The American College of Obstetricians and Gynecologists (ACOG) recent committee opinion, “Approaches to Limit Intervention During Labor and Birth,” reflects a shift in thinking that holds promise for sweeping changes in maternity care. This editorial puts the document in the context of the history of evidence-based maternity care and highlights the approaches suggested by ACOG including the use of intermittent auscultation, no routine amniotomy, or intravenous, delayed hospital admission, and freedom of movement throughout labor and birth. “Approaches to Limit Intervention During Labor and Birth” signals winds of change in maternity care.