SlideShare a Scribd company logo
Scientific basis for
Intranatal Care
Dr. (Prof) Sudha Raddi
Dean and Principal
KLEU INS, Belagavi
And
Mrs. Asha Bhat
Sr. Tutor, Dept. of
OBG Nursing, KLEU
INS, Belagavi
Introduction
Birth is a family affair, and the reproductive health
of the total family is the cornerstone of a healthy
society.
Certain risk factors may jeopardize the health of
the maternity client. Some of these factors, such
as life events, and stress, working condition,
family support etc.
Cont....
Invasive medical procedures during labour and
birth such as induction of labour, epidural
anaesthesia, assisted delivery and caesarean
section involve exposure to additional risks so
should only be used in circumstances where
there is reasonable evidence that the benefit
will outweigh potential
Intranatal Care......
Care of a woman in all stages of labour
is known as Intranatal care.
Normal labour.....
“Spontaneous in onset, low-risk at the start of
labour and remaining so throughout labour
and delivery. The infant is born spontaneously
in the vertex position between 37 and 42
completed weeks of pregnancy – WHO
Normal labour is also known as eutocia
Some facts.....
Every Minute in the world......
390 women become pregnant....
110 women experience pregnancy related
complications........
40 women have unsafe abortion....
One woman die from pregnancy related
complication.....
Stages of labour
First Stage – starts with onset of regular
uterine contraction and ends with full cervical
effacement and dilatation.
Second Stage – from full dilatation till
delivery of fetus
Third Stage – delivery of placenta
Choice of place and
health care provider
Use of natural
comfort aids
One to one
Midwifery care
Child Birth
education classes
Partograph
Water birth
Scientific base
intranatal care
Breathing and Relaxation
Breathing – deep and
slow paced breathing
helps in minimising the
pain
Relaxation -relaxation
by using music and
guided imagery will help
in reduction of pain
Evidence....
Modified paced breathing blocks more painful
stimuli than the normal breathing (Nichols &
Humenick 2000; Shapiro et all 1997)
Choosing the subject for imagery and
practicing the technique will enhance the
effectiveness in progression of labour Hoffart&
Pross Keene, 1998)
Hydrotherapy & Effleurage
Hydrotherapy – Bathing,
Showering and
Whirlpool baths with
warm water is more
helpful.
Effleurage and counter
pressure – light
massage will help in
minimising the pain.
Evidence.....
Whirlpool baths in labour have positive
effects on analgesia requirements and
personal satisfaction with labour.
(Simkim & O’Hara, 2002)
Effleurage and counter pressure applied
bilaterally to the hips or knees will reduce low
back pain ( Simkim & Ancheta, 2010)
Ambulation and Positions
Ambulation enhances
the uterine activity
and distract the
woman from the
discomfort
Different positions used
in first stage will speed
up the labour process
Evidence.....
Maternal ambulation in first stage of labour
decreases the duration of first stage. (Robert
CL & Albert CS, 2006)
Maintaining upright position in first stage will
reduce the duration of first stage. (Kumud,
Avinash & Seema 2013)
Birthing balls
It is a large air filled rubber ball (60 Cm in diameter)
made up of extra tough non slip burst proof, that is
easily wiped and clean. The woman will be sitting
over or leaning on a birthing ball after 2cm of
dilatation for 15 minutes
Evidence.....
Use of birthing ball in first stage of labour will
reduce the pain. (Msid D’ecosta, 2013)
Use of birthing ball is effective in reducing
labour pain perception and improves the
coping level. (Dr. Lata Venkateshen, 2012)
Evidence.....
Randomized Control Trail on 60
primiparous women shown mean pain
scores in birth ball group were
significantly lower than the mean pain
scores in the control group (Taavoni et.
al, 2011)
Partograph
Partograph is a chart in
which the salient features
of labour are entered in a
graphic form and it
provides the opportunity
for early identification of
deviations from normal.
Scientific basis for intranatal care
Water Birthing
It is a process of giving birth in
a tub of warm water
Heat as a non pharmacological
method of pain relief helps in
reducing the pain intensity and
increases the pain consistency.
Evidence ......
Compared the water birth and land birth and
showed that patients in the water birth group
needed less obstetrical analgesia and warm
water reduced the pain in 69% of the women
(Geissbuehler et all (2004)
Active management of III stage
labour
Active management of the third stage of labor
(AMTSL) includes three steps:
Administration of a uterotonic drug
(oxytocin, 10 IU injection, is the drug of choice)
Controlled cord traction
Uterine massage after delivery of placenta
Helping babies breathe
The Golden Minute®
Helping Babies Breathe emphasizes skilled
attendants at birth, assessment of every
baby, temperature support, stimulation to
breathe, and assisted ventilation as needed,
all within "The Golden Minute" after birth.
Barriers
1. Lack of reinforcement for performance
2. Perverse incentive payment system
3. Limited reliance on EBP
4. Lack of core child bearing knowledge
5. Cost
6. Limitation of views put forth in media
7. Chances of malpractice
THANKTHANK
YOUYOU

More Related Content

What's hot

Labour 1st stage
Labour 1st stageLabour 1st stage
Labour 1st stage
Amandeep Jhinjar
 
Postnatal care MANIK
Postnatal care MANIKPostnatal care MANIK
Postnatal care MANIK
Imran Nur Manik
 
