Two Hundred Years of Progress in the Practice of Midwifery

Greene, Michael F.

doi:10.1056/nejmra1209764

Cited by 7 publications

(5 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Because of the low methodological quality of the studies, the lack of study power, the variability of their selection and outcome criteria, and of the co-interventions, these studies do While awaiting such a study, the choice about the type of pushing during the active stage of birth should be given to the woman. Management must evolve by giving them more autonomy at the same time as we provide them the quality of care expected in light of current scientific data [27,33]. Bloom et al [11,12] Randomisation Abbreviations: IG (interventional group); CG (control group).…”

Section: Resultsmentioning

confidence: 99%

Do maternal pushing techniques during labour affect obstetric or neonatal outcomes?

Barasinski

Lémery

Vendittelli

2016

Gynécologie Obstétrique & Fertilité

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 99%

Do maternal pushing techniques during labour affect obstetric or neonatal outcomes?

Barasinski

Lémery

Vendittelli

2016

Gynécologie Obstétrique & Fertilité

View full text Add to dashboard Cite

show abstract

“…In these settings, the primary aim should be to hold up the established standards in view of safety and to this aim, anaesthesiologists may contribute a lot more than simply inserting epidurals [46]. …”

Section: Discussionmentioning

confidence: 99%

Must we press on until a young mother dies? Remifentanil patient controlled analgesia in labour may not be suited as a “poor man’s epidural”

Kranke

Girard

Lavand’homme

et al. 2013

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

BackgroundThe epidural route is still considered the gold standard for labour analgesia, although it is not without serious consequences when incorrect placement goes unrecognized, e.g. in case of intravascular, intrathecal and subdural placements. Until now there has not been a viable alternative to epidural analgesia especially in view of the neonatal outcome and the need for respiratory support when long-acting opioids are used via the parenteral route. Pethidine and meptazinol are far from ideal having been described as providing rather sedation than analgesia, affecting the cardiotocograph (CTG), causing fetal acidosis and having active metabolites with prolonged half-lives especially in the neonate. Despite these obvious shortcomings, intramuscular and intravenously administered pethidine and comparable substances are still frequently used in delivery units.Since the end of the 90ths remifentanil administered in a patient-controlled mode (PCA) had been reported as a useful alternative for labour analgesia in those women who either don’t want, can’t have or don’t need epidural analgesia.DiscussionIn view of the need for conversion to central neuraxial blocks and the analgesic effect remifentanil has been demonstrated to be superior to pethidine. Despite being less effective in terms of the resulting pain scores, clinical studies suggest that the satisfaction with analgesia may be comparable to that obtained with epidural analgesia. Owing to this fact, remifentanil has gained a place in modern labour analgesia in many institutions.However, the fact that remifentanil may cause harm should not be forgotten when the use of this potent mu-agonist is considered for the use in labouring women. In the setting of one-to-one midwifery care, appropriate monitoring and providing that enough experience exists with this potent opioid and the treatment of potential complications, remifentanil PCA is a useful option in addition to epidural analgesia and other central neuraxial blocks. Already described serious consequences should remind us not refer to remifentanil PCA as a “poor man’s epidural” and to safely administer remifentanil with an appropriate indication.SummaryTherefore, the authors conclude that economic considerations and potential cost-savings in conjunction with remifentanil PCA may not be appropriate main endpoints when studying this valuable method for labour analgesia.

show abstract

“…A similar pattern of increasing CSR is observable in almost all developed countries. In the United States, the CSR was only 5% in 1970 but increased dramatically to 21% in 1995 and to 32.8% in 2011 (21, 22). In England, under progressive healthcare services, it increased from 9% in 1980 to 25.5% in 2012 (15).…”

Section: Policies and Perspectives For Cs Delivery In Koreamentioning

confidence: 99%

Changes in the Cesarean Section Rate in Korea (1982-2012) and a Review of the Associated Factors

et al. 2014

View full text Add to dashboard Cite

Although Cesarean section (CS) itself has contributed to the reduction in maternal and perinatal mortality, an undue rise in the CS rate (CSR) has been issued in Korea as well as globally. The CSR in Korea increased over the past two decades, but has remained at approximately 36% since 2006. Contributing factors associated with the CSR in Korea were an improvement in socio-economic status, a higher maternal age, a rise in multiple pregnancies, and maternal obesity. We found that countries with a no-fault compensation system maintained a lower CSR compared to that in countries with civil action, indicating the close relationship between the CSR and the medico-legal system within a country. The Korean government has implemented strategies including an incentive system relating to the CSR or encouraging vaginal birth after Cesarean to decrease CSR, but such strategies have proved ineffective. To optimize the CSR in Korea, efforts on lowering the maternal childbearing age or reducing maternal obesity are needed at individual level. And from a national view point, reforming health care system, which could encourage the experienced obstetricians to be trained properly and be relieved from legal pressure with deliveries is necessary.Graphical Abstract

show abstract

Two Hundred Years of Progress in the Practice of Midwifery

Abstract: Both the nasal bone anteriorly (top arrow) and measurement calipers on the nuchal translucency posteriorly (bottom arrow) are shown. (

Cited by 7 publications

References 48 publications

Do maternal pushing techniques during labour affect obstetric or neonatal outcomes?

Do maternal pushing techniques during labour affect obstetric or neonatal outcomes?

Must we press on until a young mother dies? Remifentanil patient controlled analgesia in labour may not be suited as a “poor man’s epidural”

Changes in the Cesarean Section Rate in Korea (1982-2012) and a Review of the Associated Factors

Contact Info

Product

Resources

About