Pregnant womens’ views about choice of intrapartum monitoring of the fetal heart rate: A questionnaire survey

Hindley, Carol; Hinsliff, Sophie; Thomson, Ann

doi:10.1016/j.ijnurstu.2006.08.019

Cited by 25 publications

(11 citation statements)

References 16 publications

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“…Consistent with other studies, a range of factors influencing the midwives' judgment included the presence of technology, pressure from medical colleagues 14 fear of adverse events and litigation 28 and women's expectations. 31 However despite the women's expectation, similar to other studies 31 the midwives in this study did not give the women a choice of the foetal monitoring method.…”

Section: Discussionmentioning

confidence: 55%

Foetal monitoring: A woman-centred decision-making pathway

et al. 2011

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Section: Discussionmentioning

confidence: 55%

Foetal monitoring: A woman-centred decision-making pathway

et al. 2011

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“…However, applying a CTG because a professional cannot be with a labouring woman implies that a professional cannot watch the monitor, therefore reducing any protector effect potentially offered by EFM. In addition, IA allows for close proximity and engagement with women, a view highlighted by women as being very important [37,38]. This might allow for increased communication and afford professionals a greater view of the overall clinical picture.…”

Section: Discussionmentioning

confidence: 99%

Professionals’ views of fetal monitoring during labour: a systematic review and thematic analysis

Smith

Begley

Clarke³

et al. 2012

BMC Pregnancy Childbirth

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BackgroundCurrent recommendations do not support the use of continuous electronic fetal monitoring (EFM) for low risk women during labour, yet EFM remains widespread in clinical practice. Consideration of the views, perspectives and experiences of individuals directly concerned with EFM application may be beneficial for identifying barriers to and facilitators for implementing evidence-based maternity care. The aim of this paper is to offer insight and understanding, through systematic review and thematic analysis, of research into professionals’ views on fetal heart rate monitoring during labour.MethodsAny study whose aim was to explore professional views of fetal monitoring during labour was considered eligible for inclusion. The electronic databases of MEDLINE (1966–2010), CINAHL (1980–2010), EMBASE (1974–2010) and Maternity and Infant Care: MIDIRS (1971–2010) were searched in January 2010 and an updated search was performed in March 2012. Quality appraisal of each included study was performed. Data extraction tables were developed to collect data. Data synthesis was by thematic analysis.ResultsEleven studies, including 1,194 participants, were identified and included in this review. Four themes emerged from the data: 1) reassurance, 2) technology, 3) communication/education and 4) midwife by proxy.ConclusionThis systematic review and thematic analysis offers insight into some of the views of professionals on fetal monitoring during labour. It provides evidence for the continuing use of EFM when caring for low-risk women, contrary to current research evidence. Further research to ascertain how some of these views might be addressed to ensure the provision of evidence-based care for women and their babies is recommended.

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“…Similarly, continuous fetal monitoring-reported to be practiced in 77 percent of the studied hospitals and across all three types of hospital-restricts the mobility of women in labor. Fetal monitoring can prevent cerebral danger due to hypoxia in childbirth (Hindley et al 2006). Continuous monitoring is not considered a best practice, however, because it increases the risk of cesarean-section delivery (Bricker and Neilson 2000).…”

Section: Discussionmentioning

confidence: 99%

Hospital Policies and Practices Concerning Normal Childbirth in Jordan

Sweidan

Mahfoud

DeJong

2008

Studies in Family Planning

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In Europe and North America, movements have long been established to make childbirth safer for the mother and the newborn and more responsive to the needs of individual women. In particular, women's groups have resisted the medicalization of childbirth and have argued that childbirth is a normal and important event in women's lives, and that women should make birthrelated decisions in partnership with health-care providers. Therefore, professional expectations and regulatory mechanisms to conform to the standards of up-to-date evidence-based medicine, together with consumer pressures to respond to the preferences of pregnant women, have contributed to repeated revisions of policies and practices concerning childbirth (Khayat and Campbell 2000).Internationally, recommendations for reducing maternal mortality, now one of the Millennium Development Goals, have called for prompt and high-quality services for women who experience potentially fatal complications. Because maternal deaths are largely avoidable and are strongly associated with the absence of good medical care before, during, or after delivery, emphasis is placed on providing prompt emergency obstetric care for the minority of women facing potentially fatal complications (Maine 1999). Less attention is paid to whether evidence-based practices are followed for all deliveries, including normal, uncomplicated deliveries, which constitute the majority of the cases on maternity wards. Yet even apparently uncomplicated deliveries are not risk free for either the mother or the newborn, and good practices can prevent problems or identify them early, whereas poor or unnecessary practices can cause harm (WHO 1998;Campbell et al. 2005).Although the majority of women in much of the Arab Middle East now deliver in hospitals (see Table 1

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Pregnant womens’ views about choice of intrapartum monitoring of the fetal heart rate: A questionnaire survey

Cited by 25 publications

References 16 publications

Foetal monitoring: A woman-centred decision-making pathway

Foetal monitoring: A woman-centred decision-making pathway

Professionals’ views of fetal monitoring during labour: a systematic review and thematic analysis

Hospital Policies and Practices Concerning Normal Childbirth in Jordan

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