Preconceptional care
Preconceptional carePreconceptional care
Preconceptional care
Santosh Kumari
 
4th stage of labor m.sc 1st year
4th stage of labor m.sc 1st year4th stage of labor m.sc 1st year
4th stage of labor m.sc 1st year
sana usmani
 
BREAST ENGORGEMENT
BREAST ENGORGEMENTBREAST ENGORGEMENT
BREAST ENGORGEMENT
MAHESWARI JAIKUMAR
 
First stage of labor
First stage of laborFirst stage of labor
First stage of labor
Nikita Sharma
 
Antenatal exercises.pptx
Antenatal exercises.pptxAntenatal exercises.pptx
Physiology of puerperium
Physiology of puerperium Physiology of puerperium
Physiology of puerperium
jagadeeswari jayaseelan
 
$ Breast engorgement $
$ Breast engorgement $$ Breast engorgement $
$ Breast engorgement $
Godwin Pangler
 
Normal labour
Normal labourNormal labour
Normal labour
Priyanka Gohil
 
ROLE OF NURSE IN MIDWIFERY
ROLE OF NURSE IN MIDWIFERYROLE OF NURSE IN MIDWIFERY
ROLE OF NURSE IN MIDWIFERY
BRITO MARY
 
Management of normal purperium
Management of normal purperiumManagement of normal purperium
Management of normal purperium
preetishukla38
 
High-risk approach with screening and assessment
High-risk approach with screening and assessmentHigh-risk approach with screening and assessment
High-risk approach with screening and assessment
Anamika Ramawat
 
Physiological changes in puerperium
Physiological changes in puerperiumPhysiological changes in puerperium
Physiological changes in puerperium
Shrooti Shah
 
Normal puerperium
Normal puerperiumNormal puerperium
Normal puerperium
Priyanka Gohil
 
Immediate Nursing care of a newborn
Immediate Nursing care of a newbornImmediate Nursing care of a newborn
Immediate Nursing care of a newborn
Anamika Ramawat
 
Drug ppt lisa chadha
Drug ppt lisa chadhaDrug ppt lisa chadha
Drug ppt lisa chadha
Bharati vidyapeeth university
 
Antenatal preparation
Antenatal preparationAntenatal preparation
Antenatal preparation
Amandeep Jhinjar
 
ANTENATAL EXERCISES.pptx
ANTENATAL EXERCISES.pptxANTENATAL EXERCISES.pptx
ANTENATAL EXERCISES.pptx
RameeThj
 
POSTNATAL ASSESSMENT
POSTNATAL ASSESSMENTPOSTNATAL ASSESSMENT
POSTNATAL ASSESSMENT
Tripti Goarya
 

What's hot (20)

Labour 1st stage
Labour 1st stageLabour 1st stage
Labour 1st stage
 
Postnatal care MANIK
Postnatal care MANIKPostnatal care MANIK
Postnatal care MANIK
 
Preconceptional care
Preconceptional carePreconceptional care
Preconceptional care
 
4th stage of labor m.sc 1st year
4th stage of labor m.sc 1st year4th stage of labor m.sc 1st year
4th stage of labor m.sc 1st year
 
BREAST ENGORGEMENT
BREAST ENGORGEMENTBREAST ENGORGEMENT
BREAST ENGORGEMENT
 
First stage of labor
First stage of laborFirst stage of labor
First stage of labor
 
Antenatal exercises.pptx
Antenatal exercises.pptxAntenatal exercises.pptx
Antenatal exercises.pptx
 
Physiology of puerperium
Physiology of puerperium Physiology of puerperium
Physiology of puerperium
 
$ Breast engorgement $
$ Breast engorgement $$ Breast engorgement $
$ Breast engorgement $
 
Normal labour
Normal labourNormal labour
Normal labour
 
ROLE OF NURSE IN MIDWIFERY
ROLE OF NURSE IN MIDWIFERYROLE OF NURSE IN MIDWIFERY
ROLE OF NURSE IN MIDWIFERY
 
Management of normal purperium
Management of normal purperiumManagement of normal purperium
Management of normal purperium
 
High-risk approach with screening and assessment
High-risk approach with screening and assessmentHigh-risk approach with screening and assessment
High-risk approach with screening and assessment
 
Physiological changes in puerperium
Physiological changes in puerperiumPhysiological changes in puerperium
Physiological changes in puerperium
 
Normal puerperium
Normal puerperiumNormal puerperium
Normal puerperium
 
Immediate Nursing care of a newborn
Immediate Nursing care of a newbornImmediate Nursing care of a newborn
Immediate Nursing care of a newborn
 
Drug ppt lisa chadha
Drug ppt lisa chadhaDrug ppt lisa chadha
Drug ppt lisa chadha
 
Antenatal preparation
Antenatal preparationAntenatal preparation
Antenatal preparation
 
ANTENATAL EXERCISES.pptx
ANTENATAL EXERCISES.pptxANTENATAL EXERCISES.pptx
ANTENATAL EXERCISES.pptx
 
POSTNATAL ASSESSMENT
POSTNATAL ASSESSMENTPOSTNATAL ASSESSMENT
POSTNATAL ASSESSMENT
 

Viewers also liked

NMCP Maternal Newborn Nursing Orientation Information Packet
NMCP Maternal Newborn Nursing Orientation Information PacketNMCP Maternal Newborn Nursing Orientation Information Packet
NMCP Maternal Newborn Nursing Orientation Information Packet
Denise Devonshire,
 
