Healthy Birth Practice #1: Let Labor Begin on Its Own

Amis, Debby

doi:10.1891/1058-1243.28.2.68

Cited by 5 publications

(7 citation statements)

References 52 publications

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“…14 The most convincing reason to let labour begin on its own is the activation and stimulation of hormones like oxytocin, endorphins, catecholamines, and prolactin which regulate labour and birth. 15 The present study adds to the evidence that the odds of a natural onset of labour in the intervention group was 2.192 times more when compared to the standard care group with a 95% confidence interval [1.31-3.36], p<.001. Various other studies have shown that beta-endorphin levels were high after exercise (p <.001), which is necessary for the spontaneous onset of labour, 16 and exercise during labour excited uterine contraction.…”

Section: Discussionmentioning

confidence: 57%

Effectiveness of antepartum breathing exercises on the outcome of labour: A randomized controlled trial

et al. 2022

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Background Childbirth is a life-transforming intense event to a woman and her family. Even though a variety of non-pharmacological techniques are readily available to alleviate the distress of women in labour, the majority of women are unaware of its benefits. The objective of the study was to explore the impact of a simple non-pharmacological technique i.e., antepartum breathing exercises on maternal outcomes of labour among primigravid women. Methods A single centre prospective, single-blinded, randomized controlled trial was conducted at the antenatal outpatient clinic of a secondary healthcare institution. Eligible primigravid women were randomized into intervention and standard care groups. Both groups received standard obstetrical care. In addition, the intervention group were taught antepartum breathing exercises and were advised to practise daily and also during the active stage of labour. The primary outcome of the trial was the maternal outcome of labour measured in terms of onset of labour, nature of delivery, duration of labour, and need for augmentation of labour. Data was collected using World Health Organization (WHO) partograph, structured observational record on the outcome of labour. Results A total of 98 (70%) primigravid women who practised antepartum breathing exercises had spontaneous onset of labour. The odds of spontaneous onset of labour after randomization in the intervention group was 2.192 times more when compared to standard care at a (95% confidence interval 1.31–3.36, p<.001). Also, the requirement for augmentation of labour was minimal and there was a reduction in the rate of caesarean deliveries (p <.05) based on the χ2 test. The overall mean duration of labour was less compared to standard care group F(1)= 133.800, p <.001. Conclusion Antepartum breathing exercises during labour can facilitate spontaneous vaginal birth, shorten the duration of labour, and reduce the need for operative interference.

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Section: Discussionmentioning

confidence: 57%

Effectiveness of antepartum breathing exercises on the outcome of labour: A randomized controlled trial

et al. 2022

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“…The latter consideration constitutes the most critical element in decision making, and thus, low-risk women who are, for any reason, opposed to early delivery at 39 weeks' gestation should be fully supported with expectant management. 22 In fact, some hospitals even in high-resource settings may not be able to provide labor induction for 39 weeks' gestation to all low-risk women within their jurisdiction. Nevertheless, from a scientific inference standpoint, the evidence shows that labor induction at 39 weeks' gestation prevents the progressively increasing risk of complications that pregnancies accrue, and this justifies the obstetrical indication of "labor induction for 39 weeks' gestation."…”

Section: Discussionmentioning

confidence: 99%

“…Some women and healthcare providers who advocate for physiological childbirth believe that labor induction among low-risk nulliparous women at 39 weeks' gestation increases rates of adverse perinatal outcomes compared with expectant management 21,22 (eg, they may believe the true RR to be 1.10, 1.20, or 1.50). Conversely, other clinicians and researchers may believe that such labor induction reduces adverse perinatal outcomes (eg, they may believe the true RR to be 0.70, 0.80, or 0.90).…”

Section: P Value Functionsmentioning

confidence: 99%

Modern obstetrics: beyond early delivery for fetal or maternal compromise

Joseph

John

Boutin

et al. 2021

American Journal of Obstetrics & Gynecology MFM

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“…There is an increasing global commitment to respect the physiology of childbirth and adopt strategies to facilitate it, 1–3 including growing interest in ways to enhance physiologic birth, generally defined in research and health policy literature as a birth with no, or limited, clinical intervention 4 . Promoting physiologic birth aims to reduce the routine use of technology and interventions to manage pregnancy and childbirth, which is a global cause for concern 1,5 …”

Section: Introductionmentioning

confidence: 99%

Factors Associated With Normal Physiologic Birth for Women Who Labor In Water: A Secondary Analysis of A Prospective Observational Study

Carpenter

Burns

Smith

2022

J Midwife Womens Health

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Introduction:Research to understand factors associated with normal physiologic birth (unassisted vaginal birth, spontaneous labor onset without epidural analgesia, spinal, or general anesthetic, without episiotomy) is required. Laboring and/or giving birth in water has been shown to be associated with a high proportion of physiologic birth but with little understanding of factors that may influence this outcome. This study explored factors associated with normal physiologic birth for women who labored in water. Methods:We conducted a secondary analysis of a UK-based prospective observational study of 8064 women at low risk of childbirth complications who labored in water. Consecutive women were recruited from birth settings in England, Scotland, and Northern Ireland. Planned place of birth, maternal characteristics, intrapartum events, and maternal and neonatal outcomes were measured. Univariable and multivariable logistic regression modelling explored factors associated with normal physiologic birth. Results:In total, 5758 (71.4%) of women who labored in water had a normal physiologic birth. Planned birth in the community (adjusted odds ratio [aOR], 2.58; 95% CI, 2.22-2.99) or at an alongside midwifery unit (aOR, 1.21; 95% CI, 1.04-1.41) was positively associated with normal physiologic birth compared with planned birth in an obstetric unit. Duration of second stage (aOR, 0.66; 95% CI, 0.62-0.70), duration in the pool [aOR, 0.93; 95% CI, 0.90-0.96), and birth weight of the neonate (aOR, 0.74; 95% CI, 0.65-0.85) were negatively associated with normal physiologic birth. Parity was not associated with normal physiologic birth in multivariate analyses.Discussion: Our findings largely reflected wider research, both in and out of water. We found midwifery-led birth settings may increase the likelihood of normal physiologic birth among healthy women who labor in water, irrespective of parity. This association supports growing evidence demonstrating the importance of planned place of birth on reducing intervention rates and adds to research on labor and birth in water.

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Healthy Birth Practice #1: Let Labor Begin on Its Own

Cited by 5 publications

References 52 publications

Effectiveness of antepartum breathing exercises on the outcome of labour: A randomized controlled trial

Effectiveness of antepartum breathing exercises on the outcome of labour: A randomized controlled trial

Modern obstetrics: beyond early delivery for fetal or maternal compromise

Factors Associated With Normal Physiologic Birth for Women Who Labor In Water: A Secondary Analysis of A Prospective Observational Study

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