Midwifery
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Randomized Controlled Trial Comparative Study
Comparison of the PainMatcher and the Visual Analogue Scale for assessment of labour pain following administered pain relief treatment.
during childbirth, it is necessary to assess and monitor experienced pain and to evaluate the effect of pain relief treatment. The aim of this study was to compare the PainMatcher (PM) with the Visual Analogue Scale (VAS) for the assessment of labour pain and the effect of pain relief treatment. ⋯ the PM and the VAS are not interchangeable in the case of labour pain, and there is still a need for research in this area to find a more suitable assessment instrument for the evaluation of labour pain.
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Randomized Controlled Trial
Comparison of active and expectant management on the duration of the third stage of labour and the amount of blood loss during the third and fourth stages of labour: a randomised controlled trial.
Postpartum haemorrhage is one of the most important causes of maternal death. ⋯ Active management did not decrease blood loss during the third stage of labour, but did decrease the duration of this stage. Active management was associated with increased blood loss during the fourth stage of labour. Due to conflicting results between studies, further research should be undertaken to determine the optimal method by which to manage the third stage of labour.
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Randomized Controlled Trial
A randomised controlled trial evaluating the effect of immersion bath on labour pain.
to evaluate the effect of an immersion bath on pain magnitude during the first stage of labour. ⋯ mean labour pain scores in the control group were significantly higher than those in the experimental group. The present findings suggest that use of an immersion bath is a suitable alternative form of pain relief for women during labour.
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Randomized Controlled Trial
'Soothing the ring of fire': Australian women's and midwives' experiences of using perineal warm packs in the second stage of labour.
to determine women's and midwives' experiences of using perineal warm packs in the second stage of labour. ⋯ perineal warm packs should be incorporated into second stage pain relief options available to women during childbirth.
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Randomized Controlled Trial
A randomised-controlled trial in England of a postnatal midwifery intervention on breast-feeding duration.
To determine whether postnatal 'hands off' care by midwives on positioning and attachment of the newborn baby improves breast-feeding duration. ⋯ Midwives can be trained in a 4-hr workshop to achieve improved knowledge of 'hands off' positioning and attachment care, and these can be translated into clinical practice. Future studies should differentiate the elements of the care that are effective in achieving postnatal feeds, and apply this advice consistently at successive feeds.