Search PubMed⌕ Search
Home/Archive/PubMed

PubMed · 16640224

[Complementary obstetrical delivery methods].

Mirna Vuković Bobić·Dubravko Habek
View original source ↗Export metadata ↓

Abstract

Complementary methods in obstetrics are related to humanization of delivery and woman's decision on the mode of delivery in normal labor. The methods include various birthing positions, aids such as delivery chair, birthing wheel, etc., and water delivery. Results of recent studies comparing these methods with classic delivery in supine position are presented. The advantages of these alternative methods of delivery include shorter duration of delivery, reduced need of labor induction, lower use of analgesics, and women's acceptance of these methods of delivery with the same level of maternal and neonatal safety as in classic delivery. All these advantages apply to water delivery providing the prerequisities, contraindications and measures of surveillance are strictly met.

Explore related subjects

Delivery, ObstetricFemaleHumansPregnancyEnglish AbstractJournal Article

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

Mirna Vuković Bobić, Dubravko Habek. [Complementary obstetrical delivery methods].. https://pubmed.ncbi.nlm.nih.gov/16640224/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2007

Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial.

OBJECTIVE: To evaluate the effect of teamwork training on the occurrence of adverse outcomes and process of care in labor and delivery. METHODS: A cluster-randomized controlled trial was conducted at seven intervention and eight control hospitals. The intervention was a standardized teamwork training curriculum based on crew resource management that emphasized communication and team structure. The primary outcome was the proportion of deliveries at 20 weeks or more of gestation in which one or more adverse maternal or neonatal outcomes or both occurred (Adverse Outcome Index). Additional outcomes included 11 clinical process measures. RESULTS: A total of 1,307 personnel were trained and 28,536 deliveries analyzed. At baseline, there were no differences in demographic or delivery characteristics between the groups. The mean Adverse Outcome Index prevalence was similar in the control and intervention groups, both at baseline and after implementation of teamwork training (9.4% versus 9.0% and 7.2% versus 8.3%, respectively). The intracluster correlation coefficient was 0.015, with a resultant wide confidence interval for the difference in mean Adverse Outcome Index between groups (-5.6% to 3.2%). One process measure, the time from the decision to perform an immediate cesarean delivery to the incision, differed significantly after team training (33.3 minutes versus 21.2 minutes, P=.03). CONCLUSION: Training, as was conducted and implemented, did not transfer to a detectable impact in this study. The Adverse Outcome Index could be an important tool for comparing obstetric outcomes within and between institutions to help guide quality improvement. CLINICAL TRIAL REGISTRATION: (www.ClinicalTrials.gov), NCT00381056 LEVEL OF EVIDENCE: I.

Delivery, Obstetric↗