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

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

Document Type: Research Article

DOI: http://dx.doi.org/10.1624/105812407X173182

Publication date: December 1, 2007

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