Birmingham Women's Hospital aspired to extend the choice of childbirth options available for women to include natural birth for all who met the clinical criteria. The development of a purpose-built midwifery-led birth centre prompted the authors to review the care they provided for women anticipating a normal birth. They were confident that the physical attributes of the birth centre, namely the provision of a homely, relaxing environment would support natural birth. However, they also acknowledged that environment alone would not guarantee that physiological birth would be protected, particularly bearing in mind the location of the birth centre within a large regional unit. The development of an Integrated Care Pathway (ICP) was an opportunity the authors embraced to assist with supporting natural birth. This article will describe the adoption of the care pathway model and discuss the planning and development process as well as reporting on progress so far.