Amniotomy for shortening spontaneous labour

Smyth, Rmd; Alldred, S Kate; Markham, Carolyn

doi:10.1002/14651858.cd006167.pub2

Cited by 58 publications

(67 citation statements)

References 41 publications

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“…Three specific childbirth interventions (amniotomy, non-indicated pitocin use, and continuous electronic fetal monitoring) were selected as marker behaviors for the construct of non-intervention. These behaviors were chosen for the following reasons: 1) they are commonly performed procedures 8,22 ; 2) they are associated with iatrogenic risk [23][24][25][26][27] ; and 3) their routine use is not supported by current evidence. [27][28][29] Students were asked to indicate to what extent they observed their preceptor "rupture membranes before the second stage of labor in a normally progressing labor," "induce labor if women requested this," and use "continuous electronic fetal monitoring for more than 30 minutes in normal laboring women."…”

Section: Instrumentsmentioning

confidence: 99%

The Confidence to Practice Midwifery: Preceptor Influence on Student Self‐Efficacy

Jordan

Farley²

2008

J Midwife Womens Health

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The imperative for midwifery educators is to transmit to their students midwifery's unique body of knowledge and hallmarks of care that guide midwifery practice. Concerns have been raised about the ability to maintain the unique aspects of midwifery practice in a culture where routine use of intervention prevails. A theory-practice gap may lead to fewer student midwives exposed to the perspective and practices of midwifery during their clinical education. Preceptor role modeling is important to developing student confidence, conceptualized as self-efficacy, to persist in the practice of midwifery hallmark behaviors, particularly under conditions that undermine these practices. This study examined student perceptions of preceptor behaviors of two midwifery hallmarks of practice: therapeutic presence and non-intervention in the absence of complication and student self-efficacy for performing these behaviors. Recent graduates of education programs accredited by the American College of Nurse-Midwives Division of Accreditation completed researcher-developed tools regarding perceptions of preceptor behaviors of therapeutic presence and non-intervention and their outcome expectancy and self-efficacy for the same behaviors. The results indicate that preceptor behaviors influence student confidence to perform hallmark behaviors. Student belief in the value of the hallmark to benefit women is the biggest predictor of self-efficacy for hallmark behaviors. Clinical and educational implications and directions for future research are discussed.

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Section: Instrumentsmentioning

confidence: 99%

The Confidence to Practice Midwifery: Preceptor Influence on Student Self‐Efficacy

Jordan

Farley²

2008

J Midwife Womens Health

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“…Prolonged labor has been associated with cesarean delivery and low cord blood pH [2]. Furthermore, hemorrhage and infection, which are strongly associated with long labor, are leading causes of maternal death [3].…”

Section: Introductionmentioning

confidence: 99%

Meperidine versus valethamate bromide in shortening the duration of active labor

Yılmaz

Kart²,

Kelekçi

et al. 2009

Intl J Gynecology & Obste

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“…It seems that the midwives were aware that the practice of amniotomy was questionable since they were restrictive in their use of amniotomy for the high risk group; it was carried out in 3.7% of high risk labours and the difference between the groups was statistically significant. A Cochrane review (Smyth et al, 2007) points to an increased risk for operative delivery when amniotomy is performed and the authors' conclusion was that amniotomy is not recommended as a routine intervention.…”

Section: Discussionmentioning

confidence: 99%

Measuring the quality of documented care given by Swedish midwives during birth

et al. 2011

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Objective: to measure the extent documented Swedish midwifery care for low risk labour and birth followed WHO's recommendations for care in normal birth and to compare midwifery care given to women who's labours could be classified as low and high risk.Study design: A retrospective examination of midwifery and medical records, 144 from women with low risk births and 54 from women with high risk births, for aspects of pregnancy, labour and birth using a validated instrument based on WHO's recommendations.Setting: Southern Sweden.Outcome measurements: Care given in accordance with WHO's four categories of practice and changes in risk group during the birth process. Documented care differed little between the labours of women at low risk and high risk. The midwives at the unit under study did not routinely carry out risk assessment. Key conclusions and implications for practice:The mode of care was one of readiness for medical intervention. The act of carrying out risk assessments at the time of the woman's admission may affect awareness of the level of care offered to birthing women and thus help to reduce the number and variety of practices not recommended by WHO.

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Amniotomy for shortening spontaneous labour

Cited by 58 publications

References 41 publications

The Confidence to Practice Midwifery: Preceptor Influence on Student Self‐Efficacy

The Confidence to Practice Midwifery: Preceptor Influence on Student Self‐Efficacy

Meperidine versus valethamate bromide in shortening the duration of active labor

Measuring the quality of documented care given by Swedish midwives during birth

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