Chapter 1: 1.1 Introduction Water is used in many forms during labour. A warm bath can be used in the latent stage to ease pain and distress. While cold water can be used to wipe the brow of a labouring woman giving a cooling effect and also dowsing the perineum with warm or cold water to relief stinging as it stretches. Water birth is seen by many as a natural, gentle way of leaving the womb. Due to the fact that all humans start life enclosed in warm liquor and that many people throughout life find that water has a relaxing analgesic effect (Hatfield, 2013). One study of 3000 women found that water can even reduce the need for an epidural (Cluett & Ethel, 2009). Water is at the present time a well-known form of pain relief available …show more content…
Therefore this highlighted a gap in research around midwives attitudes and whether their attitude can impact on the care the given. Table One C5 Why did you not use the choice of pain relief that you had originally planned to? Year of survey 2013 For medical reasons 31% I changed my mind 16% I did not need to use the pain relief I had planned to use 9% There was not time to use my planned pain relief 25% The pain relief I had planned to use did not work 17% I was told there were not enough staff to provide my chosen pain relief 4% I was not told why I could not have my choice of pain relief 4% Other 14% Total 8976 The oxford dictionary defines water birth as “a birth in which the mother spends the final stages of labour in a birthing pool, with delivery taking place either in or out of the water.” (Oxford Dictionary, 2012). Similarly ???? suggest that a water birth is when part or all labour and birth take place in water in a variety of settings including hospitals, standalone units and also in the home setting. Water when used for pain relief in labour is a non-pharmacological way of handling labour pain that requires the entire abdomen being immersed in warm water (Lukasse, Rowe, Townend, Knight, & Hollowell, 2014). 1.2 Historical Perspectives
The article, Gentle Caesarean Delivery by Jackie Tillet, starts by explaining how Caesarean deliveries are reforming to be more naturalistic or “gentle”. This is done by having a family presence in the delivery room, and by providing an ambient environment. Many hospitals have implemented procedure changes not only to promote the family ambiance, but also to imitate the feeling of coming out of the birth
Special care and attention must be given to infants in the Neonatal Intensive Care Unit (NICU) because of their small size and the health complications they face. One particular challenge faced by health care professionals in the NICU is the management of pain for preterm babies. Preterm infants must undergo a wide range of tests, procedures, and, often, life-saving measures during their hospitalizations, which not only subjects them to pain, but pain-related stress and anxiety. This has an impact on the infants themselves, as well as on the family members and friends who are involved in their care (Smith, Steelfisher, Salhi, & Shen, 2012). The purpose of this paper is to examine the problem of pain management among preterm NICU patients and propose the implementation of kangaroo care as a pain management technique.
Hydrotherapy is therapy using water. This can be hot, cold warm or even ice. The temperature of the water effects the therapeutic properties of the treatment, for example, hot or warm water is more relaxing, stimulating the immune system and reducing stress. Cold water is used to treat burns and smooth muscle pains and soreness. Steam is used along with herbs and oils to sooth respiratory problems and treat mild illness (colds). Movements in open water (swimming pools) are used to treat issues such as arthritis and is used in rehabilitation.
postoperative pain. (6) However, the effects of these drugs on pain control are compared in
Although research has not found any significant differences with birthing in air or water, risk of infection has to be considered because women sometimes open there bowels in labour and in the water it introduces infection (Author A, 2009). There is a risk the baby may inhale their first breath whilst under water, although babies have a dive reflex and can instinctively close their airways, preventing them from breathing in water it is still a risk to be considered. Experts believe this is only a risk if the baby’s head reaches the surface of the water before the rest of its body overriding the dive reflex, the oxygen supply via the placenta is compromised or the baby is startled as it is born and takes a breathe before its brought to the surface. There is a possibility the cord can snap due to the quick process of the baby being brought to the surface quickly and not giving the cord time to follow (Author A, 2009). It also needs to be taken in to consideration that if there are complications requiring you have to leave the pool and birth on the bed or you find the water is making little or no difference to the painful contractions you are feeling you may need a pain relief which may make you dizzy so you will have to leave the pool for yours and
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.
