In 2008 the International MotherBaby Childbirth Organization (IMBCO) launched the International MotherBaby Childbirth Initiative (IMBCI): 10 Steps to Optimal Maternity Care. In 2015 FIGO launched its own initiative, the FIGO Guidelines to Mother-Baby-Friendly Birthing Services. The similarities in these two initiatives led us to join forces to merge them into what is now called the International Childbirth Initiative: 12 Steps to Safe and Respectful MotherBaby-Family Maternity Care. To date the ICI has been endorsed by IMBCO, FIGO, WRA, ICM, IPA, Lamaze International, ICEA, DONA International, Mercy in Action, and the Bumi Sehat Foundation. Endorsements from WHO, UNICEF, and others are pending. This presentation describes the ICI, its history, and its Foundational Principles and 12 Steps, as well as our plans for dissemination and implementation of the ICI 12 Steps in birthing facilities worldwide.