This results from aortocaval compression by the gravid uterus (RCM 2012). However, the position benefits the skilled birth attendant when providing care to the woman. Hence facilitate easy carrying out intervention to the woman such as insertion of the catheter, giving epidural analgesia to relieve pain or when checking foetal heart rate using an internal fetal monitor in cases likes non-reassuring foetal heart rate whereby there is foetal bradycardia or foetal tachycardia (Mary Steen and Jo ANKER 2008). Upright position The upright position which is mostly emphasized by most authors to be adapted by laboring women has more advantages to the woman, foetus, and labor. The women who adopted upright position during labour reported to experience less pain and felt more comfortable had short first and second stage of labour. The gravity when a woman adopts upright position facilitates the quicker progress of labour. Women who assumed upright position during delivery were reported to have lesser assisted vaginal deliveries or caesarean section, were less likely get ascending infections and it has good fetal outcome facilitated by good oxygen supply as the mother will be free from aortocaval compression (Mary Steen and Jo Anker, 2008; Munro & Macdonald, 2010) Despite the fact that upright position is beneficial compared to lithotomy position, it has some disadvantages like causing labia tear due increased gravity of the coming baby 's head. It is also associated with increased
Giving birth to a baby is the most amazing and miraculous experiences for parents and their loved ones. Every woman’s birth story is different and full of joy. Furthermore, the process from the moment a woman knows that she’s pregnant to being in the delivering room is very critical to both her and the newborn baby. Prenatal care is extremely important and it can impact greatly the quality of life of the baby. In this paper, the topic of giving birth will be discussed thoroughly by describing the stories of two mothers who gave birth in different decades and see how their prenatal cares are different from each other with correlation of the advancement of modern medicine between four decades.
The National Institute for Health and Clinical Excellence (NICE, 2007) Intrapartum guidelines state that during the first stage of labour women should be encouraged to adopt the position they feel most comfortable in. This is what the student was trying to encourage even though her mentor did not.There are various positions the woman can adopt in labour which are generally grouped into upright and recumbent. The positions classed as upright are; standing, walking, kneeling, squatting, on all fours and sitting, and the recumbent position could include; supine, lithotomy, semi-recumbent or side lying (Johnson and Taylor, 2011). The upright position appeared to be more beneficial in Sarah’s case and the author wants to determine if this is always the case. It is evident that sometimes there will be constraints such as continuous fetal monitoring but it is important that the midwife does
The purpose of this to explore the published research to critically analyse the evidence around the topic of perineal massage in the intrapartum period, and why it is important for midwives to use evidence based practice in order to provide the best possible care.
The author is a nurse in a level two trauma facility in a community of approximately fifty thousand people in Oregon. The community is a college-town surrounded by a large agricultural area. There is a minimal ethnic diversity within the community. The diversity present occurs mainly from internationally students and faculty from the college. There is a growing population of women who desire low interventional births in the community. The author has worked on the labor and delivery unit of the hospital for the last 14 years. The hospital is the only one in the area to offer trial of labor services to women who have previously undergone a cesarean section. The unit on average experiences around 1000 deliveries annually.
physics of birth; moving from sitting and squatting, which was used historically by midwives and
While we were doing our assessment I noticed that Ms. K.R. had been lying on her back for some time. During moms contractions the fetal heart monitor displayed variable decelerations and a slight deviation from the baseline heart tones. Once contractions subsided the fetal heart rate recovered to
The evolution to bipedalism resulted in the narrowing of the pelvis. This narrowing was necessary for locomotion, but it increased the difficulty of childbirth for women. In other primates, birth is relatively easy. Babies come through a straight birth canal and are born facing their mothers. The mother can pull the baby out during birth without causing injury to spine of the baby. The human female pelvis is now smaller and babies are forced to be born facing away from the mother. Assistance is needed during birth to prevent injury to the baby's spine. The birth canal is curved and there is barely enough room for the passing of the head and shoulders. (Ackerman).
Over the years birthing methods have changed a great deal. When technology wasn’t so advanced there was only one method of giving birth, vaginally non-medicated. However, in today’s society there are now more than one method of giving birth. In fact, there are three methods: Non-medicated vaginal delivery, medicated vaginal delivery and cesarean delivery, also known as c-section. In the cesarean delivery there is not much to prepare for before the operation, except maybe the procedure of the operation. A few things that will be discussed are: the process of cesarean delivery, reasons for this birthing method and a few reasons for why this birthing method is used. Also a question that many women have is whether or not they can vaginally
A commonly known procedure when it comes to hospital births are epidurals. An epidural is an injection of a drug between the “epidural space” which causes
The authors have done a thorough literature review and presented their findings by starting out with some important statistics about typical supportive care during the birth process, and elaborating on the last 50 years of research done on the types of pushing efforts and how they related to the outcomes of the births. It reflects on the role of midwives as being supportive of spontaneous pushing by the mother and the positive outcomes for those women and children. They did report on a recent meta-analysis which supported the use of spontaneous pushing and only recommended directed pushing in certain hazardous situations. The authors’ review of the current literature affirms their claim that there have been no studies done to analyze the role
The implementation of this routine tradition has been linked to a lack of education of the nurses of the various benefits of upright birthing positions and thus deficient knowledge of the mothers on their different options for positioning during delivery. Furthermore, research has determined that upright positions for delivery, such as squatting and sitting, yield more positive outcomes physically and psychologically for the mother and the baby than gravity-neutral supine positions. Nurses and other obstetric medical professionals are reluctant to “change their ways” of practice because of barriers to obtaining such knowledge related to their scope of practice. It is the job of the nursing managers on the unit to educate their floor nurses on the benefits of upright delivery positions and the more detrimental effects of supine delivery positions so their patients can have full knowledge and control of the birthing process when deciding on a birthing position as to achieve the most optimal delivery experience as possible.
Providing continuous physical and emotional support during labour can reducing maternal fear, stress, and anxiety and protect physiological birth (Steen, 2012). Research shows that fear and anxiety during labour and birth can be detrimental to physiological birth. An environment that women feel unsafe in may stimulate a surge of neuro-hormones that can influence both fetal and maternal physiology, causing irregularity of contractions, fetal distress and subsequent medical inteverntions (Fahy & Parratt, 2006). Conversly, maintaining an environment where women feel safe, protected and supported can facilitate favourable physiological performance (Fahy & Parratt, 2006). Midwives can do this by giving women one-on-one continuous support and placing her at the centre of care throughout childbirth (Steen, 2012). As observed in practice, by constantly reassuring the woman about her progress, her baby’s health and addressing any of her concerns, the midwife can provide a calm and relaxing environment that is conducive to the labouring woman (Buckley, 2015; Steen, 2012). The midwife worked with the woman, encouraging her throughout labour and birth by telling her that she was doing extremely well. The midwife also breathed in-tune with the woman while giving her a back massage, inducing a sense of comfort. The atmosphere was calm and this contributed to the woman garnering confidence in her ability to avoid medical pain relief. Downe (2008) noted that the positive impact of
The nurse must be mindful of each intervention initiated and the possible benefits of the intervention against its potential harmful effects for both mother and fetus. Not providing basic comfort measures for the mother can cause serious physical and emotional problems and could lead to possible fatigue and feelings of failure from the mother. The priority of this nursing intervention is to provide the mother and fetus with the least discomfort as possible and
Hands on or hands off the perineum: a survey of care of the perineum in labour (HOOPS) (Trochez, Waterfield and Freeman, 2011).
monitor fetal heartbeat. In the first stage of labor , the neck of the uterus,