To evaluate the effectiveness of a a new cooling device (gel pad) with a standard regimen (ice pack) and compare these with a no localised treatment regimen (control). Design: A randomised controlled trial initially based in hospital and then continued in the community. Setting: A Midwifery Unit in the North of England and then in women's own homes. Participants: 450 women who had undergone either a normal or an instrumental delivery that required suturing of an episiotomy or second degree tear. Key Conclusions: This clinical trial confirms earlier findings in a previous study and provides evidence that the use of a specifically designed cooling gel pad is a safe and effective localised method to alleviate perineal trauma without any adverse effects on healing.
Painful breasts and perineum are a very common phenomenon in the early postnatal period. Both types will cause acute pain and may cause considerable distress and discomfort for many mothers. Assessing pain before offering advice on how best to alleviate the pain is an important issue. Midwives will, therefore, need to routinely assess the intensity and quality of the pain by asking mothers to self-report. It is generally accepted that acute pain is managed inadequately by the use of systemic analgesics alone. Localized pain relief, however, can assist to alleviate acute pain and hot and cold therapy throughout the centuries has been used effectively to achieve this. This product focus describes the benefits of two cooling devices (Mom's Breast Soother and the feme Pad) manufactured by Florri-Feme Pharmaceuticals Ltd, that will assist newly delivered mothers to achieve breast and perineal pain relief.
Background: Relationship conflict and abuse occurs in every day life and often starts or escalates during pregnancy with devasting health and well-being consequences, the most severe being loss of life. This paper is the second in a series of two - the first paper described and discussed the first phase of the study, exploring the experiences of participants attending Start Treating Others Positively, a UK, Leeds-based charity. Aim: To explore STOP's participants' views of what could be included in an antenatal parenting education session for expectant parents to enable and empower them to manage emotions and behaviour and prevent any relationship conflict escalating to abuse. Method: An exploratory study involving 20 parents attending sessions organised by STOP. The university's health ethics committee granted approval and the standards recommended by the NHS Research Governance Framework for service users' involvement in research were applied. During December 2007 and January 2008, a schedule of open and closed questions was used to guide interviews. Data analysis were conducted by a thematic analysis that involved the identification of emerging themes. Participants' suggestions of useful exercises and techniques to be included in an antenataleducation programme were recorded. Findings: Four themes emerged from the data: 'Why has nobody thought about it before?', 'Sharing the parenting,' 'learning to listen', 'Creating space for me and for you'. Exercises and techniques for an antenatal education programme were suggested that would increase awareness of the risks of relationship conflict and provide preventative methods. Conclusions: Participants' views and suggestions assisted in the development of a specific session on 'managing emotions, behaviour and any relationship conflict when becoming a parent'. Further research will be undertaken to measure the impact of this newly developed programme for expectant parents.
Calvert, Jan; Steen, Mary (Mark Allen Publishing, 2007-03)
The first of two articles. This article discusses a study that assessed the usage and impact of providing a self-administered kit of homeopathic remedies at the end of pregnancy, childbirth, and post-childbirth. The study was undertaken at the hospital and at home. Nineteen women in south Leeds participated in this study between September 2005 and February 2006.
Steen, Mary; Jones, Alun (Redactive Publishers: Royal College of Midwives, 2014-03-01)
It is not only women who experience shame and stigma because of their circumstances, it can affect midwives too. Shame and stigma can have a significant impact on both parents and midwife. Expectant parents who are experiencing difficulties with childbirth may become self absorbed. Critical ruminations are likely to ensue and this can lead to these parents failing to care for themselves appropriately. Meanwhile, midwives’ professional practice may also become compromised because of shameful ruminations.
It is important that women receive information and advice about normal birth practices and healthy lifestyles. In the United Kingdom,the Royal College of Midwives Campaign for Normal Birth, ‘aims to inspire and support normal birth practice’(RCM, 2005) and the Department of Health has acknowledged that ‘Healthy mothers are key for giving healthy babies a healthy start in life’.(DoH, 2004) This presentation describes a holistic health and fitness programme specifically designed to raise awareness of the health benefits of normal birth and the general health and wellbeing of women, their babies and their families.
This article describes and discusses an conference paper given at the Dia Internacional do Enfermeiro de Saude Materna e Obstetrica, Viseu, Portugal. It highlights that many childbearing women in the 21st century now fear birth and the RCM's concerns that both women and maternity care professionals have become more dependent on technology during childbirth. This instigated the RCM's campaign for normal birth, which aims to inspire and support normal birth practice to maximise opportunities for women to experience normal birth and to reduce unncessary medical interventions. The importance of being with woman is stressed and a social model versus medical model of care is compared. Midwife's skills such as 'sussing out labour' and 'intuition' is explored as is 'working with pain' rather than a pain relief approach and 'holistic approaches to support normal birth practices are also discussed. In particular, active birth and the use of complementary therapies are reviewed. Midwives around the world can play an important role in making normal birth a reality once again.
Steen, Mary; Keeling, June J. (Ian Heslop, 2012-02-01)
There is evidence to suggest that pregnancy may trigger or exacerbate domestic violence. Domestic violence is recognised to be a significant contributory factor to maternal, fetal morbidity and mortality. The midwife is ideally placed to recognise domestic abuse and offer care, support and information. This article describes and discusses the multi-complex issues surrounding domestic abuse. It highlights possible indicators, how to ask questions, the importance of documenting evidence and explores ways that midwives can be responsive to the needs of abused women and their children.
This article discusses the development of a maternal health, well-being & beyond project in leeds and how large proportions of women have benefited from classes and the support of other mothers in improving their general health through exercise.
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