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

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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.
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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: 2007-12-01

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