Recently, there have been many women opting to be induced rather than going through a natural onset of labor. In 2008 23.1% of live births were induced in the United States, which was a doubled amount from the 1990s (Cheng, Kaimal, Snowden, Nicholson, & Caughey, 2012). However, it seems as if the negative and positive effects of being induced are rarely highlighted. It is important though that patients receive correct evidence based research about induction compared to the natural onset of labor before making a decision. Medical professionals will be able to educate patients by answering this research question: In women who are experiencing a full term/ post term low risk pregnancy, what is the effect of being medically induced before the natural onset of labor on maternal, fetal, or neonatal mortality and morbidity compared with natural onset of labor? The databases CINAHL and MEDLINE were used along with the search words of “induction of labor” AND “expectant management”/ “induction of labor” AND “spontaneous labor” to find articles related to the specific research question about induction and natural labor. These articles will provide conclusions that will help deliver education to pregnant women and health care professionals. One article that was found in the databases was an article called Induction of Labor Compared to Expectant Management in Low-risk Women and Associated Perinatal Outcomes. The authors stated that the purpose of this research was to examine the
The writer explained there could be no concern for fetal or maternal health during the delivery although some obstetricians tended to induce labor in all diabetic mothers to protect babies and mothers. Moreover, labor progress was supposedly assessed by old-fashioned methods, which resulted in performing unnecessary obstetrical practices. Intervention was imposed in cases of inaccurately labeled slow or abnormal labors and failures to progress. It is common practice that a primary cesarean generally produces subsequent surgical deliveries. The author realized that cesareans were performed because of insufficient data on laboring women’s
This research consisted of key informants and general informants. These general informants were leaders in the community, granny midwives and African American and European American health care professionals. These general informants came from the clinics and hospitals where key informants were from. The key informants from each region were women who were either pregnant or had a baby within in a year preceding the study. (Marjorie Morgan, 1996)
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
Elective inductions are becoming increasing popular and the old wait till you go into labor is becoming something of the past. Many woman want to predict when their future offspring will be here and be able to have a plan for when to take off of work. But one thing about having these elective inductions is the fact that they are more of a social event rather than a medical necessity. Studies have shown that the elective induction group makes up more than one third of the pregnant population (Jonsson 2012, pg. 198). This means woman are volunteering to make themselves go into labor before their body is ready. Not only are elective inductions increasing but being induced has been associated with a 3 to 4 fold increase in having a cesarean section (Yogev 2013, pg.1736). A Bishop Score is done before the start of any induction. This score is based off of cervical dilation, cervical effacement and the station of the babies head compared to the ischial spines. The number produced from this score shows whether or not the cervix is favorable or unfavorable. A favorable score is a score above 7. If the score falls below this, the cervix is not favorable. “Women who were closed dilation
Healthy childbirth is defined as a safe, natural process that rarely requires medical intervention (Goer & Romano, 2012). The medical model of care, however, often includes interventions that are not supported by the evidence and can increase a woman’s risk of having a cesarean section. These intrusions into labor and birth often lead to what has been called the “cascade of interventions” (DeClercq, Sakala, Corry,
The first article that I came across; Birth Outcomes associated with pain interventions in labor among low risk women-a population based study. (Sally K Tracy, Dec 2006)
Pairman et al (2015) state that ‘Induction of labour is the artificial initiation of labour before its spontaneous onset, for the purpose of birthing the baby’ (Pairman, Pincombe, Thorogood, & Tracy, 2015 p 1015). Additionally, a local trust policy suggestions induction of labour (IOL) is ‘An intervention designed to artificially initiate uterine contractions, leading to progressive effacement and dilatation of the cervix and the birth of the baby.’ (Local Trust, 2011 P3). Both definitions state that the IOL is artificially simulated labour with the intention to birth of the baby. However for the purpose of this essay the definition provided by the local trust will be utilised, as it gives
The occurrence of cesarean deliveries is rising at a disturbing rate worldwide. In 2007, 31.8 percent of all births in the United States were performed by cesarean delivery (Heron, et al., 2010). As cited in the International Childbirth Education Association, 2004, about one third of the total cesarean deliveries are elective repeat cesareans. Thus, the purpose of this evidence-based inquiry is to address the question: in laboring women with a previous history of cesarean delivery, how does a vaginal birth after cesarean (VBAC) compared to a cesarean delivery influence patient and fetus safety during delivery?