Hrm coolective bargeing
Hrm coolective bargeingHrm coolective bargeing
Hrm coolective bargeing
pratik dattani
 
Collectiv bargaining
Collectiv bargainingCollectiv bargaining
Collectiv bargaining
Anoop Parameswaran
 
Performance appraisal process
Performance appraisal processPerformance appraisal process
Performance appraisal process
samueltee212
 
Collective bargaining
Collective bargainingCollective bargaining
Collective bargaining
parags06
 
Collective bargaining
Collective bargainingCollective bargaining
Collective bargaining
Vivek Jamnik
 
Performance Appraisals
Performance AppraisalsPerformance Appraisals
Performance Appraisals
KOMAL POPAT
 
Trade union and Collective Bargaining
Trade union and Collective BargainingTrade union and Collective Bargaining
Trade union and Collective Bargaining
Shashank Shekhar
 
Collective bargaining
Collective bargainingCollective bargaining
Collective bargaining
Mohit3001
 
7 perf apprsl & mgmt
7 perf apprsl & mgmt7 perf apprsl & mgmt
7 perf apprsl & mgmt
Jayan Suja
 
Collective bargaining
Collective bargainingCollective bargaining
Collective bargaining
Asha Bhat
 
Performance appraisals and management
Performance appraisals and managementPerformance appraisals and management
Performance appraisals and management
Tanzeela Munawar
 
Performance appraisal
Performance  appraisalPerformance  appraisal
Performance appraisal
Arunagiri N
 
Collective bargening
Collective bargeningCollective bargening
Collective bargening
Dr. Saswat Barpanda
 
Performance Appraisal 03(2)
Performance Appraisal 03(2)Performance Appraisal 03(2)
Performance Appraisal 03(2)
rajeevgupta
 
Effective collective bargaining & negotiation skills
Effective collective bargaining & negotiation skillsEffective collective bargaining & negotiation skills
Effective collective bargaining & negotiation skills
Dr. Balakrishnan Muniapan
 
Ante Natal, Intra Natal AND Post Natal Care of Asian Women
Ante Natal, Intra Natal AND Post Natal Care of Asian WomenAnte Natal, Intra Natal AND Post Natal Care of Asian Women
Ante Natal, Intra Natal AND Post Natal Care of Asian Women
Sharda University
 
Trade unions: objectives, challenges, advantages,features,financing,recruitment
Trade unions: objectives, challenges, advantages,features,financing,recruitmentTrade unions: objectives, challenges, advantages,features,financing,recruitment
Trade unions: objectives, challenges, advantages,features,financing,recruitment
Suleyman Ally
 
PRESENTATION collective bargain
PRESENTATION collective bargainPRESENTATION collective bargain
PRESENTATION collective bargain
Mvijaykamath
 
Collective bargaining
Collective bargaining Collective bargaining
Collective bargaining
Chandan Raj
 

Viewers also liked (20)

NMCP Maternal Newborn Nursing Orientation Information Packet
NMCP Maternal Newborn Nursing Orientation Information PacketNMCP Maternal Newborn Nursing Orientation Information Packet
NMCP Maternal Newborn Nursing Orientation Information Packet
 
Hrm coolective bargeing
Hrm coolective bargeingHrm coolective bargeing
Hrm coolective bargeing
 
Collectiv bargaining
Collectiv bargainingCollectiv bargaining
Collectiv bargaining
 
Performance appraisal process
Performance appraisal processPerformance appraisal process
Performance appraisal process
 
Collective bargaining
Collective bargainingCollective bargaining
Collective bargaining
 
Collective bargaining
Collective bargainingCollective bargaining
Collective bargaining
 
Performance Appraisals
Performance AppraisalsPerformance Appraisals
Performance Appraisals
 
Trade union and Collective Bargaining
Trade union and Collective BargainingTrade union and Collective Bargaining
Trade union and Collective Bargaining
 
Collective bargaining
Collective bargainingCollective bargaining
Collective bargaining
 
7 perf apprsl & mgmt
7 perf apprsl & mgmt7 perf apprsl & mgmt
7 perf apprsl & mgmt
 
Collective bargaining
Collective bargainingCollective bargaining
Collective bargaining
 
Performance appraisals and management
Performance appraisals and managementPerformance appraisals and management
Performance appraisals and management
 
Performance appraisal
Performance  appraisalPerformance  appraisal
Performance appraisal
 
Collective bargening
Collective bargeningCollective bargening
Collective bargening
 
Performance Appraisal 03(2)
Performance Appraisal 03(2)Performance Appraisal 03(2)
Performance Appraisal 03(2)
 
Effective collective bargaining & negotiation skills
Effective collective bargaining & negotiation skillsEffective collective bargaining & negotiation skills
Effective collective bargaining & negotiation skills
 
Ante Natal, Intra Natal AND Post Natal Care of Asian Women
Ante Natal, Intra Natal AND Post Natal Care of Asian WomenAnte Natal, Intra Natal AND Post Natal Care of Asian Women
Ante Natal, Intra Natal AND Post Natal Care of Asian Women
 
