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Article
Care Practice #4: No Routine Interventions
Journal of Perinatal Education (2007)
  • Judith A. Lothian, Seton Hall University
  • Debby Amis
  • Jeannette Crenshaw
Abstract
This updated edition of Care Practice Paper #4 presents the evidence for risks of routinely intervening in normal physiologic labor and birth. The authors review evidence related to the routine use of restrictions on oral intake, intravenous lines, continuous electronic fetal monitoring, artificial rupture of membranes, pharmacologic augmentation of labor, epidural analgesia, and episiotomy. Medical indications for each intervention are listed. Women are encouraged to avoid routine interventions in labor unless interventions are medically indicated.
Keywords
  • oral intake in labor,
  • intravenous fluids,
  • electronic fetal monitoring,
  • intermittent auscultation,
  • fetal heart rate monitoring,
  • artificial rupture of membranes,
  • augmentation of labor,
  • epidural analgesia,
  • episiotomy,
  • intrapartum care,
  • normal birth,
  • childbirth education
Publication Date
Summer 2007
DOI
10.1624/105812407X217129
Citation Information
Judith A. Lothian, Debby Amis and Jeannette Crenshaw. "Care Practice #4: No Routine Interventions" Journal of Perinatal Education Vol. 16 Iss. 3 (2007) p. 29 - 34 ISSN: 1548-8519
Available at: http://works.bepress.com/judith-lothian/40/