Enabling maternal physiological birth: A systematic review of midwives’ practices during the second stage of labour - 8362: COST Action Birth Conference: Lisbon

Isobel Maria Healy, Dale Spence, Viola Nyman, René H.J. Otten, Corine Verehoeven

Research output: Contribution to conferencePoster

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Abstract

Rationale:
Identification of aspects of midwifery care that optimise and interrupt the physiological processes for women and infants during childbirth is highlighted as a key midwifery research priority (Kennedy et al., 2016; WHO 2018). Subsequently, international midwifery researchers undertook a systematic review related to midwives’ practice during the second stage of labour aiming to improve the quality of intrapartum care, inform education and future research.
Method:
Systematic search of PubMed, EMBASE.com, Cumulative Index to Nursing and Allied Health Literature. PsycINFO, Maternity and Infant Care Database, MIDIRS and The Cochrane Library were undertaken. MeSH terms were mainly utilised with no language/publication date restrictions applied. Covidence software aided with screening and data extraction. Included studies were assessed for risk of bias and reference lists hand searched. The protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO; Registration CRD42018088300).
Results/Conclusions:
The review comprehensively collated pertinent literature by initially retrieving over 8000 hits. Following analysis and synthesis, findings revealed specific practices regarding second stage of labour e.g. birth positions, care of perineum and pushing techniques. There is however, a dearth of evidence regarding how midwives enable women during the second stage of labour to optimise physiological birth and ultimately improve the quality of intrapartum care.
Implications:
Midwifery practice can be influenced by education and cultural practices, but ultimately should be informed by up-to-date research evidence. This systematic review helps formulate global midwifery practice, education and future research recommendations to support high quality intrapartum care during the second stage of labour.
Original languageEnglish
Publication statusPublished - 17 Sep 2018
EventFrom Birth to Health: Towards sustainable childbirth: COST Action Birth Conference: Lisbon - University Institute of Lisbon, Lisbon, Portugal
Duration: 17 Sep 201818 Sep 2018
https://eubirthresearch.wixsite.com/eubirthconf18

Conference

ConferenceFrom Birth to Health: Towards sustainable childbirth
CountryPortugal
CityLisbon
Period17/09/201818/09/2018
Internet address

Fingerprint

Second Labor Stage
Midwifery
Mothers
Parturition
Quality of Health Care
Education
Physiological Phenomena
Infant Care
Perineum
Research
PubMed
Libraries
Publications
Nursing
Language
Software
Research Personnel
Databases
Health

Keywords

  • physiological birth, midwifery care, second stage of labour

Cite this

Healy, I. M., Spence, D., Nyman, V., Otten, R. H. J., & Verehoeven, C. (2018). Enabling maternal physiological birth: A systematic review of midwives’ practices during the second stage of labour - 8362: COST Action Birth Conference: Lisbon. Poster session presented at From Birth to Health: Towards sustainable childbirth, Lisbon, Portugal.
Healy, Isobel Maria ; Spence, Dale ; Nyman, Viola ; Otten, René H.J. ; Verehoeven, Corine. / Enabling maternal physiological birth: A systematic review of midwives’ practices during the second stage of labour - 8362 : COST Action Birth Conference: Lisbon. Poster session presented at From Birth to Health: Towards sustainable childbirth, Lisbon, Portugal.
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Healy, IM, Spence, D, Nyman, V, Otten, RHJ & Verehoeven, C 2018, 'Enabling maternal physiological birth: A systematic review of midwives’ practices during the second stage of labour - 8362: COST Action Birth Conference: Lisbon', From Birth to Health: Towards sustainable childbirth, Lisbon, Portugal, 17/09/2018 - 18/09/2018.

Enabling maternal physiological birth: A systematic review of midwives’ practices during the second stage of labour - 8362 : COST Action Birth Conference: Lisbon. / Healy, Isobel Maria; Spence, Dale; Nyman, Viola; Otten, René H.J. ; Verehoeven, Corine.

