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