Care Practice #4: No Routine Interventions
Abstract:This updated edition of Care Practice Paper #4 presents the evidence for risks of routinely intervening in normal physiologic labor and birth. The authors review evidence related to the routine use of restrictions on oral intake, intravenous lines, continuous electronic fetal monitoring, artificial rupture of membranes, pharmacologic augmentation of labor, epidural analgesia, and episiotomy. Medical indications for each intervention are listed. Women are encouraged to avoid routine interventions in labor unless interventions are medically indicated.
Keywords: artificial rupture of membranes; augmentation of labor; childbirth education; electronic fetal monitoring; epidural analgesia; episiotomy; fetal heart rate monitoring; intermittent auscultation; intrapartum care; intravenous fluids; normal birth; oral intake in labor
Document Type: Research Article
Publication date: June 1, 2007
- The Journal of Perinatal Education is the official journal of Lamaze International, whose mission is to promote, support, and protect natural, safe, and healthy birth through education and advocacy. The journal publishes peer-reviewed articles and evidence-based, practical resources that childbirth educators and other health care professionals can use to enhance the quality and effectiveness of their care or teaching to prepare expectant parents for birth.
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