Critique of Borders et al.’s Study (2013) “Midwives’ Verbal Support of Nulliparous Women in Second-Stage Labor” Title The title of this article was succinct and specific, including the phenomenon under study (verbal support in second-stage labor) and the population (nulliparous women). Although the title seems to imply that the study is qualitative in nature, it does not overtly state this, and for some readers, it may be helpful to point that out. Also, the term “nulliparous” is not a word used often in the general vocabulary of everyday people, and warrants the use of a dictionary for most people to determine which type of women were included in the study. It may have also been more beneficial to mention the additional comparison of …show more content…
Research Questions Although the authors do not come right out and say it, the study focuses on a single question they quote within the introduction which states, “If there is no good reason in theory or in practice for hurrying the second stage of labor, why has the habit been prevalent for so long and why does it still exist? (p. 311)”. This appears to be the driving question behind the entire study and is only apparent once the reader has read the discussion section of the article. Literature Review 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
It relies on persuasive tactics to ensure compliance. Being medical-based, it aims to reduce morbidity and reduce premature mortality and is conceptualised around the absence of disease. As midwives do not regard pregnancy and child-birth as states of ill-health, its validity in midwifery care must be questioned (Dunkley, 2000a). The benefits of breastfeeding are well-documented (Appendix Two), however difficulties arise in making this information relevant and personal to each woman. Often, simply giving women ‘information’ makes little difference to them (Dunkley, 2000b).
A labor and delivery nurse is a nurse who cares for woman and newborns during antepartum, intraparetum, postpartum, and neonatal stages of birth. These nurses take vital signs to make sure the mother and her newborn are healthy. Labor and delivery nurses aren’t there for the medicine they are also there to provide support for the mother and the family. I would like to become a labor and delivery nurse because I love helping and taking care of others, especially when it comes to babies, I have always been interested in how the human reproduction systems works, and I love seeing others happy.
This essay demonstrates significant factors, a midwife and the women may face within Australian public hospitals. As a midwife the key skills are understanding of what supports and impacts the normal physiological process of labour and birth. This essay will discuss two influencing factors that have a negative effect on the normal progress of labour and birth. This will be seen, firstly by discussing the cultural and environmental impacts of labour and birth. Then, examining how the midwife may best support and facilitate the adverse effects of normal physiological process. This essay also discusses a positive labour and birth environment within the Australian standard model of care.
Robin Yates’s paper, “Pregnancy and Childbirth, The 1800’s vs. Now: What to Expect When You’re Not Expecting,” was filled with many clear points on the advancement of labor and medicine since the 1800s. This essay was filled with interesting and grabbing facts; however, the structure of the essay needs more support.
When Sarah was out of the bed and standing her whole attitude changed, she was more comfortable and relaxed. Sarah went on to give birth on her hands and knees, there were no complications and the perineum was intact. The student felt that through the use of different positions, listening and observing, she had empowered Sarah to have a normal birth. The two specific topics the author will analyse are positions in labour and the role the midwife plays in facilitating choice.
Childbirth is one of the greatest privileges on the earth anyone could have and we, as women, should feel proud to be major contributors for it. Thus, a mother has to play a key role in aiding the healthcare workers to mitigate the health crisis associated with childbirth by performing her duties faithfully. One such associated health crisis is “Premature (preterm) birth” which occurs when the baby is born too early, before 37 weeks of gestational period (CDC, 2015). The rate of preterm birth ranges from 5% to 18% of babies born across 184 countries (WHO, 2015).
The assignment will be written in the style of the British Journal of Midwifery (BJM), the abstract is incorporated into this introduction and Harvard 2014 will be used for the referencing style.
For hundred of years, women have wrestled with their womanhood, bodies, and what it means to be a woman in our society. Being a woman comes with a wonderful and empowering responsibility--giving birth. What sets us aside from other countries is that the process and expectations of giving birth has changed in our society; coming from midwifery, as it has always been since the early times, to hospitals where it is now expected to give birth at. Midwifery was a common practice in delivering babies in
The conclusion was ultimately reached that medical or elective induction of term women was associated with an increased risk of cesarean delivery and that estimate was determined heavily based on the Bishop Scores attained The study closes by advising that induction of labor, whether it is medical or electively induced, should be avoided because a low Bishop score means that the cervix is unripe and even with cervical ripening agents, the study showed that the risk of cesarean delivery for nulliparous women remained unchanged. Their advice is to allow the mothers to spontaneously go into labor if they have an unfavorable Bishop score because it will lower cesarean delivery rates (Vrouenraets et al. 2005). This rationale directly correlates
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.
The author discusses how reflexivity was used to overcome this (Anon, 2012). Lambert, Jomeen and McSherry (2010) state that the use of reflexivity is an imperative factor in ensuring that the authors subjectivity is addressed developing an understanding how this influences the research findings. This enhances the confirmability of the research (Mruck and Bruer, 2003). Whapples (2014) found that some women were still experiencing pain between three and six months, indicating that the healing period spans further than the midwives role in the postnatal period, leaving women feeling isolated and unsupported with no professional to
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
Internal validity in all five studies may be threatened by further medical, analgesic and positional interventions that may affect how labour can progress, alongside lack of reporting regarding these influences. It is noted that women were advised that “eating during labour was not recommended” even if allocated to the feeding cohort, potentially influencing women’s behaviour should they prefer to avoid engaging in conflict with their care provider (Singata et al., 2013). In addition, internal validity is compromised by the differences in the five studies, comparing multiple interventions with divergent outcome measures establishes both clinical and statistical heterogeneity (Higgins & Green, 2008).
Hearing the word midwife leaves many people thinking of unprofessional, inexperienced women who help deliver babies naturally, without the help of medication. In truth, nurse-midwives are registered nurses who have attended additional schooling for women’s health and are taught to make women feel as comfortable as possible. In the beginning, remedies were the females’ legacies, their “birthright”; these females were known as “wise-women by the people, witches of charlatans by authorities”. (Ehrenreich, 1973). “Females were wanderers, traveling from one place to another, healing the sick and wounded.” (Ehrenreich 1973). These women were among the first human healers and they were especially helpful when it came to childbearing. The midwives
The researchers attempted to measure pain rating during the following stages of childbirth: (1) after the complete dilation of the cervix; (2) when the mother was instructed to push; (3) right after the child had left the mother (Weisenberg et al., 1989). Numerical data was obtained from each of the women at the start of each stages via a one hundred-point scale; zero meaning that there was no pain and one hundred meaning that the pain was excruciating. The start of each of the three stages was determined by the birth-giving assistant on duty (Weisenberg et al., 1989). The researchers also observed and measured the mothers ' pain behavior during the process (paying attention to screaming, clenching, hair pulling, ect...) using sixteen separate categories on a zero to four scale; zero meaning that the expected behavior is non-existent, and four meaning that the