| Irish and New Zealand midwives' expertise in expectant management of the third stage of labour: The 'MEET' study. | |
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MedLine Citation:
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PMID: 22015217 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVE: to explore the views of expert midwives in Ireland and New Zealand of the skills they employ in expectant management of the third stage of labour (EMTSL). DESIGN: university ethical approval was granted for a qualitative descriptive study in 2010. Recorded, semi-structured interviews were undertaken. Constant comparative analysis was used. SETTING: community birth settings in Ireland and New Zealand. PARTICIPANTS: 27 consenting midwives who used EMTSL in at least 30% of births, with PPH rates less than 4%. FINDINGS: the majority of respondents believed the third stage was a special time of parent-baby discovery and 'watchful waiting', with no intervention necessary. Great importance was placed on women's feelings, behaviour and a calm environment. Skin-to-skin contact, breast feeding, not clamping the cord, upright positions and maternal effort, sometimes assisted by gentle cord-traction were also used. KEY CONCLUSIONS: some components of EMTSL identified by these expert midwives are not recorded in text-books, but are based on experience and expertise. These elements of EMTSL add to midwifery knowledge and provide a basis for further discussion on how normal physiology can be supported during the third stage. IMPLICATIONS FOR PRACTICE: use of these elements is recommended for women who request EMTSL, and for those in countries without ready access to uterotonics. |
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Authors:
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Cecily M Begley; Karen Guilliland; Lesley Dixon; Mary Reilly; Caroline Keegan |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-10-18 |
Journal Detail:
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Title: Midwifery Volume: - ISSN: 1532-3099 ISO Abbreviation: - Publication Date: 2011 Oct |
Date Detail:
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Created Date: 2011-10-21 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8510930 Medline TA: Midwifery Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2011 Elsevier Ltd. All rights reserved. |
Affiliation:
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School of Nursing and Midwifery, Trinity College Dublin, 24, D'Olier St, Dublin 2, Ireland. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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