Active Versus Expectant Management of the Third Stage of Labor and Implementation of a Protocol

Burke, Carol A.

doi:10.1097/jpn.0b013e3181e8ce90

Cited by 15 publications

(12 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In natural third stage, the baby's cord is usually not clamped or cut and the mother and baby stay in SSC, in a warm, nonstimulating birthing environment until after the placenta has been delivered. [10][11][12] Directly after the baby has been born, the mother meets her baby for the first time and she experiences a natural behavioral pattern that supports the foundation of confident mothering, early breastfeeding, and a secure bond with her baby. Skin-to skin contact with breastfeeding involves an increase in oxytocin, endorphins and other hormones that promotes maternal child bonding.…”

Section: Introductionmentioning

confidence: 99%

Effect of early maternal/newborn skin-to-skin contact after birth on the duration of third stage of labor and initiation of breastfeeding

Essa

Ismail

2015

JNEP

View full text Add to dashboard Cite

The aim of this study was to determine the effect of early maternal /newborn skin-to-skin contact after birth on the duration of third stage of labor and initiation of breastfeeding. A non-randomized controlled clinical trial was conducted at a labor and delivery unit of National Medical Institution in Damanhour, Albehera Governorate, Egypt. A purposive sample of 100 laboring women was recruited. The project included a study group (50) who considered skin-to-skin contact (SSC) and a control group (50) who received routine hospital care. Three tools were used to collect data. The first tool was a structured interview to elicit socio-demographic and obstetric characteristic. Second tool was an assessment of mothers during the third stage of labor. Third tool was the Breastfeeding Assessment Tool, which comprised two parts: The Infant Breastfeeding Assessment Tool (IBFAT): and the outcome assessment of first breastfeeding. The results revealed that success in first breastfeeding was higher among study group compared to control group. There are statistically significant differences between the study and control groups in third stage of labor duration, complete placental separation, and immediate contraction of the uterus, position of uterus, absence of any abnormal signs such as uterine atony or excessive blood loss. The mean duration of the third stage of labor in the study group was significantly shorter (2.8 ± 0.857 minutes) than among those in the control group (11.22 ± 3.334 minutes) (p < .01). The study concluded that mothers who practice early maternal/newborn SSC immediately after birth experience shorter duration of the third stage of labor and early successful initiation of breastfeeding. Consequently, it is recommended that a continuous educational and training program be provided to all midwives and nurses working in the delivery room about the implementation of SSC for all mothers, and clarify the benefits for the mother and her neonate.

show abstract

Section: Introductionmentioning

confidence: 99%

Effect of early maternal/newborn skin-to-skin contact after birth on the duration of third stage of labor and initiation of breastfeeding

Essa

Ismail

2015

JNEP

View full text Add to dashboard Cite

show abstract

“…Sestavljen je bil na podlagi pregleda literature (Walsh, 2007;McDonald, 2009;Burke, 2010;Harris, 2011;Begley, 2011;ICM, 2011). Vprašanja so se nanašala na kritične točke vodenja tretje porodne dobe, saj domnevno prihaja do razhajanja med na dokazih temelječimi raziskavami in izvajanjem tretje porodne dobe v praksi slovenskih porodnišnic.…”

Section: Opis Instrumentaunclassified

“…Potrebno je le, da žensko namestimo v položaj, kjer bo v pomoč tudi težnost, saj so popadki po iztisu otroka slabši (Bennett & Brown, 2003). Pri ločitvi posteljice ima veliko vlogo tudi zgodnje dojenje, ki spodbuja sproščanje endogenega oksitocina, ki povzroča krčenje maternice (Burke, 2010). Glede na rezultate raziskave v večini primerov, ko se posteljica ne loči v predvidenem času, katetrizirajo mehur, aplicirajo uterotonik ali luščijo posteljico.…”

Section: Diskusijaunclassified

Odgovornosti babice glede pregleda posteljice: raziskava o pristopih v slovenskih porodnišnicah

