Childbirth is in recent years regarded as a complex phenomenon, not only as a biological fact but as a social and spatial process that interacts with the physical and symbolic environment in which it takes place. Through its social definition as a pathological event and its positioning in medical institutions, birth and reproduction have been placed under the jurisdiction of medical experts in most of the West in the 20th century. The medicalisation of birth, however, is being challenged actively in the last decades, both by birthing women and health professionals, while less interventionist methods of birth care are becoming more popular together with the creation of more intimate birthing territories. In Greece in particular, in this period of economic recession it is going through, maternity care practices, birth spaces and related conceptualisations of reproduction appear to be undergoing a transformation. The downgrading of medical services caused by the crisis seems to have affected the quality of maternity care. At the same time the universal medicalisation of childbirth is being questioned because of the high rates of interventions and their negative consequences on the health of mother and baby. Hence nowadays less interventionist alternatives have started to emerge, such as ʼnatural’ birth in the maternity hospitals or birth at home. Birth care practices, arrangements and uses of birthing spaces are undergoing changes too. Together with women’s new attitudes, these developments constitute a trend to redefine childbirth as a normal physiological event and mothers as active birth-givers. This essay aims to contribute to the discussion on the present and future of the maternity care system by presenting the interaction of space and maternity practices with new significations of birth and birth care in the maternity landscape of a provincial town in Greece.