Ok, here's my pet peeves of routine interventions that are not evidence based::)
1)early cord clamping
2)routine use of pitocin(particularly in elective inductions for first time moms)
3)regular vaginal exams
4)directed pushing
5)EFM
6)regular suctioning and oxygen of baby right afterwards with no indication(this is changing though)
And one intervention that has shown to help with many variables and is cost effective, but is not provided automatically: labor support other than the nurse(in some studies, just having the nurse showed no difference).
2 comments:
Wow this info you have given, just makes me so much more upset at the hospital I was at! They did all of that stuff to me! They got their undies in a bunch and wouldn't let me labor naturally like I told them I wanted, and ended up with a c-section! I will keep all this stuff in mind for the next, I really want a vbac.
Without having been at your birth, it's hard to say why they do what they do. They sometimes have other reasons for doing these things, but that said very very often, there is no medical reason for these things.
More and more hospitals are starting to change their practices. Oh and food and drink is another one I would add to this list. One of the hospitals I worked at allowed drink, intermittent monitoring, and was pushing doctors and nurses to hold off on the cord clamping. Another one did none of these things.
When choosing a provider and hospital, you need to get verifiable proof that they do this(and that means someone has said that they were able to do this). Good luck with a vbac! If you ever want me to pass on research for you let me know.
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