Traditional Vaginal Labor Video Analysis

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.

Describing her child's birth she'd experience, I had the privileges to interview Jakedra Hightower, who is a mother of a 3 year old boy name. Ms. Hightower, explained her stages and different procedures it took to deliver her baby boy. During her first stage (The first stage begins when you start having contractions that cause progressive changes in your cervix and ends when your cervix is fully dilated) she stated that she was on her way to the grocery store, and soon as she sat in her car, intolerable contractions inevitably rushed through her body. She then stated, ''I was very fortunate that I didn't actually leave my house. I don't know what I would of done if I was on the road with my severe contractions.'' When she arrived at the hospital

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

Women often feel unprepared for the degree of perineal pain that they experience postnatally and its impact on activities of daily living, reporting feelings of isolation and lack of support throughout the postnatal period (Herron-Marx, Williams and Hicks, 2007a), therefore, encompassing community and hospital based midwifery care. Enduring perineal pain has long-term implications including depression (Pairman et al., 2011), with evidence supporting that the delivery of postnatal care is too short, as some women experience pain up until three months postnatally suffering in silence as there is no appropriate professional input (Whapples, 2014).

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.

Focused breathing practices for labor and other relaxation techniques like walking, massage, position changes, and hydrotherapy

First of all, Importance of BM expression at least 8 times/ 24 hrs, Early feeding cues, increase of daily consumed liquids, Milk Letdown stimulation, and STS were reinforced with the client. Secondly, Chloe made the client's position comfortable and relaxed by using pillows. Then, the client was explained that babies during their first week after birth could not accommodate big amounts of milk d/t small stomach size, so the mother felt relieved. Lastly, Chloe reminded the mother to manage her pain and to accommodate the most relaxed position available. The mother was suggested to use the correct size of a nipple shield and come back for the f/u in 2

I thought the animations were very interesting. The vaginal delivery looked like it would be a lot more painful and tiring for the mother. I did not know that during labor a mucus discharge comes out before the water breaks. I also always assumed that when the water breaks it was a gush like the mother peed her pants. The video said it could also be a trickle. I also didn’t know that there was another stage of labor after the birth where the placenta is removed. Usually you don’t hear about that when people tell their birth stories. In the C-Section video, I learned hoe the doctors cut the baby out. I didn’t realize that they had to cut both the surface of the stomach and the uterus.

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)

Hands on or hands off the perineum: a survey of care of the perineum in labour (HOOPS) (Trochez, Waterfield and Freeman, 2011).

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

Levels of oxytocin increases throughout the labor and it reaches its peak just before birth. Moving around during labor is one of the most important aspect to help the mother’s uterus to contract and in response to the contraction, the baby descend into the cervix. Induced labor usually requires an intravenous line and continuous electronic fetal monitoring, which makes it really difficult for the laboring mother to move around. Continuous emotional and physical support helps the expectant mothers to forge ahead. The instructor showed the participant’s different positions to assume once the intensity of the labor is high. She encouraged the partners to try the positions with their spouse. The instructor also emphasized that to relived back

The nurse can teach the patient relaxation techniques. These techniques may include visualization, focal points, imagery, hydrotherapy, and breathing (Ward, S.L., Hisley, S. M., 2016, p. 436). Often a mother will utilize a type of breathing called Lamaze breathing. Lamaze breathing involves taking deep breaths in a pattern that coincides with contractions (Patterned Breathing During Labor (2015)). The nurse can also help the patient know what to expect. She may expect to soon begin pushing and feeling increasing pressure in her vaginal area. She may feel contracting pains and intensity. She may also feel anxiety and uncertainty

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.

Relaxing during labor is probably difficult to even think about when there is a baby on the way, but the instructor