Download Evidence-Based Care for Normal Labour and Birth: A Guide for by Denis Walsh PDF

By Denis Walsh

Evidence-based care is a good validated precept in modern healthcare and a global huge overall healthiness care stream. notwithstanding, regardless of the emphasis on selling evidence-based or powerful care with no the pointless use of applied sciences and medication, intervention premiums in childbirth are emerging swiftly.

Evidence-based take care of common Labour and Birth brings to gentle a lot of the proof round what works most sensible for regular start which has, before, remained principally hidden and overlooked via maternity care pros. starting with the choice approximately the place to have a child, via all of the stages of labour to the fast post-birth interval, it systematically information examine and different proof assets that advocate a low intervention process. The book:

  • highlights the place the proof is compelling
  • discusses its software the place girls query its relevance to them and the place the practitioner's services leads them to problem it
  • gives historical past and context ahead of discussing the study up to now
  • includes questions for mirrored image and perform strategies generated from the facts.

Using study facts, Evidence-based deal with basic Labour and Birth evaluations institutionalised, scientifically controlled beginning and endorses a extra humane midwifery-led version. choked with up to date and correct details, this debatable ebook can assist all scholars, working towards midwives and doulas continue abreast of the facts surrounding general start and make sure their perform takes complete good thing about it.

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Extra info for Evidence-Based Care for Normal Labour and Birth: A Guide for Midwives

Example text

She burst into tears and, over the next two hours, the midwife held her in an embrace on a mattress on the floor as the girl sobbed and sobbed. Then she said she was ready and went on to have a normal, rather peaceful birth. In other settings the girl might have been offered an epidural, but this was not pain distress but emotional distress and the skill of the midwife was in her intuitive emotional nuance reading of that and how to bring comfort and support. Prolonged labour The question of what to do when labour is prolonged is a key one if we are to seriously address the epidemic of syntocinon augmentation.

These are additional reasons why improving the availability of provision is so important. Student midwives and practising midwives need opportunities to attend home births regularly to address the ‘fish can’t see water’ syndrome of modern maternity services (Wagner 2001). Marsden Wagner’s metaphor refers to blindness generated by constant exposure to one way of doing birth so that it becomes normative in the practitioner’s experience, rendering her unable to envisage or appreciate any alternative.

The corollary of hospitals with time restrictions on labour length is that more women can labour and birth within their space. It comes as little surprise to find that the hospitals still practising active management of labour are among the largest in Europe, with over 8,000 births/year (Murphy-Lawless 1998). Midwives’ anecdotes and ethnographic studies abound with accounts of the pressures that exist in big units to ‘get through the work’ and deal with the labour ‘nigglers’ (Hunt and Symonds 1995).

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