Saraswathi Vedam RM PhD FACNM Sci D
Dr. Vedam is Lead Investigator at the Birth Place Lab and Professor of Midwifery at University of British Columbia, a clinician scientist, educator, and mother to four daughters. Over the past 40 years her work has set standards for international policy on place of birth, midwifery integration, and equitable access to high quality perinatal care. Her scholarly work explores experiences of respect, discrimination, and mistreatment in perinatal services among people with historically oppressed identities, circumstances and backgrounds.
Dr. Vedam has coordinated several community participatory action research projects across North America. She was PI for the Canadian Birth Place Study that investigated the impact of provider attitudes on access to various birth environments. She convened a multi-stakeholder team for RESPCCT, a national CIHR-funded participatory action study (n6096) on the experience of perinatal care across Canada, with a focus on amplifying voices of communities that are seldom heard. Her team developed several new person-centred quality measures: including the My Autonomy in Decision Making (MADM) scale, the Mothers on Respect (MORi) index and the Mistreatment in Childbirth (MIST) index. In 2017 these accountability tools received the National Quality Forum Innovation Prize, and they are now are being applied in 64 countries to evaluate quality of care at the institutional, system, and country levels. Dr. Vedam leads the Justice and Equity in Perinatal Services Hub, one of 10 Pan-Canadian Women’s Health knowledge mobilization hubs.
Marta Parra Casado Architect
Marta Parra Casado is an Architect specialized in the humanization of healthcare environments, with a pioneering focus on the design of hospital maternity wards with over 15 years of experience transforming birth spaces through architectural strategies rooted in Person-Centered Design and Neuroarchitecture. She Graduated from the Polytechnic University of Madrid (1998), with certification in Universal Accessibility (COAM+ONCE).
Marta is a Co-founder, with Juan Manuel Herranz, of Virai Arquitectura (2001, a studio behind award-winning projects in Spain and Latin America, including the ALS Day Center in Madrid, the Birth Unit at Hospital Nuevo Belén (Madrid), the Obstetric Block at Hospital de Algeciras (Cádiz), and the Care Center for dependent elderly people in Meliana (Valencia). Marta is also a Co-founder of Parra Müller Arquitectura de Maternidades (2008–2024), a pioneering practice dedicated to the humanization of hospital birth environments. Marta also Authored of Arquitectura de Maternidades: entornos adecuados para partos seguros, in collaboration with Ángela Müller.
Marta received the Architect of the Year Award (CSCAE, 2018), IIDA Award (2017), and European Healthcare Architecture Congress Award (2022 and 2025). She is co-director of Architecture in the Master’s Program in Hospital Engineering and Architecture at the University of Cádiz. She is active in academic teaching, scientific committees, and public advocacy for architecture as a tool to improve care environments, with a focus on dissemination, research, and activism in respectful, inclusive, and evidence-based healthcare design, particularly in maternity care.
Architect Esben Bala Skouboe, PhD, from Studio Poesis, will deliver an inspiring talk on Transforming Birth through Architecture and Design, emphasizing the critical role of design and art in humanizing birth environments. Drawing from his own practice and research from Denmark, Dr. Skouboe will share diverse case studies, innovative methodologies, and design exemplars, showcasing how immersive and responsive architecture can enhance birth experiences and outcomes. The presentation highlights the power of transdisciplinary collaboration and creative thinking in reshaping healthcare spaces and practice. With poetic clarity, he invites attendees to envision a paradigm shift, where architecture harmonizes with human needs to foster sensorial and existential qualities, empowering spaces for one of life's most profound moments - birth.
Esben is an award-winning architect, designer, and researcher; his work has been exhibited, among other places, at the Architecture Biennale in Venice. He has experience in curating complex design projects in the healthcare sector and every week more than 100 children are born in his sensorial birth rooms in Denmark. He has a PhD in responsive environments from Aalborg University. Esbens has received +15 grants and his work has been published in international journals, books & conferences related to the domain of Art & Responsive Architectural Innovation. Esben's work has further contributed to art-exhibition in Denmark and he is the author of more than 20 scientific papers. Esben has worked with healthcare design since 2015 and is the recipient of the Parckness Foundation Architecture Prize for his innovative approach to architecture and design.
