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JPE 28.2 B: Healthy Birth Practice #2 - Walk, Move Around, and Change Positions Throughout Labor

JPE 28.2 B: Healthy Birth Practice #2 - Walk, Move Around, and Change Positions Throughout Labor

JPE 28.2 B: Healthy Birth Practice #2 - Walk, Move Around, and Change Positions Throughout Labor

Michele Ondeck, RN, MEd, LCCE, FACCE
Michele Ondeck, RN, MEd, LCCE, FACCE
on behalf of Lamaze International

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Review:

Launch date: 30 Apr 2019
Expiry Date: 30 Apr 2022

Last updated: 07 Aug 2019

Reference: 193836

This course is no longer available

Exam is embedded in the course
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Latest User Comments

(7 Aug 2019)
Most important information to help laboring women.
Kim Reardon (13 May 2019)
all objectives were met and there were statistics and research evidence to support the importance of having laboring women select the position of their choice

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

Women who use upright positions and are mobile during labor have shorter labors, less intervention, fewer cesarean births, and report less severe pain, and describe more satisfaction with their childbirth experience than women in recumbent positions. The evidence for supporting physiologic childbearing for optimal birth fails to disrupt intervention intensive hospital practices that deny 60% of women mobility in labor despite calls by maternity care organizations to not restrict mobility for low risk women in spontaneous labor.

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

Objectives

Recall the current evidence for mobility in labor.
I. Evidence for movement in labor
A. Research results
B. American College of Obstetricians and Gynecologists committee opinion
Describe barriers to mobility, including various organizations’ and authors’ position statements.
I. Overcoming barriers to mobility
A. Historic management
B. ACOG & Society for Maternal-Fetal Medicine position position statements
C. World Health Organization position statements
D. Vaginal birth toolkit from the California Maternal Quality Care Collaborative
E. “Optimal Care in Childbirth” 4 Ps
i. Permission
ii. Physical environment
iii. Practices
iv. People
Discuss the implications for future research and current recommendations for mobility in labor.
III. Implications
A. Research needs
B. Current recommendations
Michele Ondeck, RN, MEd, LCCE, FACCE

Author Information Play Video Bio

Michele Ondeck, RN, MEd, LCCE, FACCE
on behalf of Lamaze International

MICHELE ONDECK is a past-president of Lamaze International and a co-director of Healthy Birth Global, a Lamaze-accredited childbirth educator program.

Current Accreditations

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

  • California Board of Registered Nursing (CBRN)
  • 1.25 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
(7 Aug 2019)
Most important information to help laboring women.
Kim Reardon (13 May 2019)
all objectives were met and there were statistics and research evidence to support the importance of having laboring women select the position of their choice

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