Practices during the active second stage of labor: A survey of French midwives

Barasinski, Chloé; Debost‐Legrand, Anne; Lémery, D.; Vendittelli, Françoise

doi:10.1016/j.midw.2018.02.001

Cited by 18 publications

(15 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This is not representative of national birth record, where 66.9% of birth result from nonoperative vaginal deliveries. 23 The higher ratio of instrumental extraction does not affect the sample representativeness since the delivery outcomes are design factors in this study.…”

Section: The Sample Representativenessmentioning

confidence: 96%

Change in Head Shape of Newborn Infants in the Week following Birth: Contributing Factors

et al. 2018

View full text Add to dashboard Cite

The aim of this work is to assess the influence of design factors: continuous numerical variables (age at first measurement, time lapse, and birth weight) and nominal categorical variables (sex of neonate, delivery outcome) on the neonatal head shape change. Sixty newborns were included in this study and 13 cephalometric variables were measured. Multiple linear regressions with change from baseline were performed. Country of birth of the mothers, centile scale of birth weight, and degree of flexion were used in a descriptive analysis. The suboccipitobregmatic difference is significantly correlated with the age at the first measurement (B = 0.058; p = 0.008). Only two cephalometric variables are correlated with the time lapse between measurements: the bitragion difference (B = –0.042; p = 0.039) and the head circumference (B = 0.056; p = 0.047). The biparietal difference is significantly correlated with the birth weight (B = –0.001; p = 0.038), and the mentovertical difference is significantly correlated with the sex “female” (B = 2.764; p = 0.025). Concerning the delivery outcomes, the suboccipitofrontal difference is significantly correlated with the cesarean section (B = 2.455; p = 0.012), and the occipitofrontal difference is significantly correlated with the Thierry's spatula extraction (B = 2.097; p = 0.048). Results suggest that instrumental extractions may have an important impact on neonatal head shape change. When operative intervention in the second stage of labor is required, the options, risks, and benefits of vacuum and forceps must be considered given the possible neonatal complications (cephalohematomas, retinal hemorrhages, external ocular injuries, facial nerve palsies).

show abstract

Section: The Sample Representativenessmentioning

confidence: 96%

Change in Head Shape of Newborn Infants in the Week following Birth: Contributing Factors

et al. 2018

View full text Add to dashboard Cite

show abstract

“…The seventeen included publications dated from 2008 to 2019. The majority of the studies were systematic reviews (n = 6, of which 3 were Cochrane reviews) [22][23][24][25][26][27], randomised controlled trials (n = 6) [28][29][30][31][32][33], one cohort studies with prospective data collection [34], two surveys [35,36] and two qualitative focus group studies [37,38].…”

Section: Plos Onementioning

confidence: 99%

“…Most studies were of low or moderate quality, only the systematic reviews were of high quality [22][23][24][25][26][27]. The cohort study was assessed by CASP as good quality [34], both surveys were assessed as being of moderate quality [35,36]. Quality assessment of the qualitative studies was assessed by Cerqual, resulting in a moderate level of confidence [37,38].…”

Section: Plos Onementioning

confidence: 99%

“…Two studies emerged from the literature having surveyed midwives regarding their practice in the second stage of labour. One explored 1,496 midwives' practices in France, throughout the second stage of labour [35], while the other focused on 607 midwives' practices in England regarding 'hands on or hands off' the perineum at birth [36]. The Barasinski et al, [35] study highlighted that midwives' practices were influenced by their years of experience and the designation of the maternity unit where they worked [35].…”

Section: Plos Onementioning

confidence: 99%

“…One explored 1,496 midwives' practices in France, throughout the second stage of labour [35], while the other focused on 607 midwives' practices in England regarding 'hands on or hands off' the perineum at birth [36]. The Barasinski et al, [35] study highlighted that midwives' practices were influenced by their years of experience and the designation of the maternity unit where they worked [35]. The units ranged from Level I to Level III (Level I = maternity ward without a neonatology department for women with straightforward pregnancy, Level III = maternity ward with a neonatology department and neonatal intensive care unit).…”

Section: Plos Onementioning

confidence: 99%

See 2 more Smart Citations

How do midwives facilitate women to give birth during physiological second stage of labour? A systematic review

et al. 2020

View full text Add to dashboard Cite

Both nationally and internationally, midwives' practices during the second stage of labour vary. A midwife's practice can be influenced by education and cultural practices but ultimately it should be informed by up-to-date scientific evidence. We conducted a systematic review of the literature to retrieve evidence that supports high quality intrapartum care during the second stage of labour. A systematic literature search was performed to September 2019 in collaboration with a medical information specialist. Bibliographic databases searched included: PubMed, EMBASE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, Maternity and Infant Care Database and The Cochrane Library, resulting in 6,382 references to be screened after duplicates were removed. Articles were then assessed for quality by two independent researchers and data extracted. 17 studies focusing on midwives' practices during physiological second stage of labour were included. Two studies surveyed midwives regarding their practice and one study utilising focus groups explored how midwives facilitate women's birthing positions, while another focus group study explored expert midwives' views of their practice of preserving an intact perineum during physiological birth. The remainder of the included studies were primarily intervention studies, highlighting aspects of midwifery practice during the second stage of labour. The empirical findings were synthesised into four main themes namely: birthing positions, nonpharmacological pain relief, pushing techniques and optimising perineal outcomes; the results were outlined and discussed. By implementing this evidence midwives may enable women during the second stage of labour to optimise physiological processes to give birth. There is, however, a dearth of evidence relating to midwives' practice, which provides a positive experience for women during the second stage of labour. Perhaps this is because not all midwives' practices during the second stage of labour are researched and documented. This systematic review provides a valuable insight of the empirical evidence relating to midwifery practice during the physiological second stage of labour, which can also inform

show abstract

Closed- or open-glottis pushing for vaginal delivery: a planned secondary analysis of the TRAnexamic Acid for Preventing postpartum hemorrhage after vaginal delivery study

Froeliger,

Deneux-Tharaux,

Madar

et al. 2024

American Journal of Obstetrics and Gynecology

View full text Add to dashboard Cite

Practices during the active second stage of labor: A survey of French midwives

Abstract: the practices of French midwives must become more evidence-based. The development of professional guidelines for midwives in France appears essential. This study also helps to prioritise national training for midwives.

Cited by 18 publications

References 42 publications

Change in Head Shape of Newborn Infants in the Week following Birth: Contributing Factors

Change in Head Shape of Newborn Infants in the Week following Birth: Contributing Factors

How do midwives facilitate women to give birth during physiological second stage of labour? A systematic review

Closed- or open-glottis pushing for vaginal delivery: a planned secondary analysis of the TRAnexamic Acid for Preventing postpartum hemorrhage after vaginal delivery study

Contact Info

Product

Resources

About