In considering the potential architectural value and meaning of light (natural and artificial) in birth and birth experience, one comes to understand that key concepts and elements of birth space are missing from the repertoire of medical birth spaces, which dominate the maternity care landscape across the globe. Light is more than a mechanical system - it is part of our deepest psyche and most fundamental physical being, and connects us to time, place and the emotional resonances of our surroundings. Phenomenology and ecological psychology are of interest as we consider how aspects of light-colour-darkness play an influential role in the places we create for birth.
Doreen Balabanoff is a Professor Emerita at OCAD University, where she taught and served as an administrator in the Faculty of Design for many years. She holds a Masters of Architecture (UCLA 1985) and a PhD in Architecture, (University College Dublin 2017). Her art and architectural seeks to engage with phenomenological spatial experience. Her practice-based PhD focused on reimagining the birth environment, with emphasis on the role of light (light-colour-darkness) in enhancement of birth experience and support for physiological birth. She has written several book chapters related to her doctoral work on birth environment design, is a co-founder of the Global Birth Environment Design Network (GBEDN) and leader of the SSHRC-funded Partnership project Transformational Change for Birth Environment Design, of which this conference is a culminating event.
The presentation discusses the Birthing on Country (BOC) movement in Australia, developed over many years as a crucial and positive step towards regaining health and wellbeing for Aboriginal communities across Australia. Senior Midwife Melanie Briggs will share the story of the Waminda Birth Centre, developing through community consultation and government funding and how it plays a strong role in the BOC movement. Birthing on Country has been described as an international movement with the overarching aim of returning birthing services to Indigenous communities and Indigenous control, enabling a healthy start to life. It is a continuation of thousands of years of knowledge and practice, which provides holistic maternal, child, and family health care, and embeds cultural integrity and safety during pregnancy, labour, birth, and postnatal care. The key focus is to provide tailored, strength-based care.
Childbirth is a transformative experience, and recent studies suggest that birthing women enter a unique altered state of consciousness (ASC) during physiological birth (“birthing consciousness”). In research on ASC during psychedelic experiences, the set & setting theory explains how the same substance can lead to a positive and life-changing experience or a traumatic and frightening experience, depending on the mindset of an individual entering the experience (set) and the surroundings in which the experience happens (setting). I analyse typical modern birthing experiences in terms of set & setting theory and argue that it explains many psychological and physiological elements of the human birth process. Moreover, framing and characterizing the birth environment and birth preparations in terms of set & setting is a vital tool to design, navigate, and promote physiological births and subjective positive birthing experiences; both are currently an unreached goal in modern obstetrics.
Dr. Orli Dahan is Head of the Multidisciplinary Studies Department at Tel-Hai College in Israel and a philosopher of science specializing in consciousness and childbirth. She coined the term birthing consciousness to describe the hormonally and environmentally modulated altered state often experienced during physiological birth – an experience she links to neurophenomenological shifts such as hypofrontality, enabling deep immersion, pain transcendence, and an altered sense of time and self. Her research combines theoretical and empirical approaches, and she collaborates closely with psychologists, midwives, physicians, and gender studies scholars. Dahan’s current studies explore how physical and social birthing environments shape these altered states of consciousness, and how such experiences may influence postpartum well-being. Her work contributes to broader efforts to humanize childbirth and to bring interdisciplinary perspectives – philosophical, scientific, and feminist – into maternity care research and practice.
Anka Dür, architect and midwife, explores how spatial design and materiality influence the nervous system—and, in turn, the physiology of birth. She will present Room for Birth and Senses, a prototype built of earthen materials to support natural birth processes, sensory regulation, and a spiritually connected experience of birth. Dür will also share her Master’s thesis, a rammed-earth birth centre, and reflect on how her dual professions inform each other in practice. Drawing on global case study research with the GBEDN, she will offer insights from exemplary community-driven, midwifery-led projects in Central America and Mexico, including her ongoing collaboration with Indigenous Mayan midwives on the construction of a birth center in rural Guatemala. She will further introduce a modular prototype for a salutogenic birth room, developed with an architect colleague, and present aspects of her PhD research at RMIT. Her work examines the integration of architectural design and care practices to foster dignified, safe, and life-affirming birth environments.
