2020
DOI: 10.1016/j.midw.2020.102840
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Swedish midwives’ experiences and views of amniotomy: An interview study

Abstract: 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… Show more

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Cited by 4 publications
(14 citation statements)
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“…Previous studies have suggested performing a "controlled amniotomy" in cases of an unengaged presenting part, as is often the case in the presence of polyhydramnios, by "needling" the amniotic bag, for a slower release of the fluid, and to give mild fundal pressure to assist the presenting part down into the pelvis. 6,9 This is likely used clinically; however, to the best of our knowledge, there are no studies evaluating the benefits and safety of this method. Our findings suggest that an amniotomy should be avoided in women with polyhydramnios.…”
Section: Discussionmentioning
confidence: 99%
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“…Previous studies have suggested performing a "controlled amniotomy" in cases of an unengaged presenting part, as is often the case in the presence of polyhydramnios, by "needling" the amniotic bag, for a slower release of the fluid, and to give mild fundal pressure to assist the presenting part down into the pelvis. 6,9 This is likely used clinically; however, to the best of our knowledge, there are no studies evaluating the benefits and safety of this method. Our findings suggest that an amniotomy should be avoided in women with polyhydramnios.…”
Section: Discussionmentioning
confidence: 99%
“…3,6,7 A non-engaged presenting fetal part at the time of an amniotomy is a confirmed risk factor. [6][7][8][9][10][11] When UCP occurs, delivery should be expedited. 7,8,12 Furthermore, unless vaginal birth is imminent, an acute cesarean section is required.…”
mentioning
confidence: 99%
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“…In our previous study, midwives working at an University hospital experienced that amniotomy was performed due to a constant high work load, therefore we used stratification in order to investigate this issue [ 28 ]. Our results in the present study show variations in the prevalence of amniotomy between Swedish hospitals.…”
Section: Discussionmentioning
confidence: 99%
“…A first step in addressing an inappropriate use of labor interventions is to explore regional variations in the prevalence within the country [ 8 ]. It is of importance to acknowledge that amniotomy is performed for several reasons, occasionally laboring women even request it, as described in our previous study [ 28 ]. This fact may contribute to differences in the prevalence between hospitals.…”
Section: Discussionmentioning
confidence: 99%