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JPE 28.2 D: Healthy Birth Practice #4 - Avoid Interventions Unless They Are Medically Necessary

JPE 28.2 D: Healthy Birth Practice #4 - Avoid Interventions Unless They Are Medically Necessary

JPE 28.2 D: Healthy Birth Practice #4 - Avoid Interventions Unless They Are Medically Necessary

Judith A. Lothian, PhD, RN, LCCE, FACCE, FAAN
Judith A. Lothian, PhD, RN, LCCE, FACCE, FAAN
on behalf of Lamaze International

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Review:

Launch date: 12 Jun 2019
Expiry Date: 12 Jun 2022

Last updated: 30 Sep 2019

Reference: 194300

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Latest User Comments

(8 Sep 2019)
Excellent!
Latika Krepanand (13 Jul 2019)
v interesting

I would like to...

Course Availability

This course is only available to trainees days after purchase. It would need to be repurchased by the trainee if not completed in the allotted time period. This course is no longer available. You will need to repurchase if you wish to take the course again.

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Description

Maternity care in the United States continues to be intervention intensive. The routine use of intravenous fluids, restrictions on eating and drinking, continuous electronic fetal monitoring, epidural analgesia, and augmentation of labor characterize most U.S. births. The use of episiotomy has decreased but is still higher than it should be. These interventions disturb the normal physiology of labor and birth and restrict women’s ability to cope with labor. The result is a cascade of interventions that increase risk, including the risk of cesarean surgery, for women and babies. This paper describes the use and effect of routine interventions on the physiologic process of labor and birth and identifies the unintended consequences resulting from the routine use of these interventions in labor and birth.

Participants may earn 1 Lamaze Contact Hour and 1.2 contact hour of CABRN upon successful completion.

Objectives

Describe normal physiology of labor and birth.
I. Introduction
A. Current state
B. Normal physiology of labor and birth
Discuss the evidence of commonly used labor interventions.
II. Routine interventions
A. Restrictions on eating and drinking
B. Intravenous fluids
C. Electronic fetal monitoring
D. Epidurals
E. Augmentation
F. Episiotomy
Recall strategies that influence the use of interventions during labor and birth.
III. Implications
A. Childbirth Education
B. Choice of healthcare provider and place of birth
C. Evidence-based hospital policies
Judith A. Lothian, PhD, RN, LCCE, FACCE, FAAN

Author Information Play Video Bio

Judith A. Lothian, PhD, RN, LCCE, FACCE, FAAN
on behalf of Lamaze International

JUDITH A. LOTHIAN is a maternal child nurse and childbirth educator. She is a professor at the College of Nursing at Seton Hall University. She is a member of the Board of Directors of Lamaze
International and the Certification Council Governing Body of Lamaze International. She is Associate Editor of The Journal of Perinatal Education.

Current Accreditations

This course has been certified by or provided by the following Certified Organization/s:

  • California Board of Registered Nursing (CBRN)
  • 0.25 Hours

Faculty and Disclosures

Additional Contributors

Educational Planner: Renece Waller-Wise, DNP, RNC-OB, CNS, CLC, CNL, LCCE, FACCE

Conflicts Declared

Conflicts of Interest declaration by Author:

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User Reviews (2)

Go Back
(8 Sep 2019)
Excellent!
Latika Krepanand (13 Jul 2019)
v interesting

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