Objective: To describe the degree of adherence of the health personnel to the recommendations of the World Health Organization in the care of humanized delivery and birth in Medellín, Colombia.Methods: Descriptive crosssectional study, 256 deliveries attended in three institutions of third level in Medellín and Rionegro Antioquia (April -December 2016), were studied.Pregnant women who entered the stage of labor were included, data were obtained from direct observation and application of a checklist of WHO recommendations.For the analysis of the information, descriptive statistics and for the bivariate analysis Chi square test were applied.Results: The proportion of caesarean section was high 34.8 %; there was no completion of the partogram in 29.3 %; the privacy of women is