Casteleiro A, et al. - Via a cross-sectional study carried out in a tertiary Hospital in Cantabria (Northern region of Spain) on the total number of hospital births that took place between January 1, 2014, and December 31, 2014, (n = 3,315), researchers ascertained the percentage of pregnant women who were potential candidates for a normal birth in the region of Cantabria, Spain and contrasted the main clinical practice outcome indicators and the rates of maternal and neonatal morbidity in the group of candidate women vs non-candidates. In total, 1,863 births were individuals for applying the approach of care for a normal birth. In 50.86% of these candidate births, an episiotomy was done, in comparison with 60.96% in the group of non-candidates. Relative of caesarean sections, these were done in 19.32% of the candidate births, vs 26.79% of non-candidate births. Moreover, statistically significant variations between the groups according to the type of birth, the requirement for instrumental birthing methods, the existence of perineal tears, Apgar scores and the need for the infant to be admitted to the neonatal intensive care unit was observed. Hence, a differential clinical practice, in line with the recommendations of the Clinical Practice Guidelines for Care of Normal Birth was concluded. However, enhancements are important regarding the care given to women and infants, as the percentages of episiotomies and caesarean sections are still great when contrasted with current standards and with other reports.