Swedish midwives' rating of risks during labour progress and their attitudes toward performing intrapartum interventions: a web-based survey

Wiklund, Ingela; Wallin, Jessica; Vikström, Malin; Ransjö‐Arvidson, Anna‐Berit

doi:10.1016/j.midw.2011.06.008

Cited by 8 publications

(11 citation statements)

References 15 publications

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“…Our study shows that practices differ among midwives as a function of their experience but also of their place of work, as previously reported in the literature (Wiklund et al, 2012;Zinsser et al, 2016). Different authors have observed more physiological practices in out-ofhospital birth centers (Zinsser et al, 2016;Baba et al, 2016).…”

Section: Discussionsupporting

confidence: 78%

Practices during the active second stage of labor: A survey of French midwives

et al. 2018

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Section: Discussionsupporting

confidence: 78%

Practices during the active second stage of labor: A survey of French midwives

et al. 2018

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“…Mead and Kornbrot found that midwives developed heightened perception of risk when exposed to interventions in units where more patients required them for medical reasons. RNs and midwives with elevated perception of intrapartum risk are more inclined to use medical interventions, including those which often act as barriers to birth without epidural. For example, routine use of continuous electronic fetal monitoring for all birthing patients hinders provision of labor support to patients who prefer birth without epidural .…”

Section: Discussionmentioning

confidence: 99%

Barriers and facilitators to birth without epidural in a tertiary obstetric referral center: Perspectives of health care professionals and patients

Knox

Rouleau

Semenic

et al. 2017

Birth

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Reconciling patient birth goals with staff focus on patient safety is challenging in the tertiary context. Discrepancies between health care professional and patient attitudes about childbirth pain may influence decision-making about epidural use. Maintaining labor support skills is challenging for health care professionals who have limited exposure to birth without epidural. There is a need to allocate dedicated resources to better support birth without epidural. Specifically, support could be improved through the implementation of guidelines for assessment and management of labor pain, provision of a variety of pain management options, and labor support training for health care professionals.

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“…Some researchers have discussed how midwives attitudes to labour and birth might have an impact on labour progress [28]. The present analysis has not investigated midwives attitudes, nevertheless is it important to note that our analysis removes non-compliers, which might mean that the women who gave birth on the birth seat were attended by a midwife who was generally more positive to the idea of upright birthing positions.…”

Section: Discussionmentioning

confidence: 98%

Striving for scientific stringency: a re-analysis of a randomised controlled trial considering first-time mothers’ obstetric outcomes in relation to birth position

Thies-Lagergren

Kvist

Christensson

et al. 2012

BMC Pregnancy Childbirth

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BackgroundThe aim of this study was to compare maternal labour and birth outcomes between women who gave birth on a birth seat or in any other position for vaginal birth and further, to study the relationship between synthetic oxytocin augmentation and maternal blood loss, in a stratified sample.MethodsA re-analysis of a randomized controlled trial in Sweden. An on-treatment analysis was used to study obstetrical outcomes for nulliparous women who gave birth on a birth seat (birth seat group) compared to birth in any other position for vaginal birth (control group). Data were collected between November 2006 and July 2009. The outcome measurements included perineal outcome, post partum blood loss, epidural analgesia, synthetic oxytocin augmentation and duration of labour.ResultsThe major findings of this paper were that women giving birth on the birth seat had shorter duration of labour and were significantly less likely to receive synthetic oxytocin for augmentation in the second stage of labour. Significantly more women had an increased blood loss when giving birth on the birth seat, but had no difference in perineal outcomes. Blood loss was increased regardless of birth position if women had been exposed to synthetic oxytocin augmentation during the first stage of labour.ConclusionsThe results of this analysis imply that women with a straightforward birth process may well benefit from giving birth on a birth seat without risk for any adverse obstetrical outcomes. However it is important to bear in mind that, women who received synthetic oxytocin during the first stage of labour may have an increased risk for greater blood loss when giving birth on a birth seat. Finally it is of vital importance to scrutinize the influence of synthetic oxytocin administered during the first stage of labour on blood loss postpartum, since excessive blood loss is a well-documented cause of maternal mortality worldwide and may cause severe maternal morbidity in high-income countries.Trial registrationUnique Protocol ID: NCT01182038 ( http://register.clinicaltrials.gov)

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Swedish midwives' rating of risks during labour progress and their attitudes toward performing intrapartum interventions: a web-based survey

Cited by 8 publications

References 15 publications

Practices during the active second stage of labor: A survey of French midwives

Practices during the active second stage of labor: A survey of French midwives

Barriers and facilitators to birth without epidural in a tertiary obstetric referral center: Perspectives of health care professionals and patients

Striving for scientific stringency: a re-analysis of a randomised controlled trial considering first-time mothers’ obstetric outcomes in relation to birth position

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