Background:The Lamaze philosophy identifies six care practices that promote, support, and protect normal birth. This study was conducted as descriptive research in order to determine whether normal childbirth actually occurs in keeping with the six points set forth in the philosophy of Lamaze.
Method:The study sample consisted of a total of 460 women. Data were collected over the period November 29, 2017 -June 30, 2018, in a hospital in northern Turkey after permission for the research was granted by the prevailing ethics committee. Used in collecting the data were a questionnaire on the participants' sociodemographic and obstetric features and a Lamaze technique assessment checklist that the author marked after making observations. Percentage distribution and means were used in the data analysis.
Results:The mean age of the women participating in the study was 28.48 ± 7.41 years. In the births reviewed in light of Lamaze philosophy, it was found that spontaneous labor was allowed (with no labor induction, 63.9%; with no drugs to speed up labor, 88.7%), women were supported throughout their labor to walk, move around, and change position (92.6%) and were encouraged by healthcare personnel (95.4%), and a loved one (her own mother, 32.6%) of the expecting mother was allowed to be by her side (92.4%).It was seen that unless medically required, no intervention was initiated such as restricting eating/drinking (76.5%); enema (82.0%), forceps/vacuum (99.6%), epidural anesthesia (95.4%), amniotomy (63.0%), or continuous electronic fetal monitoring-EFM (96.3%) was not performed and intravenous fluid was not administered (71.3%), the mother and baby were kept together to encourage breastfeeding (97.4%), and the infant was breastfed in the first 30 min. -1 hour (95.0%). It was however observed that 98.5% of the women delivered while lying in a supine, 49.5% were allowed to follow the body's urges to push, 50.9% underwent an episiotomy and fundal pressure was applied to 28.5%.
Conclusion:It can be said based on the results of the study that the philosophy of Lamaze is generally supported in normal birth. Every woman needs to know that these six evidence-based birth practices make birth healthier and safer form others and babies.