2015

View full text Add to dashboard Cite

IZVLEČEKUvod: Posteljica je začasen organ, a ključen za preživetje, rast in razvoj ploda. Porodi se med tretjo porodno dobo. Namen raziskave je bil pridobiti informacije o načinih vodenja tretje porodne dobe v slovenskih porodnišnicah ter o kompetencah babic pri rokovanju s posteljico. Metode dela: Raziskava je bila kvantitativno-deskriptivna, uporabljen instrument je bil strukturirani vprašalnik, tehnika zbiranja podatkov je bilo pisno anketiranje. Vzorec je bil namenski; vprašalnik je bil poslan v izpolnjevanje vodjem porodnih sob vseh štirinajstih porodnišnic v Sloveniji. Podatki so se zbirali od maja do junija 2012, obdelani so bili s programom SPSS 17. Rezultati: Odziv je bil 86%. Dve tretjini respondentov (67 %) navajata, da tretjo porodno dobo najpogosteje vodijo aktivno. Navadno posteljico porodi babica (83 %), vendar pri pregledu le-te ni samostojna, saj jo vedno preveri tudi zdravnik (83 %). Večina babic (86 %) ima strokovno samozavest (občutek znanja in volje), da bi pregled posteljice lahko opravile samostojno. Diskusija in sklep: Za končen izid poroda je odgovoren zdravnik; zato v večini primerov babice niso popolnoma samostojne, čeprav spremljanje fiziološkega poroda spada pod kompetence babice in so le-te za to strokovno usposobljene. ABSTRACT Introduction:The placenta is a temporary organ, essential for the survival, growth and development of the foetus. It is delivered during the third stage of labour. The purpose of this study was to gain information regarding the management of the third stage of labour in Slovenian maternity hospitals, including midwives' competences within this scope of practice. Methods: Descriptive quantitative method was used with a survey questionnaire as a research instrument. Convenience sample included all 14 Slovenian maternity hospitals. The data were gathered during May and June 2012. The analysis of data was performed with SPSS 17 programme. Results: The response rate to the survey was 86%. Two thirds of the respondents (67 %) report that the third stage of labour is usually actively managed. In general, the placenta is delivered by a midwife (83 %), however, the placenta is not examined only by a midwife, it is also checked by a doctor (83 %). The majority of midwives (83 %) feel professionally confident to examine the placenta autonomously. Discussion and conclusion: The final birth outcome is the responsibility of a doctor. Therefore, in the majority of cases, midwives are not completely independent, despite their competences and qualifications for the management of uncomplicated deliveries.

show abstract

“…Of postpartum deaths, 45% occur within the first 24 hours and 66% occur within the first week. The prevalence of PPH worldwide is between 6% and 10% [3]. The reason for deaths of PPH is that is not easy to notice immediately or earlier which is important to early diagnosis and intervention for PPH.…”

Section: Introductionmentioning

confidence: 99%

Early potential metabolic biomarkers of primary postpartum haemorrhage based on serum metabolomics

2019

View full text Add to dashboard Cite

Objectives: Postpartum hemorrhage (PPH) is the leading cause of maternal death, accounting for 1/4 of maternal deaths worldwide. Determining sensitive biomarkers in the peripheral blood to identify postpartum haemorrhage (PPH) is essential for the early diagnosis and management of PPH. The purpose of this study is to identify predictive serum metabolic biomarkers of PPH. Thirty healthy pregnant women and 30 cases of postpartum hemorrhage were studied for our research. Material and methods: The serum metabolites of all pregnant were detected by liquid chromatography-quadruple time-of-flight mass spectrometry (LC-QTOFMS) and the corresponding biomarkers were identified. Results: 34 significantly altered metabolites in PPH-pre-group were identified. They were mainly involved in fatty acid, and glycerophospholipid metabolism. Conclusions: The LysoPCs, PCs, PGs, PIs were effective biomarkers for identifying PPH. The disturbed signaling pathways, mTOR signaling, acute phase response signaling, AMPK signaling and eNOS signaling pathways might be related to the etiopathogenesis of PPH. Our study provided a valuable attempt to screen early diagnostic markers of PPH and to further understand its pathogenesis.

show abstract

Active Versus Expectant Management of the Third Stage of Labor and Implementation of a Protocol

Cited by 15 publications

References 39 publications

Effect of early maternal/newborn skin-to-skin contact after birth on the duration of third stage of labor and initiation of breastfeeding

Effect of early maternal/newborn skin-to-skin contact after birth on the duration of third stage of labor and initiation of breastfeeding

Odgovornosti babice glede pregleda posteljice: raziskava o pristopih v slovenskih porodnišnicah

Early potential metabolic biomarkers of primary postpartum haemorrhage based on serum metabolomics

Contact Info

Product

Resources

About