise your patients?
QUALI-DEC gives you tools, click here to discover them.
You are a researcher and you wish to follow the QUALI-DEC studies
We put our studies at your disposal, click here.
What is the QUALI-DEC project?
QUALI-DEC is a project born from the joint work of the IRD (research and development institute) and its partners around the world.
It is based on the sometimes alarming observation that caesarean sections are too often used as a method of childbirth.
The QUALI-DEC project was created in order to improve decision-making in childbirth by health professionals and by women themselves. It provides pregnant women, their relatives and professionals with non-clinical tools to guide their choice before or during labour. It aims to reduce the practice of non-medically justified caesarean sections and to encourage natural childbirth.
News on childbirth
Thailand is taking action in fighting against unecessary caesaerean section
The Faculty of Medicine from Khon Kaen University in Thailand, partner of the project, acted in favor of unnecessary caesarean section in the country. Due
Women’s Empowerment and Elective Caesarean Section for a Single Pregnancy: A Demographic and Multivariate Study in Vietnam
Vietnam is one of the countries in the world with the highest increase in caesarean section rates between 1990 and 2015. It is also a

Millions of abusive Caesarean sections in the world, La Croix, 2020,
Birth by Caesarean section is described as an “epidemic”, report the authors of the study on “the double burden of Caesarean section” Alexandre Dumont and
QUALI-DEC project in Thailand
Watch Dr. Pisake Lumbiganon’s testimony on the situation of Caesarean section reduction in Thailand. Dr Pisake Lumbiganon is Professor of Obstetrics and Gynaecology, Head of

Quali-Dec, an intervention research project on the use of caesarean sections: what empowerment for women?
CEPED- IRD internal seminar, 17.09.2020 “Quali-Dec, an intervention research project on the use of caesarean sections: what empowerment for women? “Presentation by Myriam DE LOEZIEN