‘Normal birth’: Time to change our tune?

Ely, Sally; Shek, Ka Lai; Dietz, Hans Peter

doi:10.1111/ajo.13223

Cited by 5 publications

(4 citation statements)

References 14 publications

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“…As a result, it is not too long a bow to infer that public health policies designed to promote increasing vaginal birth rates are unlikely to foster the provision of fulsome and unbiased information regarding the risks of vaginal birth or their associated interventions. 12 The absence of express policy in Australia regarding caesarean section on maternal request is in contrast with the express policy contained in the United Kingdom's NICE (National Institute for Health and Care Excellence) Clinical Guidelines on Caesarean birth. 13 The NICE Guidelines provide:…”

Section: Extended Essaymentioning

confidence: 99%

Disclosure and consent: ensuring the ethical provision of information regarding childbirth

Irvine¹,

Brown²,

Savulescu³

2023

J Med Ethics

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Ethical medical care of pregnant women in Australia should include the real provision of information regarding the risks and benefits of vaginal birth. Routinely obtaining consent for the different ways in which childbirth is commonly intervened on and the assistance involved (such as midwife-led care or a planned caesarean section) and providing sufficient information for women to evaluate the harms and benefits of the care on offer, would not only enable the empowerment of women but would align with the current standard of care as established by Rogers v Whittaker.

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Section: Extended Essaymentioning

confidence: 99%

Disclosure and consent: ensuring the ethical provision of information regarding childbirth

Irvine¹,

Brown²,

Savulescu³

2023

J Med Ethics

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“…In the natural process, the human body is programmed for normal spontaneous vaginal delivery (Fabbri et al, 2016). Since normal delivery is a term that ignores maternal outcomes (Ely et al, 2020) and atraumatic normal delivery occurs in only 33-40% of women who intend to have a vaginal delivery (Caudwell-Hall et al, 2018), this concept can be misleading. The concept of "normality" in birth is not universal or standardized.…”

Section: Introductionmentioning

confidence: 99%

Return to Natural Childbirth: Are Our Midwives Ready for This? a Cross-Sectional Study From Western Turkey

BALKAYA,

AMANAK,

UYAR HAZAR

2023

Ejovoc

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This study aimed to report current knowledge and opinions of midwives regarding natural birth. Cross-sectional data were collected from 213 midwives. Data were analyzed using descriptive statistics and Chi-square test. Midwives’ mean age and work experience were 37.85±5.81 and 18.36±6.49 years, respectively. Midwives assisted in normal births (65.3%), C-sections (33.3%) and natural births (1.6%), and indicated that the C-section is the riskiest birth (72.3%). Only 35% of midwives had received childbirth preparation classes training. Many midwives did not know about natural birth at all (21.2%) or about preparations for natural birth (41.7%). The midwives supported normal and natural births and believed such births to be healthy, but were not knowledgeable regarding natural birth and preparations for natural birth, and continued conventional birth practices.

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“…First, "Normal Birth" was described in 1942 as "a condition in which mother is fearless and the baby is in a good position and passes freely and without problems through the pelvic canal" (1). In recent studies, there is a fertility rate of 1.7 per 1 in American women in childbearing ages and most of women will experience the labor, so evaluating and studying the labor and childbirth complications and conditions seems necessary (2).…”

Section: Introductionmentioning

confidence: 99%

Angle of progression with trans-perineal ultrasound and delivery type in labor’s second stage; a cross-sectional study in Isfahan, Iran

2021

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Introduction: Numerous studies have shown that clinical evaluation in labor is not very accurate, therefore ultrasound is one of the instruments that can give us a more objective assessment than the clinical evaluation. Objectives: In this study, we investigate the magnitude of the angle of progression (AoP) at the second stage of labor in fetuses with cephalic presentation and its relation to spontaneous vaginal delivery. Patients and Methods: In this cross-sectional study, we measured the AoP using trans-perineal sonography in the 2nd stage of the labor and compared AoP in normal vaginal delivery (NVD), cesarean and NVD with vacuum groups on 80 pregnant women. We also investigated the correlation between AoP and induction time and duration of the second stage of labor. Results: In 80 study patients, 54 (67.5 %) had normal vaginal deliveries, 21 (26.2 %) had cesarean section and 5 (6.2%) had NVD with a vacuum. There was a statistically significant difference between NVD, cesarean section, and NVD with vacuum in terms of the AoP (P<0.01). There was a statistically significant correlation between AoP and induction time, duration of 2nd stage of labor and Apgar scores (P<0.05). Conclusion: Higher progression angle is associated with shorter induction time and 2nd stage of labor, higher neonatal Apgar scores and a higher chance of spontaneous vaginal delivery which makes it an appropriate index for predicting pregnancy outcomes.

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‘Normal birth’: Time to change our tune?

Cited by 5 publications

References 14 publications

Disclosure and consent: ensuring the ethical provision of information regarding childbirth

Disclosure and consent: ensuring the ethical provision of information regarding childbirth

Return to Natural Childbirth: Are Our Midwives Ready for This? a Cross-Sectional Study From Western Turkey

Angle of progression with trans-perineal ultrasound and delivery type in labor’s second stage; a cross-sectional study in Isfahan, Iran

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