Trade unions: objectives, challenges, advantages,features,financing,recruitment
Trade unions: objectives, challenges, advantages,features,financing,recruitmentTrade unions: objectives, challenges, advantages,features,financing,recruitment
Trade unions: objectives, challenges, advantages,features,financing,recruitment
 
PRESENTATION collective bargain
PRESENTATION collective bargainPRESENTATION collective bargain
PRESENTATION collective bargain
 
Collective bargaining
Collective bargaining Collective bargaining
Collective bargaining
 

Similar to Scientific basis for intranatal care

pain management during labor & second stage of labor
pain management during labor & second stage of laborpain management during labor & second stage of labor
pain management during labor & second stage of labor
Sahar Mohammed
 
laborpresentationpart2-140421100104-phpapp02.pptx
laborpresentationpart2-140421100104-phpapp02.pptxlaborpresentationpart2-140421100104-phpapp02.pptx
laborpresentationpart2-140421100104-phpapp02.pptx
frida atallah
 
Obstetrics and Gynaecology by Dr Sujit Chatterjee
Obstetrics and Gynaecology by Dr Sujit ChatterjeeObstetrics and Gynaecology by Dr Sujit Chatterjee
Obstetrics and Gynaecology by Dr Sujit Chatterjee
Krishna Singh
 
Effect of Acupressure on Duration of Labor and Intensity of Labor Pain
Effect of Acupressure on Duration of Labor and Intensity of Labor PainEffect of Acupressure on Duration of Labor and Intensity of Labor Pain
Effect of Acupressure on Duration of Labor and Intensity of Labor Pain
ijtsrd
 
A Study to Evaluate the Effectiveness of Patterned Breathing Technique on Pai...
A Study to Evaluate the Effectiveness of Patterned Breathing Technique on Pai...A Study to Evaluate the Effectiveness of Patterned Breathing Technique on Pai...
A Study to Evaluate the Effectiveness of Patterned Breathing Technique on Pai...
YogeshIJTSRD
 
NON PHARMACOLOGICAL MANAGEMENT OF DISCOMFORT.pptx
NON PHARMACOLOGICAL MANAGEMENT OF DISCOMFORT.pptxNON PHARMACOLOGICAL MANAGEMENT OF DISCOMFORT.pptx
NON PHARMACOLOGICAL MANAGEMENT OF DISCOMFORT.pptx
AURELIATEMBA
 
Stages of labour and alternative therapies
Stages of labour and alternative therapiesStages of labour and alternative therapies
Stages of labour and alternative therapies
Saima Habeeb
 
Labour analgesia
Labour analgesiaLabour analgesia
Labour analgesia
Pawan Gupta
 
EVIDENCE BASED STUDIES.pptx
EVIDENCE BASED STUDIES.pptxEVIDENCE BASED STUDIES.pptx
EVIDENCE BASED STUDIES.pptx
Preeti Kulshreshtha
 
Alternative and complementary methods during labor
Alternative and complementary methods during laborAlternative and complementary methods during labor
Alternative and complementary methods during labor
Ancy Abraham
 
Pain management during labor
Pain management during laborPain management during labor
Pain management during labor
College of nursing
 
Painless labour
Painless labourPainless labour
Painless labour
drmcbansal
 
sonia lesson plan.docx
sonia lesson plan.docxsonia lesson plan.docx
sonia lesson plan.docx
SambaSukanya
 
4 4-52-777 (3)
4 4-52-777 (3)4 4-52-777 (3)
1259 einsteinv7n2p194-200 ing
1259 einsteinv7n2p194-200 ing1259 einsteinv7n2p194-200 ing
1259 einsteinv7n2p194-200 ing
Princess Pt
 
RUNNING HEAD PREGNANCY & HYPNOSIS 1Pregnancy and Hypnosis2 .docx
RUNNING HEAD PREGNANCY & HYPNOSIS 1Pregnancy and Hypnosis2 .docxRUNNING HEAD PREGNANCY & HYPNOSIS 1Pregnancy and Hypnosis2 .docx
RUNNING HEAD PREGNANCY & HYPNOSIS 1Pregnancy and Hypnosis2 .docx
charisellington63520
 
ph4003 Sasse pregnancy yoga essay Gillian Kiely
ph4003 Sasse pregnancy yoga essay Gillian Kielyph4003 Sasse pregnancy yoga essay Gillian Kiely
ph4003 Sasse pregnancy yoga essay Gillian Kiely
Gillian Kiely
 
pain relief and confort during labour pptx.pptxpptx
pain relief and  confort during labour pptx.pptxpptxpain relief and  confort during labour pptx.pptxpptx
pain relief and confort during labour pptx.pptxpptx
SonaliShroga
 
PAIN MANAGEMENT DURING LABOR AND DELIVERY.pptx
PAIN MANAGEMENT DURING LABOR AND DELIVERY.pptxPAIN MANAGEMENT DURING LABOR AND DELIVERY.pptx
PAIN MANAGEMENT DURING LABOR AND DELIVERY.pptx
Muneeshwari Jeyachandran
 
A study to assess the effectiveness of paced breathing versus back massage fo...
A study to assess the effectiveness of paced breathing versus back massage fo...A study to assess the effectiveness of paced breathing versus back massage fo...
A study to assess the effectiveness of paced breathing versus back massage fo...
pharmaindexing
 

