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.
Childbirth can be described as one of the most rewarding and also painful experiences in a woman’s life. Most women choose some type of method to ease pain, however, there has been a lot of controversy over with pain management method is the most effective. According to the CDC (Center for Disease Control), In 2013, there were 3,932,181 births recorded in the United States, 32.7% of those births were surgical procedures. In 2012, 1.36% of recorded births occurred out-of-hospital, meaning these births took place mostly in homes or birthing centers. Without the option of medicine that a hospital provides, how were these women able to manage their pain during labor and delivery. There are many different methods for easing pain during childbirth, some methods involve the use of medicine and surgery, and others include natural techniques, such as hypnosis, Lamaze, and many others. It is a personal preference of the parents over which method is right for the needs of the mother and child. This can be an overwhelming decision for new parents to make because they have to take into consideration the safety of the mother and child, pain management for the mother and desire for medical involvement.
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 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
There are very few non pharmacological options when it comes to pain control for laboring women. This implementation plan will discuss the benefits of implementing the water birth as a mode of pain control. It will include details of the water labor protocol that is to be proposed, resources needed for the implementation, time frame, cost, instruments used, data collection methods, facilitators, and barriers to the protocol.
This article, Natural Childbirth doesn’t have to be a painful delivery written by Janelle green emphasizes that woman’s body is designed to birth babies and so, natural childbirth must be considered as a natural event. Natural childbirth (NCB) means laboring and delivering using no medication at all, rather depending on non-drug pain relief, such as hydrotherapy (using water in a shower or tub), massaging, breathing, visualization, meditation, position changes, and hypnosis. Moreover, non-drug pain relief methods are efficient due to these techniques interfere the sensory pathways to the brain that communicate pain, and also, this reducing catecholamines; so, can help the labor more calm and manageable. Experiencing labor pain doesn’t mean
Childbirth can be described as one of the most rewarding and also painful experiences in a woman’s life. Most women choose some type of method to ease pain, however, there has been a lot of controversy over which pain management method is the most effective. Not only is the pain management method a factor, mothers have to choose which type of childbirth is right for them. Women can choose from out-of-hospital or in-hospital births and with the exception of complications, they can decide whether they want to deliver naturally or have medicinal assistance. The Center of Disease Control and Prevention reports that the percentage of out-of- hospital births has increased from 1.26% of U.S. births in 2011 to 1.36% in 2012, and has been increasing
Medical video: During the normal vaginal birth delivery video, it is possible to observed the following stages:
The lithotomy position works against gravity, causes decrease blood pressure, and increase episiotomies. Women that give birth in an upright position use gravity to assist in the baby descent down the birth canal. Gravity neutral position such as all four, are useful because it allows the laboring mother to rest. Non-supine positions results in reduce pain, decrease labor duration, and less Fetal Heart Rate (FHR) variables (Lamaze International Education Council, 2004). K.C. suggest the class participants use the birth bar for pushing, standing, or hands or knees position to improve labor outcomes. She educated the mother try not to lay down supine because it can make their pelvic area smaller, decrease fetal oxygenation, and harder to push the baby out.
Prenatal massage offers many benefits to the concerned woman. Undoubtedly, this massage treatment reduces the back pain as well the pain at the joints which are usual among pregnant women. Also, the massage improves the blood circulation to a great extent. Regular issues like edema, general anxiety, mental stress and muscle tension are totally eliminated with this prenatal massage. By taking regular prenatal massage a pregnant woman can have a sound sleep which is very vital for the health of mother as well as the infant in the
For most pregnant women, the anticipation of what to expect during labor is a major concern. Since pain is expected, or at least discomfort, the first question most asked is, “What can I do to prevent, or at least relieve to some degree, the pain associated with labor if I want to avoid medical interventions or side effects associated with medical pain relief such as epidurals and pain medication?” This research study will look deeper into this question and research the pros and cons of three of the most commonly chose pain reduction methods; Bradley, Lamaze, and Mongan (HypnoBirthing) as well as establishing a degree of satisfaction and effectiveness based on survey answers from women who have given birth in the last year that
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)
The options for relieving these discomforts may be divided into six general types positive conditioning” (p.242). The Lamaze method is one of those six types of positive conditioning. Priscilla Ulin (1963) says “the unprepared mother who attempts labor without sedation and anesthesia is likely to experience frustration and severe pain. However, practitioners of the method developed by Ferdinand Lamaze have discovered that, with adequate preparation, the patient can control her reception of sensory stimuli to the extent that during labor she has little or no pain” (p. 60). I have heard of women using the Lamaze method and found it helpful to anticipate how they wanted the birth to feel. I find it interesting that the pain experienced in birth does not have to be unbearable. In 1977, Norr, Block, Charles, Meyering, and Meyers interviewed 249 women who had recently delivered and says “38% of our sample attended at least 5 Lamaze classes” (p.261). Most women are scared to give birth because they have heard numerous stories from other women just how painful it could be. Everyone in the world has a different pain tolerance and should be treated differently. I believe Lamaze is an excellent method of childbirth for those women who fear the pain from giving birth. It will condition
The research article that was chosen for critique was regarding the maternal repositioning during the labor process and does this impact the progression of the birthing process. Upon reviewing this article, it was obvious that the findings were in favor of maternal position changes during labor, and that it did indeed have a positive impact on the progression of the labor process. The findings of a positive impact on labor were indicated by maternal and fetal monitoring, maternal opinion of the labor process, and the length of stages of labor. Below is an analysis of the article that was chosen to critique.
The participants behavioral responses to perineal pain have been assessed twice in this study, the first time before the intervention at the beginning of 2nd stage of labour, and the second time 15 min after application of warm compresses or perineal lubricated massage. Accordingly, the study results revealed that there were a highly statistically significant differences (P = 0.000) regarding all behavioral responses parameters (tense muscles, restlessness, grimacing and patient sounds) before and after the intervention among both intervention groups. Also, statistically significant differences were observed between the two intervention groups and control group (p ≤ 0.05) regarding all behavioral responses parameters15 min after intervention. In accordance with these findings, the previously mentioned study conducted by Essa & Ismail, 2016 who found that the behavioral responses to perineal pain were decreased significantly after the application of perineal warm compresses among the intervention group compared to control group. The researchers also found highly statistically significant differences (P = 0.000) regarding all behavioral