“Just in case”. Use of large-bore peripheral intravenous catheters in parturient women: A global study

Abstract

Link to published version https://journals.cambridgemedia.com.au/va/volume-5-issue-1/just-case-use-large-boreperipheral-intravenous-catheters-parturient-women-global-study

Peripheral intravenous catheter management in childbirth (PICMIC): A multi‐centre, prospective cohort study

“…Relatively large‐gauge PIVCs were ubiquitously reported, with all women in our study receiving either a 16 or 18 g PIVC, consistent with previous local (Webster et al., 2018) and international research (Webster et al., 2019). In our study, PIVCs were inserted predominantly for medication or IV fluid administration: over half being in the back of the hand.…”

“…This study sought to describe and explore the practices of maternity healthcare professionals' decision‐making and practices about PIVC selection and use during labour and birth and measure the pain associated with this common procedure from the perspective of birthing women. It demonstrated that this somewhat ‘simple’ procedure is often unsuccessful (34%) and painful (3.3/10) (Webster et al., 2018, 2019).…”

“…However, alignment and translation into maternity settings is limited, as too are studies exploring women's perceptions and experiences of PIVC insertion during this vulnerable phase of their pregnancy. Of the identified research in obstetric populations, overuse of large‐bore catheters is seen (Webster et al., 2018, 2019). The philosophy underpinning woman‐centred care is communicating and involving women in the decision‐making about their pregnancy (Brady et al., 2019).…”