The Use Of Hydrotherapy As A Treatment For Pain And Stress

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Promoting Labor Progress Through the Use of Position Changes and Ambulation This paper is written based on a compilation of patient experiences that were witnessed during a clinical rotation on a labor and delivery unit. It will not only discuss the labor positions that were witnessed, but it will also examine alternative labor position options that can be utilized to aid in the progression of the birthing process. The use of hydrotherapy as a treatment for pain and stress will also be discussed. A care plan will also be devised and discussed in chart form at the end of the paper. Lastly, the paper will conclude with a brief summary of its content. During my clinical rotation I was not afforded the chance to observe the delivery of an…show more content…
My patients who were lying in the semi-fowler positions were not turning nor switching positions. This was bothersome to me because I knew that the semi-fowler position was the worst possible position for a pregnant woman to be in. Its tendency to cause supine hypotension places both the mother and infant in unnecessary danger. Had these patients had a pillow under on side to displace the uterus off of the vena cava, or had I witnessed them turning from side-to-side, I would have been less concerned. Not only did their positioning increase the risk for mother and fetal injury, but they also looked bored and miserable lying there uncomfortably. I knew that the presence of epidural limited their movement because of its effects on their motor capabilities, which in turn made them a fall risk. At the same time, I also knew that many different labor positions could be tried while they remained safely in bed. This made me curious about the effects that ambulation, different laboring positions, and hydrotherapy have on labor and birth. Evidenced based research has proven that the ability to ambulate and change positions during labor positively affects the labor process and aids in positive outcomes. Both have been found to diminish maternal pain, reduce the need for caesarean sections and decrease the need for operative vaginal delivery
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