The issue that I have chosen for the Current Issues and Theory project is the lack of mothers partaking in quality prenatal care. It is fairly accepted among individuals that prenatal care is important, but there are still mothers that choose not to engage in prenatal care. It has been proven that the absence of prenatal care leads to an increased risk of low birth weight and neonatal mortality; moreover, the increased risk of neonatal mortality in the absence of prenatal care is observed in women with both the absence and presence of antenatal high-risk conditions1. Since the consequences of not seeking prenatal care are so precarious, it makes one wonder why mothers would choose not to partake in such a beneficial action. One study suggests
This paper analyzes a labor patient who was scheduled for an induction. Patient Y presented to the maternity unit and was not in active labor. Once in a labor room, Patient Y was connected to electronic fetal monitoring and her induction process was to begin shortly. Her entire birth plan changed rapidly when she was rushed to the operating room for an emergency cesarean section due to non-reassuring fetal heart tones. All aspects of care provided to the patient and her newborn will be explained and analyzed throughout this paper. Upon completion of reading this paper, the reader should have an understanding of the nursing diagnoses, interventions and there effectiveness, and the education the nurse provided to the patient prior to discharge.
Critique of Borders et al.’s Study (2013) “Midwives’ Verbal Support of Nulliparous Women in Second-Stage Labor”
Over thirty one percent of women in the United States have given birth via cesarean section (Lothian, 198). With cesarean rates this high it is necessary for one to ask, are these interventions truly medically necessary and are they beneficial for the mother and child? Cesarean sections can lead to a longer recovery time span for the mother. This can result in many troublesome issues for the mother and the newborn, like delayed bonding and other physical challenges and demands that new mother’s experiences, which can take a huge toll her mind and body. Natural births attended by midwifes attended are the preferred method of
During my labor and delivery rotation at East Georgia Regional Medical Center, I was immediately introduced to my patient. A 41 year old Caucasian female who presented with labor on October 16, 2014 at 0020. Her GPTPAL profile is 12, 7, 7, 0, 4, 7 and the patient weighed 138.1 kg. Mom is allergic to Penicillin, Demerol, Compazine, Imitrex, and latex. At the time of my assessment, she had just reached 10cm of dilation and was beginning to push. The purpose of this paper is to discuss the aspects of my patient 's labor and delivery as compared to the normal stages of labor as described in our text, Maternal Child Nursing Care. This paper will also discuss a Natural Alternative and Complimentary (NAC) intervention that could have
In many U.S. hospitals today the patient care that women receive during management of labor and delivery doesn’t look very evidenced based. Electronic fetal heart rate monitoring (EFM) is the most common form of intrapartal fetal assessment in the United States. We continue to see widespread use of EFM in low risk pregnancies. Electronic fetal monitoring is standard procedure despite numerous randomized controlled trials that have disproven its validity. It is routinely used, yet does not decrease neonatal morbidity or mortality compared to the use of intermittent auscultation. Intermittent auscultation of the fetal heart rate is an acceptable option for low-risk laboring women, yet it is underutilized in the hospital setting. Several expert organizations have proposed the use of intermittent auscultation as a means of promoting physiologic childbirth. So why do we use continuous EFM in the low risk pregnancy and what does the best evidence support and how can nurses apply the best available evidence to practice? As a patient advocate it is the nurses responsibility to answer these questions and provide the low-risk pregnant woman with current evidence about options for fetal heart rate assessment during labor.
Vaginal birth after caesarean (VBAC) is the name used for identifying the method of giving birth vaginally after previously delivering at least one baby through a caesarean section (CS). A trial of labour (TOL) is the term used to describe the process of attempting a VBAC. An elected repeat caesarean (ERC) is the other option for women who have had a caesarean in the past. The rates of women choosing to deliver by means of an ERC has been increasing in many countries, this is typically due to the common assumption that there are too many risks for the baby and mother (Knight, Gurol-Urganci, Van Der Meulen, Mahmood, Richmond, Dougall, & Cromwell, 2013). The success rate of VBAC lies in the range of 56 - 80%, a reasonably high success rate, however, the repeat caesarean birth rate has increased to 83% in Australia (Knight et al., 2013). It is essential to inform women of the contraindications, success criteria, risks, benefits, information on uterine rupture and the role of the midwife in relation to considering attempting a VBAC (Hayman, 2014). This information forms the basis of an antenatal class (Appendix 1) that provides the necessary information to women who are considering attempting a VBAC and can therefore enable them to make their own decision regarding the mode of birth.