Midwifery
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to explore the challenges and barriers faced by Palestinian maternal health-care providers (HCPs) to the provision of quality maternal health-care services through a case study of a Palestinian public referral hospital in the Occupied Palestinian Territory. ⋯ Palestinian midwives need to increase their knowledge and use evidence-based practices during childbirth. They need to unite and create their own circle of professional support in the form of a Palestinian midwifery professional body.
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to investigate the use of fentanyl for pain relief during childbirth administered by routes other than epidural or spinal (non-axial). In particular, aspects relating to the efficacy and safety of fentanyl for mother and neonate are explored. ⋯ in confirming the safe use of non-axial administration of fentanyl during childbirth, benefits include midwives being able to offer women an alternative option for pain relief. Alternative routes, such as subcutaneous, can be managed by midwives through a standing order, potentially reducing the need for additional resources. In particular, this will benefit midwifery practice in rural and remote settings where resources and access to specialised services are limited.
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Randomized Controlled Trial Comparative Study
Comparison of the PainMatcher and the Visual Analogue Scale for assessment of labour pain following administered pain relief treatment.
during childbirth, it is necessary to assess and monitor experienced pain and to evaluate the effect of pain relief treatment. The aim of this study was to compare the PainMatcher (PM) with the Visual Analogue Scale (VAS) for the assessment of labour pain and the effect of pain relief treatment. ⋯ the PM and the VAS are not interchangeable in the case of labour pain, and there is still a need for research in this area to find a more suitable assessment instrument for the evaluation of labour pain.
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Comparative Study
Support in the first stage of labour from a female relative: the first step in improving the quality of maternity services.
to undertake a substantial descriptive study to assess whether the provision of labour support, in hospitals in Jordan, by a female relative during the first stage of labour affected duration of labour, use of pharmacological pain relief, mode of delivery and the woman's postpartum perception of the birth experience. ⋯ labour support by a female relative is a cost-effective and beneficial practice to apply to intrapartum care in hospitals in developing countries with limited resources, such as Jordan. Labour support is not routine practice and is not permitted in Jordan, as in many other countries. Consideration should be given to change maternity systems to ensure that all women have access to such support.