Midwifery
-
to assess the impact of obstetric procedures and analgesia/anaesthesia during delivery on breast feeding at six weeks post-delivery. ⋯ improved perineal suturing expertise, less delay before suturing, more effective pain relief for perineal discomfort, efforts to reduce the incidence of urinary frequency will result in improved breast feeding rates. Where a woman has had pethidine late in the first stage of labour she should be given extra help with breast feeding. Extra help should also be given to a woman separated from her baby, due to admission to the neonatal unit.
-
A survey of 1109 women who delivered in a hospital or at home in a major city in Canada was conducted. The women were asked to respond to questions concerning the type of health professional they would like to provide reproductive care. The choices they were offered were: midwife, obstetrician, general practitioner or nurse, or a combination. ⋯ A major reason for this choice was the accessibility of epidural analgesia. The majority of women who had experienced a home birth would make the same choice again. There was a strong positive association between interest in using midwifery services and interest in a birthing centre and home birth.
-
The purpose of this study was to determine the major concerns of primiparae and multiparae 1 month post-delivery and the resources used in meeting identified concerns. A mail-back questionnaire developed by Gruis (1977) was used. The sample was composed of 19 primiparae and 22 multiparae from Vancouver BC, Canada. ⋯ However, for 14 (64%) of the multiparae in this study, the hospital stay did not provide preparation for the first weeks at home with their new baby. It is suggested that community caregivers should see their postnatal clients as soon as possible after discharge from hospital. Teaching sessions can occur in the home, and in accordance with individual concerns.
-
Historical Article
Historical review of caudal epidural analgesia in obstetrics.