Labouring in comfort

Article Abstract:

Most women still give birth lying down, while research has shown that there are many advantages to being upright or moving around. In the upright position, gravity is thought to help the downward movement, whilst increasing the pelvic outlet area by as much as 30%, compared to the dorsal position. Psychologically, a women in labour feels more in control and comfortable in an upright position, instead of regarding herself as sick lying in bed. The midwife's attitude is important in the choice of an upright position and mobilisation, and may be affected by lack of knowledge or experience. Aids for supporting women in labour are also discussed.

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The conflict between lay and professional views of labour

Article Abstract:

There is often a power imbalance between professionals involved in maternity care and those receiving maternity care, which can lead to conflict. It is argued that the male management of reproduction in industrialised societies has led to the differing perceptions of childbirth. Some women are moving towards a more female centered approach to obstetric care.

Practice, Obstetrics

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Assessing membrane rupture in labour

Article Abstract:

A study has found that women who have their membranes artificially ruptured during the early part of labour experience more pain, which limits their mobility, and require more analgesia, than those whose membranes were left intact until the later stages of labour. There are no advantages therefore of artificial rupture in normal labour.

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