Anka Dür is an Austrian architect and midwife whose work explores the intersection of architecture and birth. She studied architecture at ETH Zurich, TU Berlin, and the University of Innsbruck. In 2016, she co-founded the activist group Birth Culture a–z, advocating for better birth practices. Her design projects, including her Room for Birth and Senses, combine sustainable materials and sensory experiences to create empowering birth spaces. Duer has curated exhibitions, lectured at TU Wien, and after qualifying as a midwife in 2022, now bridges both professions in her own studio practice. Since 2022, she has been a research consultant for the Global Birth Environment Design Network (GBEDN), contributing significantly to the research presented at this event. She is currently pursuing a PhD at RMIT and was featured as a protagonist in In Your Hands (2023).
Tarasana is a natural birth center located deep in the jungle of Yelapa. Its purpose is to honor birth through sensitive, emotional, and spiritual architecture, restoring the body’s central role and highlighting nature’s influence in human development. It recognizes that birth space is not neutral. Architecture, as spatial organization, also shapes consciousness. This project responds to the alienation created by modern functionalism, which reduces life to profit and efficiency. Each design decision—organic form, natural light, connection to jungle and mountains—aims to create an environment that respects the body’s physiology, the moment’s intimacy, and the bond with surroundings. Tarasana asserts that conscious architecture holds the power to transform not only space, but also foundational experiences that shape individuals and societies.
MAstudio (Alberto Esponda, Mayra Flores, and Marcial Romero) has a unique approach to architecture deeply influenced by its origins in carpentry, which allows them to integrate practical building knowledge into their architectural practice. They actively participate in construction alongside workers. Their design philosophy is rooted in the local context, guided by the spirit of the site or genius loci. They prioritise using local materials and collaboration with local artisans, creating architecture that is authentic, contextually appropriate, and reflective of the unique characteristics of the locale. The Tarasana centre, designed to afford diverse community events and programming, provides the model of a community centre with family, maternal and infant health at its core. The voices and visions of architects are needed to consider how birth spaces might find form, materiality and connection to place as aspects of a paradigm shift for birth.
The presentation will share Dr. Foureur's knowledge on birth culture, birth physiology, the neurohormonal birth processes, Birth Territory Theory, the Birth Unit Design Spatial Evaluation Tool (BUDSET) and the Emotional Design Brief developed for Australian hospitals. The key discussion will be about the implications and opportunities that neuroarchitecture presents, to show the way to better birth environment design.
Maralyn is Honorary Professor of Midwifery at the College of Health, Medicine and Wellbeing, School of Nursing and Midwifery at the University of Newcastle in New South Wales, Australia. She is also Honorary Professor of Midwifery at the Centre for Midwifery, Child and Family Health at the University of Technology Sydney. She has published over 150 journal articles, multiple book chapters, and an edited book called Birth Territory and Midwifery Guardianship. Maralyn has been a midwifery clinician, academic, and researcher for three decades, working in Australia, New Zealand, and Denmark. Her PhD was one of the earliest randomised controlled trials of continuity of midwifery care conducted in Australia. It is now part of the Cochrane Systematic Review on midwife-led models of care, demonstrating conclusively that mothers and babies benefit if they have opportunities to get to know their midwife caregivers. For the past five years, Maralyn’s research has focused on the impact of the birth environment on the neurophysiology of labouring and birthing women, and on their supporters and care providers.
Davis Harte's doctoral study, The Childbirth Supporter Study (CSS): A video-ethnographic examination of the physical birth unit environment, investigated how the design of birth environments affects the ability of support people to provide meaningful care during labor. Using video-ethnographic methods, this research highlights the overlooked needs of supporters—those offering physical, emotional, and cognitive aid to birthing women. Findings reveal that while design guidelines increasingly acknowledge supporters, most spaces remain inadequately equipped to meet their dual needs: to support the woman and to manage their own physical and emotional demands. Design imperatives emerging from the study include spacious, flexible layouts; discrete storage and equipment; personalization options; rest areas; accessible nourishment; and visual cues promoting active, physiological birth. CSS contributes to a growing field of trauma-informed, human-centered birth design and builds on a research program spanning over a decade. This study calls for inclusive environments that recognize supporters as integral to safe, satisfying birth experiences.
J. Davis Harte is Director and Faculty within the Design for Human Health Master’s program at Boston Architectural College. Dr. Harte is a WELL AP, and an educator, advocate, practitioner, and speaker who bridges trauma-informed spaces, children’s places, and birth environments with brain, neuroscientific, and environmental psychology knowledge. Davis holds a PhD in Health from the University of Technology Sydney, Australia, and a MSc in Design for Human Environments (Interiors focus) from Oregon State University. She co-leads the Global Birth Environment Design Network.