Similar to Scientific basis for intranatal care (20)

pain management during labor & second stage of labor
pain management during labor & second stage of laborpain management during labor & second stage of labor
pain management during labor & second stage of labor
 
laborpresentationpart2-140421100104-phpapp02.pptx
laborpresentationpart2-140421100104-phpapp02.pptxlaborpresentationpart2-140421100104-phpapp02.pptx
laborpresentationpart2-140421100104-phpapp02.pptx
 
Obstetrics and Gynaecology by Dr Sujit Chatterjee
Obstetrics and Gynaecology by Dr Sujit ChatterjeeObstetrics and Gynaecology by Dr Sujit Chatterjee
Obstetrics and Gynaecology by Dr Sujit Chatterjee
 
Effect of Acupressure on Duration of Labor and Intensity of Labor Pain
Effect of Acupressure on Duration of Labor and Intensity of Labor PainEffect of Acupressure on Duration of Labor and Intensity of Labor Pain
Effect of Acupressure on Duration of Labor and Intensity of Labor Pain
 
A Study to Evaluate the Effectiveness of Patterned Breathing Technique on Pai...
A Study to Evaluate the Effectiveness of Patterned Breathing Technique on Pai...A Study to Evaluate the Effectiveness of Patterned Breathing Technique on Pai...
A Study to Evaluate the Effectiveness of Patterned Breathing Technique on Pai...
 
NON PHARMACOLOGICAL MANAGEMENT OF DISCOMFORT.pptx
NON PHARMACOLOGICAL MANAGEMENT OF DISCOMFORT.pptxNON PHARMACOLOGICAL MANAGEMENT OF DISCOMFORT.pptx
NON PHARMACOLOGICAL MANAGEMENT OF DISCOMFORT.pptx
 
Stages of labour and alternative therapies
Stages of labour and alternative therapiesStages of labour and alternative therapies
Stages of labour and alternative therapies
 
Labour analgesia
Labour analgesiaLabour analgesia
Labour analgesia
 
EVIDENCE BASED STUDIES.pptx
EVIDENCE BASED STUDIES.pptxEVIDENCE BASED STUDIES.pptx
EVIDENCE BASED STUDIES.pptx
 
Alternative and complementary methods during labor
Alternative and complementary methods during laborAlternative and complementary methods during labor
Alternative and complementary methods during labor
 
Pain management during labor
Pain management during laborPain management during labor
Pain management during labor
 
Painless labour
Painless labourPainless labour
Painless labour
 
sonia lesson plan.docx
sonia lesson plan.docxsonia lesson plan.docx
sonia lesson plan.docx
 
4 4-52-777 (3)
4 4-52-777 (3)4 4-52-777 (3)
4 4-52-777 (3)
 
1259 einsteinv7n2p194-200 ing
1259 einsteinv7n2p194-200 ing1259 einsteinv7n2p194-200 ing
1259 einsteinv7n2p194-200 ing
 
RUNNING HEAD PREGNANCY & HYPNOSIS 1Pregnancy and Hypnosis2 .docx
RUNNING HEAD PREGNANCY & HYPNOSIS 1Pregnancy and Hypnosis2 .docxRUNNING HEAD PREGNANCY & HYPNOSIS 1Pregnancy and Hypnosis2 .docx
RUNNING HEAD PREGNANCY & HYPNOSIS 1Pregnancy and Hypnosis2 .docx
 
ph4003 Sasse pregnancy yoga essay Gillian Kiely
ph4003 Sasse pregnancy yoga essay Gillian Kielyph4003 Sasse pregnancy yoga essay Gillian Kiely
ph4003 Sasse pregnancy yoga essay Gillian Kiely
 
pain relief and confort during labour pptx.pptxpptx
pain relief and  confort during labour pptx.pptxpptxpain relief and  confort during labour pptx.pptxpptx
pain relief and confort during labour pptx.pptxpptx
 
PAIN MANAGEMENT DURING LABOR AND DELIVERY.pptx
PAIN MANAGEMENT DURING LABOR AND DELIVERY.pptxPAIN MANAGEMENT DURING LABOR AND DELIVERY.pptx
PAIN MANAGEMENT DURING LABOR AND DELIVERY.pptx
 
A study to assess the effectiveness of paced breathing versus back massage fo...
A study to assess the effectiveness of paced breathing versus back massage fo...A study to assess the effectiveness of paced breathing versus back massage fo...
A study to assess the effectiveness of paced breathing versus back massage fo...
 

Recently uploaded

Trump vance 2024 t shirts Trump vance 2024 t shirts
Trump vance 2024 t shirts Trump vance 2024 t shirtsTrump vance 2024 t shirts Trump vance 2024 t shirts
Trump vance 2024 t shirts Trump vance 2024 t shirts
exgf28
 
Outsourced Healthcare Billing Services - Velan hcs.pdf
Outsourced Healthcare Billing Services - Velan hcs.pdfOutsourced Healthcare Billing Services - Velan hcs.pdf
Outsourced Healthcare Billing Services - Velan hcs.pdf
VelanHcs
 
Positive Parenting: Raising Happy, Confident Children | UCS
Positive Parenting: Raising Happy, Confident Children | UCSPositive Parenting: Raising Happy, Confident Children | UCS
Positive Parenting: Raising Happy, Confident Children | UCS
info513572
 
