China
Africa
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Group Intervention to Treat Fear of Childbirth with Psycho-Education and Relaxation Exercises
Published in Mary Nolan, Shona Gore, Contemporary Issues in Perinatal Education, 2023
Riikka Airo, Terhi Saisto, Hanna Rouhe
Session 2. This session covers the stages of childbirth, which are discussed from the viewpoint of the parturient: How the different stages feel, what happens and why, and how to help and calm herself. Special attention is also paid to the infant’s point of view: What is known about the physical and psychological impact of childbirth on the infant. A special audio tape developed for this group is used to guide participants through an imaginary labour, with calming and restorative suggestions and releasing tension with the out-breath.
Gynecology and obstetrics from antiquity to the early twenty-first century
Published in Vivienne Lo, Michael Stanley-Baker, Dolly Yang, Routledge Handbook of Chinese Medicine, 2022
While the hospital birth policy has reduced overall maternal and infant mortality rates (Feng et al. 2011; Liang et al. 2012), there are still persistent regional differences in the quality and accessibility of maternal care. Furthermore, hospital births often involve interventions that carry their own risks. Rates of caesarian delivery surged during the 1990s, and a WHO study reported that China’s rate of caesarian delivery in 2007 was 46.2% of all births (Lumbiganon et al. 2010). A main factor is the high percentage of elective caesarians (Feng et al. 2011; Hellerstein et al. 2015). Women and doctors alike share the belief that caesarian deliveries are more efficient and predictable—and thus safe—than vaginal births, a compelling argument when families could only have one child. The state-mandated fee structure and insurance system also makes caesarians more profitable than vaginal births. To lower the high caesarian rates, numerous researchers and institutions are seeking ways to promote vaginal delivery and to mitigate the over-medicalization of childbirth in hospitals (Liu et al. 2016).
Anesthesia and analgesia in pregnancy
Published in Hung N. Winn, Frank A. Chervenak, Roberto Romero, Clinical Maternal-Fetal Medicine Online, 2021
“Labor results in severe pain for many women. There is no circumstance where it is considered acceptable for a person to experience untreated severe pain, amenable to safe intervention, while under a physician’s care. In the absence of a medical contraindication, maternal request is a sufficient medical indication for pain relief during labor. Pain management should be provided whenever medically indicated” (Joint ASA–ACOG Statement, American Society of Anesthesiologists, Park Ridge, IL: October 21, 1992; amended October 1997) (2). While many women may choose to labor without any pharmacologic intervention, the provision of pain relief during childbirth has become an integral part of obstetric practice.
The Use of Hypnosis during the Perinatal Period: A Systematic Review
Published in International Journal of Clinical and Experimental Hypnosis, 2023
Émilie Dumont, David Ogez, Sabine Nahas, Ghassan El-Baalbaki
To address this issue, several studies have examined the use of complementary care methods to reduce pain and thus the use of analgesics during childbirth. With the introduction in 1933 of Dr. Grantly Dick Read’s theory that excessive pain during labor results from muscle tension due to fear of the birthing process, hypnosis programs were developed with the central objective to break this cycle of pain (Dick-Read, 2013; Semple & Newburn, 2011). Moreover, hypnosis programs typically include the goal of increasing the mother’s sense of confidence and control. Techniques such as imagery and positive suggestions aim to develop the mother’s ability to control her stress and associated physical symptoms but also to practice a state of relaxation and acceptance of the birth experience (Bellet, 2015; Semple & Newburn, 2011). They also often include a larger spectrum of content, such as suggestions and visualization of a positive experience of pregnancy and postpartum life (e.g., bonding with child, breastfeeding, well-being, ego-strengthening, etc.; e.g., Werner et al., 2012).
The experience of obstetric nursing students in an innovative maternal care programme in Chiapas, Mexico: a qualitative study
Published in Sexual and Reproductive Health Matters, 2022
Mariana Montaño, Valeria Macías, Rose L Molina, Patricia Aristizabal, Gustavo Nigenda
However, transforming this experience represents a true institutional and cultural change, which has associated challenges. The Birthing Centre’s approach is to promote awareness of women’s rights during pregnancy and childbirth and to apply this perspective to individual and family decision-making regarding childbirth preferences.25 The Birthing Centre was built with local funds on the same premises as the Chiapas Secretariat of Health General Hospital to enable hospital authorities to supervise care at the Birthing Centre. The success of the implementation of the new model depended, therefore, on being able to demonstrate that care is provided with evidence-based standards, following established guidelines from the WHO, the International Confederation of Midwives and the Ministry of Health of Mexico. In addition, it is important to demonstrate improvements in quality indicators.
A qualitative inquiry into pregnant women’s perceptions of respectful maternity care during childbirth in Ibadan Metropolis, Nigeria
Published in Sexual and Reproductive Health Matters, 2022
Oluwaseun Taiwo Esan, Salome Maswime, Duane Blaauw
Having a birth companion has been linked to better pain management, shorter births, lower levels of mistreatment of women during childbirth, more satisfaction during labour, and early breastfeeding initiation.24,25 The World Health Organization has emphasised that global efforts at reducing maternal morbidity and mortality should not end with increasing health facility delivery. Rather, women’s preferences during childbirth, such as having a birth companion of their choice, must be known and supported.26 Despite these established benefits, our study participants across the groups did not consider allowing birth companions during labour an essential component of RMC, thus deviating from the global definitions. The implication of this is that women may not demand birth companions and stand to lose its associated benefits.