Keeping childbirth natural

Keeping Childbirth Natural & Dynamic (KCND)

Pathway for Normal Maternity Care

The Keeping Childbirth Natural and Dynamic (KCND) programme was developed to support the multi-professional team to implement the principles outlined in the Framework for Maternity Services in Scotland document. The pathway for normal maternity care was published by NHS QIS in March 2009 as a strand of the Scottish Government’s KCND programme.  

The KCND pathway was designed to facilitate ongoing risk assessment and to ensure evidence-based care by the appropriate professional for all women accessing maternity care across Scotland.  The ethos of the pathway is that pregnancy and childbirth are normal physiological processes and unnecessary intervention should be avoided.


Published Date: 12 May 2009


Healthcare Improvement Scotland took over the responsibilities of NHS Quality Improvement Scotland on 1st April 2011.