Inflammation.pptx (type , cellular event of infllmation .etc)
Inflammation.pptx (type , cellular event of infllmation .etc)Inflammation.pptx (type , cellular event of infllmation .etc)
Inflammation.pptx (type , cellular event of infllmation .etc)
AviralSharma91
 
Adho-Mukha Mudra(Downward Facing Gesture)ppt.ppt
Adho-Mukha Mudra(Downward Facing Gesture)ppt.pptAdho-Mukha Mudra(Downward Facing Gesture)ppt.ppt
Adho-Mukha Mudra(Downward Facing Gesture)ppt.ppt
Karuna Yoga Vidya Peetham
 
RNA AND DNA VIRUSES morphology,chemical composition
RNA AND DNA VIRUSES morphology,chemical compositionRNA AND DNA VIRUSES morphology,chemical composition
RNA AND DNA VIRUSES morphology,chemical composition
BenjaminMutisyaMuimi
 
Dawn of new Era: Digital Human, Agentic AI, and Auto sapiens
Dawn of new Era: Digital Human, Agentic AI, and  Auto sapiensDawn of new Era: Digital Human, Agentic AI, and  Auto sapiens
Dawn of new Era: Digital Human, Agentic AI, and Auto sapiens
JAI NAHAR, MD MBA
 
Bronchiectasis and Physiotherapy Management
Bronchiectasis and Physiotherapy ManagementBronchiectasis and Physiotherapy Management
Bronchiectasis and Physiotherapy Management
abdulazeezvpadikkal
 
2025 QPP: Proposed Changes from the PFS Proposed Rule
2025 QPP: Proposed Changes from the PFS Proposed Rule2025 QPP: Proposed Changes from the PFS Proposed Rule
2025 QPP: Proposed Changes from the PFS Proposed Rule
Shelby Lewis
 
Enhancing Patient Flow in Busy Clinics.docx
Enhancing Patient Flow in Busy Clinics.docxEnhancing Patient Flow in Busy Clinics.docx
Enhancing Patient Flow in Busy Clinics.docx
virtualmadicalassist
 
Ruksha Mudra (Dry Mudra) -Mudra will reduce the bladder pressure
Ruksha Mudra (Dry Mudra) -Mudra will reduce the bladder pressureRuksha Mudra (Dry Mudra) -Mudra will reduce the bladder pressure
Ruksha Mudra (Dry Mudra) -Mudra will reduce the bladder pressure
Karuna Yoga Vidya Peetham
 
Burn and Scar management in occupational therapy
Burn and Scar management in occupational therapyBurn and Scar management in occupational therapy
Burn and Scar management in occupational therapy
2023294402
 
New Girls Call Navi Mumbai 9930245274 Unlimited Short Providing Girls Service...
New Girls Call Navi Mumbai 9930245274 Unlimited Short Providing Girls Service...New Girls Call Navi Mumbai 9930245274 Unlimited Short Providing Girls Service...
New Girls Call Navi Mumbai 9930245274 Unlimited Short Providing Girls Service...
revolutionary575
 
Massage Centre Ajman - Malayali Kerala Spa Ajman
Massage Centre Ajman - Malayali Kerala Spa AjmanMassage Centre Ajman - Malayali Kerala Spa Ajman
Massage Centre Ajman - Malayali Kerala Spa Ajman
Malayali Kerala Spa Ajman
 
TEMPOROMANDIBULAR JOINT & IT'S BIOMECHANICS.pptx
TEMPOROMANDIBULAR JOINT & IT'S BIOMECHANICS.pptxTEMPOROMANDIBULAR JOINT & IT'S BIOMECHANICS.pptx
TEMPOROMANDIBULAR JOINT & IT'S BIOMECHANICS.pptx
SatvikaPrasad
 
CCN case study Muhammad alam (pleural effusion)-1.docx
CCN case study Muhammad alam (pleural effusion)-1.docxCCN case study Muhammad alam (pleural effusion)-1.docx
CCN case study Muhammad alam (pleural effusion)-1.docx
BeCreative6
 
Concerned About HIV or STDs? Get Tested in Dubai
Concerned About HIV or STDs? Get Tested in DubaiConcerned About HIV or STDs? Get Tested in Dubai
Concerned About HIV or STDs? Get Tested in Dubai
gettestedqwik
 
Visual Processing, Visual Perception & Visual-Motor Deficit.pdf
Visual Processing, Visual Perception & Visual-Motor Deficit.pdfVisual Processing, Visual Perception & Visual-Motor Deficit.pdf
Visual Processing, Visual Perception & Visual-Motor Deficit.pdf
Occupational Therapist
 
BURNS, CALCULATION OF BURNS, CALCULATION OF FLUID REQUIREMENT AND MANAGEMENT.pdf
BURNS, CALCULATION OF BURNS, CALCULATION OF FLUID REQUIREMENT AND MANAGEMENT.pdfBURNS, CALCULATION OF BURNS, CALCULATION OF FLUID REQUIREMENT AND MANAGEMENT.pdf
BURNS, CALCULATION OF BURNS, CALCULATION OF FLUID REQUIREMENT AND MANAGEMENT.pdf
Dolisha Warbi
 
World Health Organization Guidelines on Nutrition .pptx
World Health Organization Guidelines on Nutrition .pptxWorld Health Organization Guidelines on Nutrition .pptx
World Health Organization Guidelines on Nutrition .pptx
MopideviSravani
 

Recently uploaded (20)

