I have previously written about how the current framework for understanding and assessing labour progress is inaccurate, not supported by evidence, and fails to incorporate women’s experience of birth. This can influence the research topic because some topics (the interesting ones) will be off the agenda of the institution… more on this later re. After birth E-NE declines quickly but cortisol declines slowly. A Cochrane Review comparing induction of labour before 40 weeks for a suspected big baby with waiting for spontaneous labour, found that induction decreased the incidence of shoulder dystocia from 6.8% to 4.1%. Usually in quantitative research the control group is the group that does not get an intervention. From around 20 weeks, placental hormones cause insulin resistance in the mother’s cells. The baby’s high insulin levels during pregnancy also increase their red blood cells. This test cannot effectively identify pregnancy induced diabetes – only previously undiagnosed Type 2 diabetes. NICE guidelines and World Health Organisation guidelines both state that induction of labour should not be carried out simply because a baby is suspected of being big. So, for those who asked – I hope this post meets your expectations! The intense experience of labour requires mothers to ‘undo’ their usual state of consciousness, behaviours, and their connections to the external world. He is an actor, known for Star Trek IV: The Voyage Home (1986), Payback (1999) and Black Sheep Squadron (1976). The viewpoints are varied, including women who have had a positive, neutral and negative experience of the same issue. And you may see poo as the baby compresses the rectum and squeezes it out. In the maternity context there are no companies offering grants to find out about the benefits of birth without medication or intervention – there is no profit in physiological birth. 2008; Blackwell et al. If a uterine infection is identified early it can usually be effectively treated with antibiotics. When I first qualified in 2001 the standard hospital advice (UK) for a woman who rang to tell us her waters had broken (and all else was well) was: “If you’re not in labour by [day of the week in 3 days time] ring us back.” Over the following years this reduced from 72 hours to 48 hours, then 24 hours, then 18 hours, then 12 hours and now 0 hours. This is not about pushing a natural birth agenda. However, adjusting and re-balancing insulin and BGLs can be a bit of a bumpy ride for the baby. Another issue is the development of antibiotic resistant bacteria due to the overuse of antibiotics, which can result in infections (e.g. You can read more about research bias in maternity care in this post. Kevat et al. 2009). Thematic analysis of qualitative survey data and interviews found a global theme ‘standing on the sideline’ which encompassed two major themes of witnessing trauma: unknown territory, and the aftermath: dealing with it, and respective subthemes. This looks great on the managers CV and allows the rest of the research team to access samples (women) and data (whatever information they are collecting/measuring). An alternative paradigm would have resulted in examining the problem of using prescriptive timeframes to define individual birth processes. Here are a couple: “The actual birth of the placenta was just weird, just because it was so soft. The Rhombus of Michaelis moves up and backwards to increase capacity in the pelvic mid cavity and outlet. 49, pp. Women and their care providers will know if an intervention is carried out or not eg. The pain generated from the perineal tissues stretching initiate instinctive behaviours that protect the perineum.

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