Management of the passive phase of the second stage of labour in nulliparous women—Focus group discussions with Swedish midwives

Bjelke, Maria; Lendahls, Lena; Oscarsson, Marie

doi:10.1016/j.midw.2019.04.011

Cited by 9 publications

(17 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Customising the care for each individual woman was described as one of the reasons for not always following regulations strictly. This is a finding, consistent with several other studies ( Berg and Dahlberg, 2001 ; Bjelke et al., 2019 ; Larsson et al., 2009 ). This is also in line with Renfrew et al.…”

Section: Discussionsupporting

confidence: 94%

Swedish midwives’ experiences and views of amniotomy: An interview study

2020

Self Cite

View full text Add to dashboard Cite

Objective To explore midwives’ experiences and views of amniotomy. Design A qualitative inductive design was used. Data were collected using interviews and analysed with content analysis carried out with NVivo 12. Setting and participants Sixteen midwives working at delivery wards at three hospitals in the south of Sweden. Findings Three categories emerged: “Promote, protect and support the physiological process of labour”, “To make the decision -to do or not to do” and “Unpredictable response”. The overall theme linking the three categories was “We become our decisions”, portraying how midwives carry the responsibility in the decision-making and represent themselves in their handling of amniotomy. Conclusions Amniotomy was experienced and viewed as both simple and complex, safe and risky, and deciding on it sometimes implied balancing contradicting perspectives. By using midwifery skills in the decision-making for an amniotomy, the midwives tried to predict the response, purposing to support physiological labour and promote health for women and babies.

show abstract

Section: Discussionsupporting

confidence: 94%

Swedish midwives’ experiences and views of amniotomy: An interview study

2020

Self Cite

View full text Add to dashboard Cite

show abstract

“…For this scoping review, we focused only on latent phases during second and third stage, as these phases are preceded by intense labor processes, whereas the latent phase of first stage is preceded by relative uterine quiescence. Latent phase of the second stage is reported to commence after full cervical dilation and to last until the onset of expulsive contractions 49,61‐64 . During this latent phase, uterine contractions may temporarily decrease in frequency and intensity as the fetus descends through the pelvis 41,61,62,65 .…”

Section: Resultsmentioning

confidence: 99%

“…Other sources were given a medium credibility rating (11.6%), where statements were substantiated with literature only, whereas sources classified with a low credibility rating (14%) were purely anecdotal (Table 2). We synthesized data into six conceptual groups, using key terminology for each group label: Cervical reversal or recoil, 17,25,26,[33][34][35][36] plateaus, 17,24,28,[37][38][39][40][41][42][43][44][45] lulls during transition, [46][47][48][49][50][51][52][53][54] "rest and be thankful" stage, 50,52,[55][56][57] deceleration phase, [58][59][60] and latent phases during 2nd stage 1,27,41,[61][62][63][64][65][66] and 3rd stage 67,68 of labor (Ta...…”

Section: Resultsmentioning

confidence: 99%

“…41 Following the second-stage latent phase, women reportedly experience an intensive urge to bear down and the fetal presenting part becomes visible at the pelvic floor. 1,27,49,61,[63][64][65] We could not ascertain the origin of this concept, but included sources come from North America, United Kingdom, Europe, and Australia. We assessed the credibility of these sources as enhanced and high.…”

Section: Definitionmentioning

confidence: 99%

See 1 more Smart Citation

Physiological plateaus during normal labor and birth: A scoping review of contemporary concepts and definitions

Weckend

Davison

Bayes

2022

Birth

View full text Add to dashboard Cite

Background Physiological plateaus (slowing, stalling, pausing) during normal labor and birth have been reported for decades, but have received limited attention in research and clinical practice. To date, heterogeneous conceptualizations and terminology have impeded effective communication and research in this area, raising concern as to whether some physiological plateaus might be misinterpreted as dystocia. To address this issue, we provide a point of orientation, mapping contemporary concepts, and terminologies of physiological plateaus during normal labor and birth. Methods We conducted a scoping review, considering published and unpublished reports of physiological plateaus, reported in any language, between 1990 and 2021. Database searches of CINAHL, EMBASE, Emcare, MIDIRS, MEDLINE, Scopus, and Open Grey yielded 1,953 records, with an additional 35 reports identified by hand searching. In total, 43 reports from eleven countries were included in this scoping review. Results Conceptualizations of physiological plateaus are heterogeneous and can be allocated to six conceptual groups: cervical reversal or recoil, plateaus, lulls during transition, “rest and be thankful” stage, deceleration phase, and latent phases. Across included material, we identified over 60 different terms referring to physiological plateaus. Overall, physiological plateaus are reported across the entire continuum of normal labor and birth. Conclusions Physiological plateaus may be an essential mechanism of self‐regulation of the mother‐infant dyad, facilitating feto‐maternal adaptation and preventing maternal and fetal distress during labor and birth.

show abstract

“…However, another definition of the second stage of labour has been noted. Bjelke et al outlines a definition of the second stage of labour, which included two phases, the passive and the active phase [41]. The passive phase is defined as full dilatation of the cervix before or in the absence of involuntary expulsive contractions.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

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

Management of the passive phase of the second stage of labour in nulliparous women—Focus group discussions with Swedish midwives

Cited by 9 publications

References 14 publications

Swedish midwives’ experiences and views of amniotomy: An interview study

Swedish midwives’ experiences and views of amniotomy: An interview study

Physiological plateaus during normal labor and birth: A scoping review of contemporary concepts and definitions

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

Contact Info

Product

Resources

About