Trump vance 2024 t shirts Trump vance 2024 t shirts
Trump vance 2024 t shirts Trump vance 2024 t shirtsTrump vance 2024 t shirts Trump vance 2024 t shirts
Trump vance 2024 t shirts Trump vance 2024 t shirts
 
Outsourced Healthcare Billing Services - Velan hcs.pdf
Outsourced Healthcare Billing Services - Velan hcs.pdfOutsourced Healthcare Billing Services - Velan hcs.pdf
Outsourced Healthcare Billing Services - Velan hcs.pdf
 
Positive Parenting: Raising Happy, Confident Children | UCS
Positive Parenting: Raising Happy, Confident Children | UCSPositive Parenting: Raising Happy, Confident Children | UCS
Positive Parenting: Raising Happy, Confident Children | UCS
 
Inflammation.pptx (type , cellular event of infllmation .etc)
Inflammation.pptx (type , cellular event of infllmation .etc)Inflammation.pptx (type , cellular event of infllmation .etc)
Inflammation.pptx (type , cellular event of infllmation .etc)
 
Adho-Mukha Mudra(Downward Facing Gesture)ppt.ppt
Adho-Mukha Mudra(Downward Facing Gesture)ppt.pptAdho-Mukha Mudra(Downward Facing Gesture)ppt.ppt
Adho-Mukha Mudra(Downward Facing Gesture)ppt.ppt
 
RNA AND DNA VIRUSES morphology,chemical composition
RNA AND DNA VIRUSES morphology,chemical compositionRNA AND DNA VIRUSES morphology,chemical composition
RNA AND DNA VIRUSES morphology,chemical composition
 
Dawn of new Era: Digital Human, Agentic AI, and Auto sapiens
Dawn of new Era: Digital Human, Agentic AI, and  Auto sapiensDawn of new Era: Digital Human, Agentic AI, and  Auto sapiens
Dawn of new Era: Digital Human, Agentic AI, and Auto sapiens
 
Bronchiectasis and Physiotherapy Management
Bronchiectasis and Physiotherapy ManagementBronchiectasis and Physiotherapy Management
Bronchiectasis and Physiotherapy Management
 
2025 QPP: Proposed Changes from the PFS Proposed Rule
2025 QPP: Proposed Changes from the PFS Proposed Rule2025 QPP: Proposed Changes from the PFS Proposed Rule
2025 QPP: Proposed Changes from the PFS Proposed Rule
 
Enhancing Patient Flow in Busy Clinics.docx
Enhancing Patient Flow in Busy Clinics.docxEnhancing Patient Flow in Busy Clinics.docx
Enhancing Patient Flow in Busy Clinics.docx
 
Ruksha Mudra (Dry Mudra) -Mudra will reduce the bladder pressure
Ruksha Mudra (Dry Mudra) -Mudra will reduce the bladder pressureRuksha Mudra (Dry Mudra) -Mudra will reduce the bladder pressure
Ruksha Mudra (Dry Mudra) -Mudra will reduce the bladder pressure
 
Burn and Scar management in occupational therapy
Burn and Scar management in occupational therapyBurn and Scar management in occupational therapy
Burn and Scar management in occupational therapy
 
New Girls Call Navi Mumbai 9930245274 Unlimited Short Providing Girls Service...
New Girls Call Navi Mumbai 9930245274 Unlimited Short Providing Girls Service...New Girls Call Navi Mumbai 9930245274 Unlimited Short Providing Girls Service...
New Girls Call Navi Mumbai 9930245274 Unlimited Short Providing Girls Service...
 
Massage Centre Ajman - Malayali Kerala Spa Ajman
Massage Centre Ajman - Malayali Kerala Spa AjmanMassage Centre Ajman - Malayali Kerala Spa Ajman
Massage Centre Ajman - Malayali Kerala Spa Ajman
 
TEMPOROMANDIBULAR JOINT & IT'S BIOMECHANICS.pptx
TEMPOROMANDIBULAR JOINT & IT'S BIOMECHANICS.pptxTEMPOROMANDIBULAR JOINT & IT'S BIOMECHANICS.pptx
TEMPOROMANDIBULAR JOINT & IT'S BIOMECHANICS.pptx
 
CCN case study Muhammad alam (pleural effusion)-1.docx
CCN case study Muhammad alam (pleural effusion)-1.docxCCN case study Muhammad alam (pleural effusion)-1.docx
CCN case study Muhammad alam (pleural effusion)-1.docx
 
Concerned About HIV or STDs? Get Tested in Dubai
Concerned About HIV or STDs? Get Tested in DubaiConcerned About HIV or STDs? Get Tested in Dubai
Concerned About HIV or STDs? Get Tested in Dubai
 
Visual Processing, Visual Perception & Visual-Motor Deficit.pdf
Visual Processing, Visual Perception & Visual-Motor Deficit.pdfVisual Processing, Visual Perception & Visual-Motor Deficit.pdf
Visual Processing, Visual Perception & Visual-Motor Deficit.pdf
 
BURNS, CALCULATION OF BURNS, CALCULATION OF FLUID REQUIREMENT AND MANAGEMENT.pdf
BURNS, CALCULATION OF BURNS, CALCULATION OF FLUID REQUIREMENT AND MANAGEMENT.pdfBURNS, CALCULATION OF BURNS, CALCULATION OF FLUID REQUIREMENT AND MANAGEMENT.pdf
BURNS, CALCULATION OF BURNS, CALCULATION OF FLUID REQUIREMENT AND MANAGEMENT.pdf
 