There are more than eighty massage techniques, but the safest one to indulge in during pregnancy is Swedish Massage. It uses long, gentle strokes to soothe and relax tightened muscles. Swedish massage helps the mom relax, eases tension, and promote a calm, peaceful inner self. It is also preferable – and more comfortable – for the client to avoid lying face down – even on specially designed pregnancy massage tables. Instead, you should lay on one side supported comfortably by pillows.
Focused breathing practices for labor and other relaxation techniques like walking, massage, position changes, and hydrotherapy
In America, midwives attend less than 8% of all births and less than 1% of those occur outside a hospital. At the same time, the US
After reading the articles and the book and watching the videos I have change how I see a midwife. I never really knew what exactly they were able or prepare to do and now I feel like they are very prepare to help with the delivery of a baby. I always thought that doctors were more prepare that it was too risky to have a birth at home and with a midwife. But now I learn that that’s not always the case. Am the mother of two kids and my plan was always to have them in a hospital with the best doctors that I could find, I wanted my kids to be born in a safe environment and with people that knew what to do in case of an emergency. When I first was pregnant with my fist, I actually search the whole water birth with a midwife and I was surprise that people had an option to have kids in that environment, I though it was very interesting but I didn’t felt that it was for me.
Pharmacological comfort measures can provide partial or complete pain relief. The epidural is the most efficient way of reducing labor pain. Opioids can be given continuously or in intermittent doses at the patient 's request or through the patient controlled pump. There is the potential for these drugs to have some effect on the fetus, such as breathing difficulties that may require assistance through the use of Narcan. Providing pain relief during the labor process is solely the patient’s choice, and as the nurse only support and encouragement should be given for however she chooses to handle the pain. (Jansen, Gibson, Bowles, & Leach, 2013)
I believe that since hot sitz bath makes edema and engorgement of the anus, it worsens anal injury in spite of pain relieving effect. Cold sitz is used only for Chronic conditions as it stimulates contraction of pelvic blood vessels, uterus and bowel musculature. The effect of cold sitz baths for relieving perineal pain in the postpartum period after an episiotomy was evaluated. Forty patients took both cold and warm sitz baths with random assignment of the initial bath. Patients rated the degree of perineal pain before and after each sitz bath and at half-hour and one-hour intervals after each
Most people like a good soak in a warm bath, but did you know that warm water could also be a form of therapy used to treat aches, pains, stiffness and fatigue? Water has been used to treat disease as far back as ancient Greece and Rome. This ancient form of healing is called Hydrotherapy and it is as relevant today as it was then.
It has been shown through studies that exercising aids in strength, flexibility, muscle tone and endurance, all in which help in areas such as carrying extra weight, preparing for the physical stresses of labor and contributing in shedding the pounds postpartum (Gulino 2). Exercise also helps in relieving that excess weight gain, swelling, varicose veins, fatigue and leg cramps. It helps to prevent depression and establish confidence both before and after labor. Exercise lowers stress and improves emotional health. It has been shown through studies that women who exercise during pregnancy have shorter labors as well as a decreased need for painkillers and an epidural during labor and delivery (Hudson 1).
It has been hypothesized that pain relief after sitz bath could be the result of internal anal sphincter relaxation with a resulting diminution of the rectal neck pressure. A decrease in internal sphincter pressure during the sitz bath has been observed. It is found that warmer water led to a longer duration of low internal sphincter pressure. It is postulated that the relaxation of the internal sphincter muscle is mediated through sensory perianal skin receptors getting stimulated by warm water. The decrease in spasm and pain relief is attributed to this ‘thermosphincteric reflex’. It is found that hot water sitz bath produced relaxation of internal urethral sphincter, causing vesical contraction and eased urination in patients operated for