Labour

The lived experience of staff caring for women in labour who have a BMI ≥40 kg/m2

The aim of this study was to explore and better understand the experiences of staff who provide care for obese women in labour..

Using a transcervical Foley catheter to enhance normality for induction of labour

In 2016–2017, 294% of women in the UK underwent a medical induction of labour (NHS Digital, 2017) This is an increase from the 149% in 2014–2015 (Hospital Episode Statistics Analysis, Health and...

Labour pain relief in women with assisted conception and its effects on labour and birth outcomes

With the improvement of assisted reproduction technology, and greater public awareness, a growing number of children are born to women with a history of infertility (Sutcliffe and Ludwig, 2007)...

The use of telemetry in labour: Results of a national online survey of UK maternity units

Fetal heart rate monitoring in labour aims to identify fetuses who may be developing hypoxia, and allow timely intervention to prevent long-term poor neurological outcomes (Alfirevic et al, 2017)

Induction of labour: How do women get information and make decisions? Findings of a qualitative study

Induction of labour is one of the most frequently performed interventions in pregnancy, accounting for around 25% of all births in England (NHS Digital, 2017) Induction carries the risk of further...

Does extending time limits in the second stage of labour compromise maternal and neonatal outcomes?

The second stage of labour is defined as full cervical dilation until delivery of the baby In fact, it is so much more The woman embodies both physical strength and emotional vulnerability as with...

Pain in labour and the intrapartum use of intramuscular opioids—how effective are they?

In order to consider how to work with pain in labour it is important to understand its function in labour and birth By understanding the physiological role of intrapartum pain, it is possible to...

Non-pharmacological pain management strategies for labour: Maintaining a physiological outlook

Labour pain is complex and multifaceted, existing within an individual perception and context, and arising from individual physiology, psychology and cultural perspectives Notions of ‘normal labour’...

Development of a home induction of labour framework

Approximately 25% of pregnant women in the UK have their labour induced (Kelly et al, 2013) At a national level, it is recommended that women be offered a membrane sweep to avoid the need for...

Immune thrombocytopaenia in pregnancy: Key principles for the midwife

Midwives are experts in the care of normal pregnancy/birth, but are also professionally accountable for detecting deviations and initiating immediate referral to an appropriate expert (Nursing and...

Urinary catheterisation: Indications and complications

Increasing numbers of women, either during the birth process or in the postnatal period, require an indwelling urinary catheter for a number of reasons This could be because the woman requires a...

The effect of maternal position at birth on perineal trauma: A systematic review

Genital tract sepsis is now the leading cause of direct maternal death in the UK, with the incidence rising since 2006 (Cantwell et al, 2011) Perineal trauma can increase the risk of puerperal...

Midwives' approaches to early pushing urge in labour

Early pushing urge (EPU) is defined as the perception of the irresistible urge to push by the labouring woman before full cervical dilatation, confirmed by vaginal examination Although different...

Urinary catheterisation in labour

Care of the bladder in labour is essential to supporting the physiological process of labour A full bladder can often be palpated above the brim of the pelvis, may hinder descent of the presenting...

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