World Health Organization Guidelines on Nutrition .pptx
World Health Organization Guidelines on Nutrition .pptxWorld Health Organization Guidelines on Nutrition .pptx
World Health Organization Guidelines on Nutrition .pptx
 

Scientific basis for intranatal care

  • 1. Scientific basis for Intranatal Care Dr. (Prof) Sudha Raddi Dean and Principal KLEU INS, Belagavi And Mrs. Asha Bhat Sr. Tutor, Dept. of OBG Nursing, KLEU INS, Belagavi
  • 2. Introduction Birth is a family affair, and the reproductive health of the total family is the cornerstone of a healthy society. Certain risk factors may jeopardize the health of the maternity client. Some of these factors, such as life events, and stress, working condition, family support etc.
  • 3. Cont.... Invasive medical procedures during labour and birth such as induction of labour, epidural anaesthesia, assisted delivery and caesarean section involve exposure to additional risks so should only be used in circumstances where there is reasonable evidence that the benefit will outweigh potential
  • 4. Intranatal Care...... Care of a woman in all stages of labour is known as Intranatal care.
  • 5. Normal labour..... “Spontaneous in onset, low-risk at the start of labour and remaining so throughout labour and delivery. The infant is born spontaneously in the vertex position between 37 and 42 completed weeks of pregnancy – WHO Normal labour is also known as eutocia
  • 6. Some facts..... Every Minute in the world...... 390 women become pregnant.... 110 women experience pregnancy related complications........ 40 women have unsafe abortion.... One woman die from pregnancy related complication.....
  • 7. Stages of labour First Stage – starts with onset of regular uterine contraction and ends with full cervical effacement and dilatation. Second Stage – from full dilatation till delivery of fetus Third Stage – delivery of placenta
  • 8. Choice of place and health care provider Use of natural comfort aids One to one Midwifery care Child Birth education classes Partograph Water birth
  • 10. Breathing and Relaxation Breathing – deep and slow paced breathing helps in minimising the pain Relaxation -relaxation by using music and guided imagery will help in reduction of pain
  • 11. Evidence.... Modified paced breathing blocks more painful stimuli than the normal breathing (Nichols & Humenick 2000; Shapiro et all 1997) Choosing the subject for imagery and practicing the technique will enhance the effectiveness in progression of labour Hoffart& Pross Keene, 1998)
  • 12. Hydrotherapy & Effleurage Hydrotherapy – Bathing, Showering and Whirlpool baths with warm water is more helpful. Effleurage and counter pressure – light massage will help in minimising the pain.
  • 13. Evidence..... Whirlpool baths in labour have positive effects on analgesia requirements and personal satisfaction with labour. (Simkim & O’Hara, 2002) Effleurage and counter pressure applied bilaterally to the hips or knees will reduce low back pain ( Simkim & Ancheta, 2010)
  • 14. Ambulation and Positions Ambulation enhances the uterine activity and distract the woman from the discomfort Different positions used in first stage will speed up the labour process
  • 15. Evidence..... Maternal ambulation in first stage of labour decreases the duration of first stage. (Robert CL & Albert CS, 2006) Maintaining upright position in first stage will reduce the duration of first stage. (Kumud, Avinash & Seema 2013)
  • 16. Birthing balls It is a large air filled rubber ball (60 Cm in diameter) made up of extra tough non slip burst proof, that is easily wiped and clean. The woman will be sitting over or leaning on a birthing ball after 2cm of dilatation for 15 minutes
  • 17. Evidence..... Use of birthing ball in first stage of labour will reduce the pain. (Msid D’ecosta, 2013) Use of birthing ball is effective in reducing labour pain perception and improves the coping level. (Dr. Lata Venkateshen, 2012)
  • 18. Evidence..... Randomized Control Trail on 60 primiparous women shown mean pain scores in birth ball group were significantly lower than the mean pain scores in the control group (Taavoni et. al, 2011)
  • 19. Partograph Partograph is a chart in which the salient features of labour are entered in a graphic form and it provides the opportunity for early identification of deviations from normal.
  • 21. Water Birthing It is a process of giving birth in a tub of warm water Heat as a non pharmacological method of pain relief helps in reducing the pain intensity and increases the pain consistency.
  • 22. Evidence ...... Compared the water birth and land birth and showed that patients in the water birth group needed less obstetrical analgesia and warm water reduced the pain in 69% of the women (Geissbuehler et all (2004)
  • 23. Active management of III stage labour Active management of the third stage of labor (AMTSL) includes three steps: Administration of a uterotonic drug (oxytocin, 10 IU injection, is the drug of choice) Controlled cord traction Uterine massage after delivery of placenta
  • 24. Helping babies breathe The Golden Minute® Helping Babies Breathe emphasizes skilled attendants at birth, assessment of every baby, temperature support, stimulation to breathe, and assisted ventilation as needed, all within "The Golden Minute" after birth.
  • 25. Barriers 1. Lack of reinforcement for performance 2. Perverse incentive payment system 3. Limited reliance on EBP 4. Lack of core child bearing knowledge 5. Cost 6. Limitation of views put forth in media 7. Chances of malpractice