Midwifery
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Randomized Controlled Trial
Hi-TENS combined with PCA-morphine as post caesarean pain relief.
to examine effectiveness and overall opiate consumption between high-sensory transcutaneous electrical nerve stimulation (Hi-TENS) combined with patient-controlled analgesia with morphine and patient-controlled analgesia with morphine alone following elective (e.g. scheduled) caesarean birth. ⋯ pain relief from a combination of Hi-TENS and patient-controlled analgesia with morphine was as effective as patient-controlled analgesia with morphine alone, produced less sedation and reduced morphine use by approximately 50%. Women undergoing a caesarean section should be given the opportunity to make an informed choice about post operative pain relief before surgery. A presumed benefit of this treatment combination is that the mother is more alert and better able to interact with her newborn during the first hours after birth without drowsiness due to large doses of opiates.
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to examine the use of complementary and alternative medicine during pregnancy using data from a longitudinal cohort study. ⋯ given the potential risks of some complementary and alternative medicine for pregnant women and their unborn child, it is essential that maternity care providers are adequately informed about these treatments and that further research investigates the details of such concurrent use.
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to explore first- and second-generation Pakistani women's experiences of maternity services and the inter generational differences/comparisons. ⋯ care given should be based on individual need but given within a wider collaborative context in order to support women effectively. Increased maternity service user involvement would also be welcomed for future planning of maternity services.
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to explore the challenges and barriers faced by Palestinian maternal health-care providers (HCPs) to the provision of quality maternal health-care services through a case study of a Palestinian public referral hospital in the Occupied Palestinian Territory. ⋯ Palestinian midwives need to increase their knowledge and use evidence-based practices during childbirth. They need to unite and create their own circle of professional support in the form of a Palestinian midwifery professional body.