Hynan will discuss her doctoral work, a feminist social art practice-with-research project that sits at the intersection of reproductive justice, posthumanities, new materialism, and feminist environmental humanities – engaging with the complex geopolitical and transcorporeal implications of the rupture of birth from place, particularly rural places and communities. The focus is on our changing relationship with birth concerning memory, place, and matter. The work is concentrated on County Clare, Ireland, where Hynan has conducted multi-generational interviews informing the direction of the thesis. The presentation will offer insights from her deepening interest in the implications of environmental humanities – concerns and implications for a place-based ethics of maternity care.
Martina is an interdisciplinary artist, curator, and researcher based in Ennis, County Clare, Ireland, who recently completed her PhD at Galway University's Centre for Irish Studies. Her background is in visual culture, women’s studies, and birth activism. Hynan's doctoral research focused on the entanglements of birth experience with place, exploring how, particularly in rural Ireland, the transition from home to hospital birth has affected the experience of both childbirth and place of birth. Hynan has been an activist concerning injustices and dilemmas in the birth sphere for many years, and has exhibited, published, and presented work about birth. In 2013, she co-developed a symposium entitled Reimagining Birth at the Humanities Institute, University College Dublin, inviting presentations addressing how childbirth has been portrayed/represented/imagined in the worlds of art and medicine, and asking what these images tell us about our cultural relationship with birth.
The increasing gap in postnatal care (PNC) coverage has prompted initiatives to improve maternal health and well-being, recognising the role of positive postnatal experiences for mothers, which will likely require enhanced transition spaces for new mothers and babies in the first few days after birth. The benefits of transition spaces may extend beyond addressing reduced postnatal hospital stays by contributing to physical restoration of mothers, learning about care for infants' needs, and accommodation of families. Building on the links between physical environments and well-being, transition spaces – including primary health care centres (PHCCs) at the community level – can contribute to delivering high-quality postnatal care to women and babies. Through evidence from two Nigerian hospitals, the presentation discusses how PHCCs can be improved to provide sensitive and supportive transition spaces for Nigerian women, as the postnatal care period is critical for the health and well-being of mothers in developing countries. The discussion highlights Nigerian women's and families' needs and desires, cultural differences between low-income and high-income settings, and priorities for future research and practice-based knowledge creation and knowledge sharing in Africa.
Lateef Ademola Lawal is an architect, researcher, and university lecturer whose work focuses on the rapidly expanding field of healthcare architecture, particularly the birth environment. Lateef’s research navigates the boundaries between the biomedical hospital environment, humanised architecture, and wellbeing. His work addresses pressing challenges: transforming and optimising birth and postnatal environments in an era of birth medicalisation. Lateef is contributing his voice, along with other international networks of researchers and designers, to offer an enduring solution: creating better birth environment design and models, as well as inspiring postnatal spaces that not only consider birth as a healthy event but also support women’s needs and their emotional wellbeing throughout the birth phases. Lateef received his PhD from Victoria University of Wellington in Aotearoa, New Zealand, and previously worked with several architectural firms in Nigeria. His research interests include sensitive architecture for birth environments, biophilic design, and wellbeing.
As part of the prototyping process for a multisensory niche in birth spaces, an experimental evaluation pathway is being developed with user collaboration. This pathway identifies key aspects of empathetic design in birth environments and introduces innovative assessment methods. It raises questions about whether such design can support childbirth physiology by creating sensory-stimulating environments during labor and delivery, activating user embodiment in relation to their surroundings, and encouraging salutogenic behaviors. Additionally, it explores whether these goals can be achieved through co-design pathways aimed at enhancing the sensory quality of existing birth spaces.
Alessia Macchi, PhD in Architecture, has been a research consultant with the Global Birth Environment Design Network (GBEDN) since 2018. She earned her Master's Degree in Architecture from the University of Florence in 2010 and served as a teaching assistant in the Environmental Design Lab from 2011 to 2016. After spending seven years as a research fellow at the University of Florence, she completed her PhD in 2022 with a thesis titled "EmBracE: Embodied Birth Environment." Macchi's research emphasizes co-creation and participatory processes, engaging both experts and users, to foster social and technological innovation. Her work focuses on a sensory-perceptive integrated design approach aimed at enhancing supportive birth environments.