2018. Poster session presented at From Birth to Health: Towards sustainable childbirth, Lisbon, Portugal.

Research output: Contribution to conferencePoster

TY - CONF

T1 - Enabling maternal physiological birth: A systematic review of midwives’ practices during the second stage of labour - 8362

T2 - COST Action Birth Conference: Lisbon

AU - Healy, Isobel Maria

AU - Spence, Dale

AU - Nyman, Viola

AU - Otten, René H.J.

AU - Verehoeven, Corine

PY - 2018/9/17

Y1 - 2018/9/17

N2 - Rationale:Identification of aspects of midwifery care that optimise and interrupt the physiological processes for women and infants during childbirth is highlighted as a key midwifery research priority (Kennedy et al., 2016; WHO 2018). Subsequently, international midwifery researchers undertook a systematic review related to midwives’ practice during the second stage of labour aiming to improve the quality of intrapartum care, inform education and future research. Method:Systematic search of PubMed, EMBASE.com, Cumulative Index to Nursing and Allied Health Literature. PsycINFO, Maternity and Infant Care Database, MIDIRS and The Cochrane Library were undertaken. MeSH terms were mainly utilised with no language/publication date restrictions applied. Covidence software aided with screening and data extraction. Included studies were assessed for risk of bias and reference lists hand searched. The protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO; Registration CRD42018088300).Results/Conclusions:The review comprehensively collated pertinent literature by initially retrieving over 8000 hits. Following analysis and synthesis, findings revealed specific practices regarding second stage of labour e.g. birth positions, care of perineum and pushing techniques. There is however, a dearth of evidence regarding how midwives enable women during the second stage of labour to optimise physiological birth and ultimately improve the quality of intrapartum care. Implications:Midwifery practice can be influenced by education and cultural practices, but ultimately should be informed by up-to-date research evidence. This systematic review helps formulate global midwifery practice, education and future research recommendations to support high quality intrapartum care during the second stage of labour.

AB - Rationale:Identification of aspects of midwifery care that optimise and interrupt the physiological processes for women and infants during childbirth is highlighted as a key midwifery research priority (Kennedy et al., 2016; WHO 2018). Subsequently, international midwifery researchers undertook a systematic review related to midwives’ practice during the second stage of labour aiming to improve the quality of intrapartum care, inform education and future research. Method:Systematic search of PubMed, EMBASE.com, Cumulative Index to Nursing and Allied Health Literature. PsycINFO, Maternity and Infant Care Database, MIDIRS and The Cochrane Library were undertaken. MeSH terms were mainly utilised with no language/publication date restrictions applied. Covidence software aided with screening and data extraction. Included studies were assessed for risk of bias and reference lists hand searched. The protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO; Registration CRD42018088300).Results/Conclusions:The review comprehensively collated pertinent literature by initially retrieving over 8000 hits. Following analysis and synthesis, findings revealed specific practices regarding second stage of labour e.g. birth positions, care of perineum and pushing techniques. There is however, a dearth of evidence regarding how midwives enable women during the second stage of labour to optimise physiological birth and ultimately improve the quality of intrapartum care. Implications:Midwifery practice can be influenced by education and cultural practices, but ultimately should be informed by up-to-date research evidence. This systematic review helps formulate global midwifery practice, education and future research recommendations to support high quality intrapartum care during the second stage of labour.

KW - physiological birth, midwifery care, second stage of labour

UR - https://eubirthresearch.wixsite.com/eubirthconf18/parallel-sessions

M3 - Poster

ER -

Healy IM, Spence D, Nyman V, Otten RHJ, Verehoeven C. Enabling maternal physiological birth: A systematic review of midwives’ practices during the second stage of labour - 8362: COST Action Birth Conference: Lisbon. 2018. Poster session presented at From Birth to Health: Towards sustainable childbirth, Lisbon, Portugal.