Step 6: Does Not Routinely Employ Practices, Procedures Unsupported by Scientific Evidence

Authors: Goer, Henci; Sagady Leslie, Mayri; Romano, Amy

Source: Journal of Perinatal Education, Volume 16, Supplement 1, Winter 2007 , pp. 32-64(33)

Publisher: Lamaze International

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Abstract:

Step 6 of the Ten Steps of Mother-Friendly Care addresses two issues: 1) the routine use of interventions (shaving, enemas, intravenous drips, withholding food and fluids, early rupture of membranes, and continuous electronic fetal monitoring; and 2) the optimal rates of induction, episiotomy, cesareans, and vaginal births after cesarean. Rationales for compliance and systematic reviews are presented.

Keywords: labor preparation; perineal shaving, labor; enema, labor; intravenous drip, adverse effects; intravenous drip, labor; intravenous nutrition, labor; obstetric procedures, adverse effects; NPO, labor; nutrition, labor; oral intake, labor; amniotomy artificial rupture of membranes; electronic fetal monitoring; intrapartum cardiotocography; elective induction; labor induction; labor induced; spontaneous labor rates; rates of induction; induction and adverse effects; maternal satisfaction and induction; episiotomy, adverse effects; episiotomy, median; episiotomy, mediolateral; episiotomy rate; cesarean; cesarean rate; cesarean, adverse effects; vaginal birth, adverse effects; obstetric birth, adverse effects; pelvic-floor dysfunction; urinary incontinence; anal incontinence; vaginal birth after cesarean (VBAC); VBAC rates; elective repeat cesarean; VBAC and induction of labor