[Pain management during labour--an informed choice].

The main mission of the Dutch practice guideline 'Pharmaceutical pain treatment during labour' is that during labour every woman should have adequate pain treatment at her request. The guideline rightfully addresses a reserve among physicians and midwives to offer pain treatment during labour. Not pain as such contributes to the sense of birth satisfaction, but far more not being in control, fear for the health of the baby, not having a voice in decision making, and a hospital delivery. A pregnant woman should be able to make an informed choice. Informed choice emphasizes the relational aspect of the midwife and the women, both actively participating in the decision-making process.