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First, Do No Harm: How Routine Interventions, Common Restrictions, and the Organization of Our Health-Care System Affect the Health of Mothers and Newborns

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In this column, the author reprises recent selections from the Lamaze International research blog, Science & Sensibility. Each selection discusses a new study that demonstrates the “First, do no harm” principle in a different way. New research on the potentially harmful effects of intravenous lines demonstrates that refraining from routine interventions in labor protects the safety of women and babies. A new systematic review of movement and position changes in labor shows that eliminating unfounded restrictions also protects maternal and infant health and well-being. Finally, a study of patterns of use of neonatal intensive care units reveals how the organization of the maternity care system itself can affect the health outcomes of its beneficiaries.
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Keywords: ambulation in labor; childbirth education; intravenous lines; labor pain; labor progress; natural birth; neonatal intensive care units

Document Type: Research Article

Publication date: 2009-01-01

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