Routine vaginal examinations for assessing progress of labour to improve outcomes for women and babies at term

Downe, Soo; Gyte, Gillian ML; Dahlen, Hannah; Singata, Mandisa

doi:10.1002/14651858.cd010088

Cited by 18 publications

(28 citation statements)

References 76 publications

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“…This is a normal procedure to determine the progress of labor, which should be used sparingly [17,34]. There is a risk of chorioamnionitis and puerperal infection, with the observation that seven or more vaginal examination make the new-born child 4, 5 times more likely to contract infection [17].…”

Section: Women Perception About Nursing Care Consideringmentioning

confidence: 99%

Perception of be Cared in Childbirth at the Light of the WHO Model

Marques¹

2017

AJNS

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Background:The World Health Organization recommends preserving the physiology of childbirth. For a normal birth, the guidelines define obstetric practices in four categories, ranging from useful and to be encouraged to harmful and to be eliminated. Objective: to describe new mothers' perception of care during childbirth in the light of the World Health Organization model. Methods: Cross-sectional study. A self-administered structured questionnaire was used for data collection. Convenience sample of 180 mothers. The average age was 30.8 years-old (SD=5.31). Results: On their own initiative, before leaving for the maternity, women carried out at home, some care not recommended by World Health Organization, like pubic shaving (83.7%). Category A represents above all the lack of a birth plan (80.6%), mobility (71.3%), massage /54.2%) and light feeding (72.6%). Positively represented are skin-to-skin contact (77%) and breast-feeding (75.6%). Category B highlights intravenous fluids access (81.6%), lithotomy position for delivery (82.9%) and directed pushing (86.9%). Pubic shaving is recognized by about 22% of participants. The Kristeller maneuver or fundal pressure, is widely applied in Category D (59.9%), highlighting continuous cardiotocography (89.2%), repeated vaginal examination carried out by various professionals (78.5%) and episiotomy (69.2%). Conclusion: The World Health Organization model is weakly implemented. The medicalized culture of childbirth seems to predominate in phenomena of human nature.

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Section: Women Perception About Nursing Care Consideringmentioning

confidence: 99%

Perception of be Cared in Childbirth at the Light of the WHO Model

Marques¹

2017

AJNS

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“…It allows healthcare providers to monitor a woman's physiological changes, such as the consistency and position of the cervix, and to determine progress or delay in labour to aid the decision-making and plan of care during child birth (Muliira et al, 2013). Along with other measures, such as the position and level of descent of the foetal head in the pelvic cavity when a woman is in labour, the VE provides important information that will help avoid maternal and foetal morbidity and mortality (Downe et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, women in these countries often give birth away from specialized units. Therefore, the practice of VE in such regions allows clinicians to make timely diagnoses of labour problems and initiate referral to a more specialized care centre (Downe et al, 2013). Being that VE is an intimate and intrusive procedure, there are some adverse events related to its practice that include infection, latex glove allergy, and maternal distress (Downe et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

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Panamanian women׳s experience of vaginal examination in labour: A questionnaire validation

et al. 2016

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“…Although the cervical dilation engaged in by Reyes is an extreme example, the use of cervical examinations during labor to determine a patient's dilation and readiness to give birth is considered both standard and necessary in modern biomedical care. Health institutions such as the World Health Organization suggest that cervical examinations should be limited to those that are strictly necessary, with once every four hours being sufficient to obtain important information to aid clinicians’ decision‐making (Downe et al ), and should ideally be done by the same provider (Hassan et al ). Scholars have shown, however, that many hospitals carry out examinations more frequently than necessary (Shaban et al ), causing increased pain to the laboring women (Bergstrom et al ).…”

mentioning

confidence: 99%

Managing Labor and Delivery among Impoverished Populations in Mexico: Cervical Examinations as Bureaucratic Practice

Smith‐Oka

2013

American Anthropologist

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Birthing experiences for low-income and marginalized women have frequently been framed within explanatory models of authoritative knowledge and power dynamics. Many of these explanatory models have pointed out the structural violence inherent in the biomedical model of birth. The research on which this article is based suggests that clinicians' stressful work environment and class-based stereotypes of low-income women resulted in the routinizing of inhumane medical practices. Hospital overcrowding due to health reforms led to clinicians being primarily concerned with moving patients swiftly through the system. Clinicians increasingly relied on the cervical examination as a marker for labor's progress and a shorthand method to track cervical dilation.Using ethnographic data collected in the obstetrics ward of a public hospital in Mexico, in this article I explore the emergence of a bureaucratic routinizing of obstetricians' everyday practice. I provide a new understanding of the encoding and entrenching of everyday medical practices and their effect on the reproductive rights of women.[bureaucracy, reproduction, women's health, patient-physician relationship, Mexico] RESUMEN El parto de mujeres marginadas y de bajo ingreso generalmente se explica por medio de modelos de conocimiento autorizado y por las dinámicas de poder. Muchos de estos modelos explicativos han hecho hincapié en la violencia estructural intrínseco dentro del modelo biomédico de parto. La investigación en la que está basada este artículo sugiere que el estrés del ambiente laboral de los portadores de salud al igual que los estereotipos sobre mujeres de bajo ingreso resultan en la rutina de prácticas médicas inhumanas. La saturación del hospital por cambios en la ley de salud significa que la preocupación de los médicos está enfocada en mover las pacientes rápidamente por el sistema. Los portadores de salud dependen cada vez más sobre el examen vaginal para medir el desarrollo del trabajo de parto. Basado en datos etnográficos recolectados en la sala de tococirugía en un hospital público de México, en este artículo se explora el surgimiento de una forma de burocracia alrededor de las prácticas diarias de los obstetras. Este análisis provee una nueva manera de entender la codificación e incorporación de las prácticas médicas diarias y el efecto que tienen sobre los derechos reproductivos de la mujer. [burocracia, reproducción, salud femenina, relación médico-paciente, México]

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Routine vaginal examinations for assessing progress of labour to improve outcomes for women and babies at term

Cited by 18 publications

References 76 publications

Perception of be Cared in Childbirth at the Light of the WHO Model

Perception of be Cared in Childbirth at the Light of the WHO Model

Panamanian women׳s experience of vaginal examination in labour: A questionnaire validation

Managing Labor and Delivery among Impoverished Populations in Mexico: Cervical Examinations as Bureaucratic Practice

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