Birth, a subject central to human experience, historically remains at the periphery of architectural discourse. Despite extensive academic research emphasising the need for women-centred and ‘homelike’ (private, familiar, and safe) birth environments, architects still have limited access to supporting positive global precedent. Supported by a Byera Hadley Travelling Scholarship funded by the NSW Architects Registration Board, Grace McLean builds on the existing body of research, aiming to bridge the gap between theory and architectural implementation. Her qualitative research, Birthspace Rebirth, draws on insights and observations gained from touring twelve exemplary international case studies and the discussions with the diverse disciplines involved. Linking theory to practice, McLean’s report illustrates and exemplifies thoughtfully conceived architectural responses to recurring research themes. In doing so, the work is collating missing precedents and offering architects both a benchmark and inspiration for transformative, woman-centered birth space design.
Growing up as a daughter of a midwife, Grace has been immersed in a lifelong conversation about birth. Reinforcing early beliefs in the environment’s active role in birth outcomes, she worked as part of the architect team alongside Maralyn Foureur on Singleton Hospital Birthing Suites, using an 'emotional design brief' developed by Foureur. Continuing this passion, Grace completed a Master of Architecture thesis at the University of Newcastle on birth environment design in Australia’s rural and regional contexts. Wambuul Birthplace was nominated for the AIA NSW Graduate Award, ARB NSW Medallion, and received the AIA NSW Architectural Communication Commendation and UoN Graduate of the Year Award. In 2024, she was awarded the Byera Hadley Travelling Scholarship (NSW Architects Registration Board) to explore world-leading approaches to birth environment design. Today, Grace continues her research and advocacy for birth-centred design and is an active committee member of the Australian Health Design Council, supporting emerging voices in the future of health architecture.
This presentation focuses on the impact of the environment on childbirth, first outlining the current state of maternity care and outcomes in high-income countries, before focusing in on main historical and social influences on place of birth. Placing birth physiology into the context of birth philosophy within the broader overview of humanising birth, its relevance to designers of birth spaces will be discussed, with reference to current key research findings.
Dr. Elizabeth Newnham is Associate Professor of Midwifery at Flinders University and Fellow of the Australian College of Midwives. For 25 years, her clinical practice, teaching and research has focused on seeking social justice solutions for humanising birth, through the development of four research streams: ethics, technology, environment and practice. She has published widely in these areas and been an invited speaker at events in Europe, the US, the UK and Australia. Research findings have been translated into policy and practice changes, and cited in international policy. She is a founding member of the Global Birth Environment Design Network.
Preterm labor remains a major cause of perinatal morbidity and neonatal mortality, and yet there has been little progress for decades in understanding the processes initiating human labor (term or preterm). Dr. Olcese will share his research on Melatonin, which is secreted nocturnally under circadian clock control. His findings have shown that Melatonin acts synergistically with oxytocin to promote the onset and continuation of labour contractions. He will discuss his development of a device to keep contractions from starting. It relies on blue light to shut down melatonin production. The implications of bright light and blue light in the design of birth spaces have not been studied, but bringing this information to the discourse is important for salutogenic birth practices, as light is now implicated as a potential environmental disruptor of labour contractions.
Dr. Olcese is a Professor Emeritus at Florida State University College of Medicine, and a leading authority on the neuroendocrine system and the circadian clock. His work is focused on the onset of labour, and the role melatonin receptors play in triggering and sustaining labour contractions. Dr. Olcese has received many Innovator Awards from FSU for his biomedical research, which has resulted in three patents. His current research focuses on the circadian timing of human parturition and novel strategies for mitigating preterm labor. In a second line of research, Dr. Olcese studies the mechanisms through which the brain hormone melatonin preserves cognitive function in a transgenic mouse model of Alzheimer’s disease (AD). The latter studies have led to early clinical trials on melatonin and sleep as neuroprotective tools to lower the risk and rate of progression of pre-dementia and AD. It is his strong belief that basic research should serve not only to advance our knowledge of the world, but to also provide the insights and technologies to help humanity live healthy and meaningful lives.
