Birth photography is a particularly raw and intimate form of art. To celebrate this work, the International Association of Professional Birth Photographers holds an annual contest with winners selected by a panel of judges, as well as members of the organisation around the world. 

The IAPBP recently announced the winners of its ninth annual Birth Photography Image Competition, which honours excellence in categories including Labour, Delivery, Postpartum, Birth Details and Fresh 48. 

“Winners were chosen on a point system and judged on technique, lighting, composition, emotional impact, creativity and storytelling,” says the competition’s website, adding, “While birth is beautiful, it is also messy and real.”

Scroll down to see this year’s judge-selected winners, as well as some members’ choice winners and honourable mentions. You can visit the IAPBP website to see all the entries. (Note: Some of these images may be considered NSFW.)