Perineal management: Midwives' confidence and educational needs.

CONCLUSIONS: This study provides key insights into midwives' confidence and educational needs in relation to managing the woman's perineum during the second stage of labour. The findings from this study demonstrates the appetite of midwives for additional education in the area of perineal management, particularly prevention strategies. IMPLICATIONS FOR PRACTICE: Midwives play an essential role in reducing the rates of perineal trauma through regular education. It is therefore important that midwives keep up to date with the best available evidence. Updating existing perineal management educational programmes that are tailor made to midwives' needs could not only improve clinical skills and perineal protection techniques but also midwives' confidence in decision making. The overall aim is to reduce perineal trauma in women having a spontaneous vaginal birth. PMID: 32805592 [PubMed - as supplied by publisher]
Source: Midwifery - Category: Midwifery Authors: Tags: Midwifery Source Type: research

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CONCLUSIONS: There is insufficient evidence to make general conclusions about the effectiveness and safety of laxatives for preventing postpartum constipation. The evidence in this review was assessed as low to very low-certainty evidence, with downgrading decisions based on limitations in study design, indirectness and imprecision. We did not identify any trials assessing educational or behavioural interventions. We identified four trials that examined laxatives versus placebo, and one that examined laxatives versus laxatives plus stool bulking agents. Further, rigorous trials are needed to assess the effectiveness and sa...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
Some recent things you may need to know...Current news‘Black mothers were already scared’: coronavirus home births (Guardian video, about experiences in Pennsylvania)Global healthMonitoring intrapartum fetal heart rates by mothers in labour in two public hospitals: an initiative to improve maternal and neonatal healthcare in LiberiaRelated blog postClinical effectivenessLabor dystocia (AHRQ)ResearchDoes low-dose aspirin initiated before 11 weeks'gestation reduce the rate of preeclampsia? (AJOG)Early amniotomy after cervical ripening for induction of labor: a systematic review and meta-analysis of randomized con...
Source: Browsing - Category: Databases & Libraries Tags: midwifery Source Type: blogs
This study will have 90% power to show approximately 30% relative risk reduction in the incidence of perineal pain at day 7, from 70.0% to 50.0%.DiscussionRopivacaine is a promising candidate drug, inexpensive, and easy to administer, and it would be suitable to include in the routine management of deliveries in labor ward. This study will investigate if perineal ropivacaine infiltration just after birth can reduce mid- and long-term postpartum pain and increase quality of life in women with mediolateral episiotomy.Trial registrationClinicalTrials.gov,NCT03084549. Registered on 14 April 2017.
Source: Trials - Category: Research Source Type: clinical trials
This article describes performance of a mediolateral episiotomy in a situation of fetal bradycardia. Technical aspects of the incision and repair are described, and outcome data and knowledge gaps are summarized. Implications for practice, clinical competency, and education are reviewed.
Source: Journal of Midwifery and Women's Health - Category: Midwifery Authors: Tags: Clinical Rounds Source Type: research
The objective of our study was to examine this hypothesis.
Source: American Journal of Obstetrics and Gynecology - Category: OBGYN Authors: Tags: Poster Session V Source Type: research
ConclusionsQuality initiatives regarding OASI prevention and management may improve care. Our data suggest OASI training for midwives may improve delivery care in the US. Further studies of other obstetric providers are needed.
Source: International Urogynecology Journal - Category: OBGYN Source Type: research
CONCLUSIONS: The use of a standardized electronic template for reporting the diagnosis and repair of OASIS improves the thoroughness of documentation and appears to promote the implementation of best practice guidelines. PMID: 30830234 [PubMed - in process]
Source: Southern Medical Journal - Category: General Medicine Tags: South Med J Source Type: research
Condition:   Episiotomy Interventions:   Procedure: subcuticular suturing;   Procedure: Surgical glue;   Procedure: adhesive steri-strip tape Sponsor:   Ain Shams University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Episiotomy Interventions:   Procedure: subcuticular suturing;   Procedure: Surgical glue;   Procedure: adhesive steri-strip tape Sponsor:   Ain Shams University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Episiotomy Interventions:   Procedure: subcuticular suturing;   Procedure: Surgical glue;   Procedure: adhesive steri-strip tape Sponsor:   Ain Shams University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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