This presentation will explore the complexities of childbirth and maternity care for Indigenous families across Turtle Island, drawing from Dr. Olson’s doctoral research and ongoing work. Rooted in Indigenous knowledges and experiences, the presentation will examine how settler colonial policies and systems – such as birth evacuation, forced sterilization, and the over-surveillance of Indigenous parents – have disrupted relationships to land, body, and birth. These systems continue to shape access to safe, respectful, and culturally grounded care today. Dr. Olson will also share findings from the RESPCCT study (Research Examining the Stories of Pregnancy and Childbearing in Canada Today), which amplifies the voices of over 300 Indigenous respondents across the country. Through their stories, we hear about the harms of institutional racism, medical coercion, and systemic barriers, as well as the powerful role of culture, ceremony, midwifery, and community care in supporting Indigenous birthing people. Together, these insights call for a reimagining of perinatal care that centres Indigenous knowledges and self determination.
Rachel is a citizen of the Tr’ondek Hwech’in First Nation from the Yukon. She has been a researcher in First Nation communities since 1998, working on various projects from oral history, traditional land use and natural resource management, to First Nations health issues. She has a Master of Research in Social Anthropology from the University of Aberdeen, Scotland. In 2013, Rachel completed a PhD in Social Anthropology from the University of Sussex, looking at the politics of midwifery care and childbirth in Manitoba First Nations communities.
Rachel has worked as a consultant for the LINKS program at UNESCO and at the National Aboriginal Health Organization on their maternal care file. She works closely with the National Aboriginal Council of Midwives as a researcher and writer for their Aboriginal Health and Human Resource Initiative projects. Currently, Rachel is the President and founding director of Firelight, an Indigenous owned consulting company.
Better Birth Design Founder and Principal Deb Polzin-Rosenberg shares findings from recent research on the design of public maternal health infrastructure in sub-Saharan Africa (supported by Ariadne Labs, AIA NY and the U.S. Fulbright Scholarship). The presentation is focused on (1) learnings from a multidisciplinary literature review of global obstetric design standards; (2) explorations from a study of birth, cultural and the built environment in Mozambique, Malawi, Ethiopia and Botswana; and (3) low-cost/high-impact design strategies co-developed with local stakeholders in Botswana’s public maternal health system, including obstetricians, midwives, nurses, architects, and administrators. The session will share key insights, design tools, and collaborative models that can inform maternal health infrastructure improvements in low-resource settings globally.
Deb Polzin-Rosenberg, RN, MArch, RA, AIA, Principal + Founder, Better Birth Design is a nurse and architect dedicated to improving the design of birthing spaces worldwide, and founder of Better Birth Design. She studied architecture at RISD, where she received a grant to compare birth facility design in the U.S., U.K., and the Netherlands. From 2015–2018, she worked with MASS Design Group, contributing her clinical perspective to global health design projects and research on how childbirth facility design impacts outcomes. Based in Rwanda from 2016–2018, she focused on maternity systems across Africa. Since moving to Botswana in 2022, she has partnered locally to improve maternal health infrastructure in Sub-Saharan Africa, conducting research supported by Ariadne Labs and the AIA’s LeBrun Travel Grant. As a 2024-2025 U.S. Fulbright Scholar in Botswana, she worked on developing evidence-based design guidelines for childbirth facilities in low-resource settings.
The presentation focuses on Espinoza Sanhueza's dissertation on the potential benefits of biophilic design approaches to lighting and colour, to improve the indoor conditions of northern architecture. Incorporating lighting and surface colour in northern buildings can aid comfort and environmental satisfaction while proportioning the proper light dose for humans’ biological processes. The presentation discusses the new methods of measurement for interior surface and ambient light and colour developed in the architectural thesis. These methods can aid in residential, public as well as healthcare facilities, to propose standards or offer guidelines that consider/discuss mind/body/environment interconnectedness. The research shows that distinct attributes of light and colour can potentially evoke different emotions in occupants, which influence their health and wellbeing.
Carolina Belen Espinoza Sanhueza completed her PhD in Architecture at Laval University (2024) and is currently seeking a postdoc position. Her doctoral thesis used a biophilic lens to focus on the study of light and colour design in interiors for visual performance and circadian stimulation in extreme locations, specifically Arctic communities. Developing methods and models to describe and predict emotions that light and colour evoke, she brings a sensitive approach to architectural research grounded in perceptual sciences and technology. Since the neurohormones of birth are impacted by light and colour, ambience and atmosphere, this work is valuable for birth environment design research and practice.
