Sentences with phrase «as epidural analgesia»

As epidural analgesia has been shown in randomised trials to reduce the likelihood of a normal vaginal delivery this could contribute to the variation in normal delivery rates seen.28 Indeed, medicalisation of the environment could be the dominant effect in the United Kingdom, over-riding potential benefits of continuity and «knowing your midwife.»

Not exact matches

What is not yet clear is the relative contribution to birth outcomes of health professionals» attitudes, continuity of carer, midwife managed or community based care, and implementation of specific practices (such as continuous emotional and physical support throughout labour, use of immersion in water to ease labour pain, encouraging women to remain upright and mobile, minimising use of epidural analgesia, and home visits to diagnose labour before admission to birth centre or hospital).
Epidurals significantly interfere with some of the major hormones of labor and birth, which may explain their negative effect on the processes of labor.6 As the World Health Organization comments, «epidural analgesia is one of the most striking examples of the medicalization of normal birth, transforming a physiological event into a medical procedure.»
M. C. Klein et al., «Epidural Analgesia Use as a Marker for Physician Approach to Birth: Implications for Maternal and Newborn Outcomes,» Birth 28, no. 4 (2001): 243 — 248.
Normal birth: defined by the Maternity Care Working Party14 as birth without any of: induction of labour; epidural or spinal analgesia; general anaesthetic; episiotomy; forceps, ventouse, or caesarean section
A recent study comparing women's choices of pain relief in midwife - led and consultant - led units in Ireland showed that when women were offered other options such as hydrotherapy and transcutaneous electrical nerve stimulation, fewer women chose epidural analgesia [9].
We used reliable methods to assess the quality of the evidence and looked at seven key outcomes: preterm birth (birth before 37 weeks of pregnancy); the risk of losing the baby in pregnancy or in the first month after birth; spontaneous vaginal birth (when labour was not induced and birth not assisted by forceps; caesarean birth; instrumental vaginal birth (births using forceps or ventouse); whether the perineum remained intact, and use of regional analgesia (such as epidural).
I have heard first - hand stories of women being denied epidurals, lied to about the effects of epidural analgesia, and not being provided with proper informed consent about the risks of going to 42 weeks at her 41 week appointment (as in, the mother wasn't told anything that was in the College of Midwives» sample consent document about increased risk of stillbirth).
Therefore, epidural analgesia for labor may be used as part of TOLAC, and adequate pain relief may encourage more women to choose TOLAC (14, 123) However, epidural analgesia should not be considered necessary.
The Cochrane review could not make any conclusions on the first few hours or days of a neonate's life and the possible side effects of epidural analgesia as none of the research studies being reviewed included any longer term data on neonates.
As with systemic analgesia, use of opioids in an epidural block increases the risk that your baby will experience a change in heart rate, breathing problems, drowsiness, reduced muscle tone, and reduced breastfeeding.
• Demonstrated expertise in monitoring patients» post-surgical vital signs to ensure their stability and wellbeing • Deep insight into operating equipment such as cardiac monitors and pulse oximeters and quickly diagnosing problems and responding promptly • Proficient in handling pain management by ensuring a thorough comprehension of pain medications and safe ways of administering them • Adept at handling patient - controlled analgesia pumps and IVs and epidural anesthesia to ensure patient comfort • Qualified to monitor patients for adverse reactions to anesthesia and pain management medications by employing deep insight into anesthesia and how it affects the human body • Hands - on experience in handling critical care procedures post-surgery to ensure increased patient safety and comfort • Proven ability to manage post-operative pain by administering pain medication and assisting patients recover from the effects of anesthesia • Competent at handling patients with post-operative nausea and vomiting by ensuring that steps are taken to ward off respiratory pneumonia and other life threatening conditions • Unmatched ability to assess patients» conditions in post-surgical environments and implement post-surgical treatment plans to ensure increased chances of patient recovery and comfort
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