Improving the Skills of Midwives in Overcoming Pregnancy Discomfort with Early Postpartum and Pregnancy Exercises (original) (raw)
Related papers
Improving Midwive’s Capacity to Provide Pregnancy and Early Postpartum Exercise
Abdi Dosen : Jurnal Pengabdian Pada Masyarakat
Low back pain is frequently reported by pregnant women. It is caused by the shifts of center of balance as the mother's weight increases and uterus expands. The inability to adjust to these changes, muscle and ligament weakness can make it more prone to pain. Midwives as a frontliner in maternal health, is supposed to be able to apply health promotion to encourage exercise for expectant mothers and new mothers in the early postpartum period. One of them is by giving women and new mothers pregnancy and early postpartum exercise. The purpose of this act of community service was to enable midwives to accompany more women during pregnancy and the first few weeks after giving birth. The method proposed is to provide information on ethics, planning, direction, and evaluation of pregnancy and early postpartum exercise, provide information on anti-corruption, and manage the process of operating this training activity from beginning to end. There were 24 participants in the course, all o...
Midwifery Practice: Core Topics 3
2000
Any person who does any unauthorised act in relation to this publication may be liable to criminal prosecution and civil claims for damages.
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2018
Exercises are regular and structured physical activity, which help to improve and maintain health. Exercises which are practices during antenatal period are called antenatal exercises. They are planned, structured and repetitive bodily movements, done during antenatal period to improve or maintain one or more components of physical fitness of mother as well as foetus [1]. Pregnancy is a crucial period where the mother tend to take care of herself so as to prepare herself for a safe delivery. Most of the women (99%) uses maternal and child health services effectively [2]. Regular exercise is an essential way of helping body to cope with the physiological changes during pregnancy.A well-conditioned woman who regularly performs aerobics or exercises has a beneficial effect on the course and outcome of labour [3]. Antenatal exercises has several advantages for both mother and foetus. The positive outcome is mainly depend upon the type, intensity, frequency and duration of the antenatal exercises. Advantages to mother include improved cardio vascular function, relief from minor problems during pregnancy, controlled weight gain and fat retention, positive attitude and mental state, less complicated delivery, quick recovery and improved fitness. Foetal benefits may include improved stress tolerance, and advanced neurobehavioural maturation. In the absence of medical contraindication, women should be encouraged to maintain their pregnancy activity level [4]. Many women experience discomforts during pregnancy that are not serious but diminishes the woman's feeling of comfort and well being. They experience a variety of physiological and psychological symptoms such as nausea and vomiting, frequency of micturition, breathing difficulty, ankle oedema, haemorrhoids, back ache, heartburn, constipation and leg cramps. These are termed as minor ailments or discomforts of pregnancy. These minor ailments can be troublesome on a day to day basis [5]. The main purposes of the study was to compare the level of practice of exercises among control group and experimental group using a self reported practice checklist, compare the selected outcome among control group and experimental group using a rating scale and to find out association between pre-test score of selected outcome and demographic variables. MAtErIALS And MEtHOdS The study was conducted from February 2016 to April 2016 using Quantitative research approach through quasi experimental pretest-post-test control group design. Non probability convenience sampling technique was used to select 60 antenatal mothers (28-30 weeks gestation), 30 each in experimental and control group with an inclusion criteria of age group within 18 to 45 years irrespective of their parity, between 28-30 weeks gestation, and able to read and write English and Malayalam. Antenatal mothers with complications like history of abortion, preterm birth, hypertension, placenta praevia, unable to read and write English and Malayalam, with history of
MIDWIFERY PRACTICE: Core Topics 2
1997
Any person who does any unauthorised act in relation to this publication may be liable to criminal prosectuion and civil claims for damages.
Physiotherapy in obstetrics through the eyes of pregnant women: a qualitative study
Fisioterapia em Movimento
Introduction: Physiotherapy in women's health emerged with the aim of promoting and maintaining physical and emotional health from the beginning to the end of pregnancy, through preventive measures against possible injuries that may occur during pregnancy, childbirth and the postpartum. Access to knowledge about obstetric physiotherapy among pregnant women is increasing, which may contribute to a search for trained professionals. Objective: To analyze the perception of pregnant women about obstetric physiotherapy. Methods: This is a qualitative study carried out at the Materno Infantil Center, in Capanema, Parana state (PR), using a semistructured interview. Content analysis used the Bardin method to categorize the thematic axes. Results: Seven pregnant women aged between 18-24 years (57%), 23-32 weeks of gestation (42%), multiparous (71%), with secondary education (42%) and income between 1-3 monthly minimum wages (86 %) were included in the study. It was found that participant...
PLOS ONE
Both nationally and internationally, midwives' practices during the second stage of labour vary. A midwife's practice can be influenced by education and cultural practices but ultimately it should be informed by up-to-date scientific evidence. We conducted a systematic review of the literature to retrieve evidence that supports high quality intrapartum care during the second stage of labour. A systematic literature search was performed to September 2019 in collaboration with a medical information specialist. Bibliographic databases searched included: PubMed, EMBASE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, Maternity and Infant Care Database and The Cochrane Library, resulting in 6,382 references to be screened after duplicates were removed. Articles were then assessed for quality by two independent researchers and data extracted. 17 studies focusing on midwives' practices during physiological second stage of labour were included. Two studies surveyed midwives regarding their practice and one study utilising focus groups explored how midwives facilitate women's birthing positions, while another focus group study explored expert midwives' views of their practice of preserving an intact perineum during physiological birth. The remainder of the included studies were primarily intervention studies, highlighting aspects of midwifery practice during the second stage of labour. The empirical findings were synthesised into four main themes namely: birthing positions, nonpharmacological pain relief, pushing techniques and optimising perineal outcomes; the results were outlined and discussed. By implementing this evidence midwives may enable women during the second stage of labour to optimise physiological processes to give birth. There is, however, a dearth of evidence relating to midwives' practice, which provides a positive experience for women during the second stage of labour. Perhaps this is because not all midwives' practices during the second stage of labour are researched and documented. This systematic review provides a valuable insight of the empirical evidence relating to midwifery practice during the physiological second stage of labour, which can also inform
The perception of a selected group of midwives towards women experiencing labour pain
2008
This qualitative study was aimed at exploring midwives' responses and attitudes towards women in labour, as well as their perception of the pain experienced during labour. A non-probability purposive sampling method was followed, and the data collection methods selected were in-depth individual interviews and focus-group interviews, with the aid of an interview guide for both methods, the researcher being the main data collecting instrument. More than one data collection method (triangulation) was used to ensure the trustworthiness of the study. Concerning the perception of midwives towards women experiencing labour pain, the study revealed that firstly, labour pain is unique to individual women, it is natural and bearable. Secondly, labour pain may be unbearable, and the women in labour need to be given medication for pain. Furthermore, certain behaviour was identified and viewed as unacceptable by participating midwives because it could put both the lives of the mother and the unborn baby at risk; these include: drinking herbal medicines during pregnancy and childbirth; extreme activities like jumping out of bed and rolling on the floor. These behaviours were sources of frustration to midwives.
The role of the midwife in supporting women through the third stage of labour
NICE guidelines (2007) state that active management for the third stage of labour should be recommended preferentially to physiological management. If these guidelines are followed inflexibly by midwives, they may be in danger of not providing the women in their care with informed choice. This essay explores the ways in which midwives can deliver safe care whilst advocating for their clients' wishes.