Dr. Setola will address the topic of birth space design through research carried out at the University of Florence in Italy. The research is aimed at investigating the physical characteristics of space and their influence on people’s behaviours, experiences, practices, and birth health outcomes. The configuration of spaces, i.e., how spaces are organised and connected to each other in birth areas, is of particular importance for a positive experience by women, supporters, and staff. The presentation will also illustrate how the results of the research can influence the design of the architecture of birth spaces through some experiences carried out in collaboration with Italian Health Care Trusts.
Nicoletta Setola is Associate Professor at the Department of Architecture University of Florence. She is a member of TESIS Centre “Systems and Technologies for Healthcare and Social Facilities” and the European Network of Architecture for Health (ENAH). Her research focuses on the topic of socio-healthcare building, particularly on birth environment, public spaces in hospitals, and primary care facilities. She is an expert in methodology and tools for spatial configuration analysis, related to how the flow of people in healthcare buildings can favour users’ rights. In 2018 she contributed as an expert to the drafting of the update of the European Midwifery Unit standards (2018), in the & Environment and Facilities section. She is working on the impact of maternity spaces on people‘s health and behaviors, with action research to support the NHS local Trusts in realizing new Birth Centres in Italy and with a maternity research project with the University of Notre Dame, USA, in Kenya. She is co-founder of the Global Birth Environment Design Network (GBEDN).
Studies have shown that birthing persons from historically underrepresented communities (HUCs) endure much higher rates of morbidity, mortality, and poor birth experiences. Creating change requires understanding the implications of the designed environment for culturally aware, open-minded, and patient-focused care that is responsive to the attitudes, beliefs and circumstances of birthing persons from diverse cultures. This presentation shares findings from a mixed-methods study exploring midwife-led free-standing birth center (FSBC) physical environments of HUCs – to understand the role of these environments in the culturally sensitive childbirth experiences and outcomes for birthing persons at these care centres. The study utilized surveys and semi-structured interviews with birthing staff and birthing persons from these communities, as well as their support persons, to conduct an in-depth multiple-case-study analysis of four FSBCs serving HUCs. The findings show how the physical environment – at community, facility, and room levels – can support eleven care quality themes that can contribute to culturally sensitive maternal care experiences for HUCs.
Devi Soman is a Post-doctoral Fellow at the School of Architecture, Clemson University. She recently completed her Ph.D. in the Design and Built Environment program at Clemson University. She has worked as an architect in India, with a focus on healthcare design, since completing undergraduate (2010) and graduate (2012) programs at I.E.S. College of Architecture, Mumbai. In 2020, she acquired the EDAC certification from the Centre for Health Design. Soman's interest in culturally sensitive and inclusive healthcare design for historically underrepresented populations continues to propel her journey within the academic realm, for which she recently received the 2024 Vera S. Paster Award from the Global Alliance for Behavioral Health and Social Justice. Her dissertation research explored culturally sensitive maternal care environments. and has been supported by the 2023 American Association of Birth Centers (AABC) Research grant, and the Center for Health Design's 2023 Joseph G. Sprague New Investigator Award.
Dr. Moshe Szyf will discuss how genes are programmed during development. His research has showed that this programming is not “fixed” but could be modulated by environmental cues, particularly early life environments. In particular some of his most cited studies look at the human mother/infant relationship in the first days after birth, with significant implications about longer-term health and wellbeing of the offspring. Related studies with rats have shown that transmission of patterns continues down the generations. Birth environments have a crucial role to play in practices and opportunities for relations between mothers and their infants, partners/supporters, and caregivers. Questions abound about birth trauma as a rising trend across the globe. Awareness of epigenetic research is important to birth environment design/designers and all involved in birth.
Szyf is a retired professor of Pharmacology who held a Glaxo Smith Kline and James McGill Chair in Pharmacology at McGill University in Montreal Canada, He is a Fellow of the Royal Society of Canada and the Canadian Academy of Health Sciences. Szyf has pioneered research in DNA methylation for the last four decades and published more than 330 papers on the biological role of DNA methylation that span a broad spectrum from basic mechanisms to cancer diagnostics and therapeutics, as well as behavior, chronic pain, and addiction. Szyf pioneered epigenetic pharmacology in cancer as well as in the field of behavioral epigenetics. Szyf studies provide a molecular link between environment and genes and between nurture and nature, and they have had a wide impact on the social sciences and psychiatry.