Delirious Rotterdam: Architectuur in Rotterdam als economisch cluster

Kloosterman, Robert C.; Stegmeijer, Eva

doi:10.21825/agora.v20i1.9688

Cited by 1 publication

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“…Every intervention has a powerful impact and sometimes that impact may lead to the development of further pathologies, moving the situation further away from normality. Extra caution and care is advised when choosing which intervention to apply!” [ 1 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…“A natural birth that takes place of its own accord without interventions of any sort is a complicated process in itself, but also equally fine-tuned and balanced, prone to having its optimal properties eliminated with each intervention. Therefore, the only intervention asked of those supervising childbirth should be to respect this awe-inspiring phenomenon and adhere to medicine’s first fundamental principle which reads ‘Pimum non nocere’ [ 1 ] .” Indiscriminately resorting to medical intervention where it is not needed violates the principle of respect for medical physiology and the fundamental medical principle of “PRIMUM NON NOCERE.”…”

Section: Introductionmentioning

confidence: 99%

“…In fact, recent evidence-based studies indicate that routine interventions during low-risk births have failed to make births safer for either the mother or the baby, and that some medical practices disrupt the natural course of birth, creating unwanted complications during labor. Furthermore, such interventions tend to cause women to be dissatisfied with the childbirth experience, causing them to seek alternative methods for their next child’s birth [ 1 , 2 , 8 ]. Care must therefore be taken to maximize the use of preventive measures during the normal delivery process to minimize the need for interventions [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

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First do no harm - interventions during labor and maternal satisfaction: a descriptive cross-sectional study

Çalık

Karabulutlu

Yavuz³

2018

BMC Pregnancy Childbirth

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BackgroundInterventions can be lifesaving when properly implemented but can also put the lives of both mother and child at risk by disrupting normal physiological childbirth when used indiscriminately without indications. Therefore, this study was performed to investigate the effect of frequent interventions during labor on maternal satisfaction and to provide evidence-based recommendations for labor management decisions.MethodsThe study was performed in descriptive design in a state hospital in Kars, Turkey with 351 pregnant women who were recruited from the delivery ward. The data were collected using three questionnaires: a survey form containing sociodemographic and obstetric characteristics, the Scale for Measuring Maternal Satisfaction in Vaginal Birth, and an intervention observation form.ResultsThe average satisfaction scores of the mothers giving birth in our study were found to be low, at 139.59 ± 29.02 (≥150.5 = high satisfaction level, < 150.5 = low satisfaction level). The percentages of the interventions that were carried out were as follows: 80.6%, enema; 22.2%, perineal shaving; 70.7%, induction; 95.4%, continuous EFM; 92.3%, listening to fetal heart sounds; 72.9%, vaginal examination (two-hourly); 31.9%, amniotomy; 31.3%, medication for pain control; 74.9%, intravenous fluids; 80.3%, restricting food/liquid intake; 54.7%, palpation of contractions on the fundus; 35.0%, restriction of movement; 99.1%, vaginal irrigation with chlorhexidine; 85.5%, using a “hands on” method; 68.9%, episiotomy; 74.6%, closed glottis pushing; 43.3%, fundal pressure; 55.3%, delayed umbilical cord clamping; 86.0%, delayed skin-to-skin contact; 60.1%, controlled cord traction; 68.9%, postpartum hemorrhage control; and 27.6%, uterine massage. The satisfaction levels of those who experienced the interventions of induction, EFM, restriction of movement, two-hourly vaginal examinations, intravenous fluid, fundal pressure, episiotomy, palpation of contractions on the fundus, closed glottis pushing, delayed umbilical cord clamping, delayed skin-to-skin contact, fluid/food restriction, and of those who were not provided pharmacological pain control were found to be lower (p < 0.05).ConclusionMedical interventions carried out at high rates had a negative impact on women’s childbirth experience. Therefore, a proper assessment in the light of medical evidence should be made before deciding that it is absolutely necessary to intervene in the birthing process and the interdisciplinary team should ensure that intrapartum caregivers will “first do no harm.”

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%