Hello Jane and Co,
What an interesting request on a Monday morning. Unpacking phenotypes is not my strong point!! but thank you for the opportunity to enter the dialogue on this.
I agree with some others here that nature of disturbing care is crucial also regarding for example environment and HCPs. Not sure how to articulate that well.
Also curious on how 'Healthy mother who feels joy and power', I agree yet how is that defined?
Lastly the 37-42 weeks parameters seem rather incongruent as a physiologic birth can occur outside of these parameters surely? I have cared for many women who have by choice avoided IOL and had physiological births at 43 week. Some women have had physiological birth at 36 weeks. I wonder if the notion of physiologic birth is being conflated with what is now considered/accepted as normal birth in the list you have suggested? Just a thought.
Cheers
Susan
Dr Susan Crowther, Professor of Midwifery
Robert Gordon University | Garthdee Road|Aberdeen | AB10 7AQ
T: +44(0)1224 263291 ORCID ID: 0000-0002-4133-2189
Twitter: https://twitter.com/SusanCrowtherMW Blog: DrSusanCrowther.com
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Subject: MIDWIFERY-RESEARCH Digest - 30 Jun 2018 to 1 Jul 2018 (#2018-122)
There are 11 messages totaling 2408 lines in this issue.
Topics of the day:
1. Advice on physiologic birth (8)
2. AW: Advice on physiologic birth (2)
3. Dear Canadians on the list
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Date: Sun, 1 Jul 2018 13:01:52 +0000
From: "Sandall, Jane" <[log in to unmask]>
Subject: Advice on physiologic birth
Please see post from hannah Dahlen
All replies to list please.
Hi Brains Trust.
I have a question for you. A few of us such as Holly Powell Kennedy, Soo Downe and Maralyn Foureur, Jane Sandall and I are trying to develop a phenotype of physiological birth (or undisturbed birth).
This is based on the thrifty phenotype hypothesis (Barres & Zierath, 2016) where critical windows of development both in utero and childhood are associated with development of disease later in life.
The EPIIC hypothesis https://www.ncbi.nlm.nih.gov/pubmed/23414680 we published in 2013 posits that eustress (normal physiological stress) during the window of the actual labor and birth is protective by assuring that the hormonal physiology is supported and undisturbed (Dahlen et al, 2013).
Below is a list we have come up with and we want to have it concise but not forget anything major. Please let us know what you think and if we have forgotten something important:
Characteristics of “undisturbed” birth
• Spontaneous onset & progression of labor to vaginal birth at term [37-42 weeks] of a singleton infant in cephalic presentation • No pharmacologic intervention (including antibiotics) • Intermittent auscultation of the fetal heart • No treatment required for blood loss • Mother able to move about as desired • Mother able to eat and drink as desired • Mother able to be attended by companions of choice • Infant required no resuscitation • Skin-to-skin • Delayed cord clamping • Infant able to breastfeed within one hour of birth • Healthy mother who feels joy and power
Thanks as always for sharing your wisdom!
Jane Sandall CBE
Professor of Women's Health
King's College London
[log in to unmask]
07713 743150
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Date: Sun, 1 Jul 2018 13:08:42 +0000
From: "Adrian Smith [LIB]" <[log in to unmask]>
Subject: Re: Advice on physiologic birth
Some definition of phenotype may be helpful
e.g. https://www.biology-online.org/dictionary/Phenotype
Phenotype - Biology-Online Dictionary<https://www.biology-online.org/dictionary/Phenotype>
www.biology-online.org
phenotypic. adjective. Of, pertaining to, relating to, describing a phenotype. Supplement. The phenotype is the total characteristics displayed by an organism under a particular set of environmental factors, regardless of the actual genotype of the organism.
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Date: Sun, 1 Jul 2018 18:16:22 +0000
From: Mechthild Gross <[log in to unmask]>
Subject: AW: Advice on physiologic birth
Dear Hanna and all,
administering a peripheral venous line as a routine procedure may increase the likelihood to administer drugs during labour and birth. Maybe it would be good to avoid doing it.
Good luck
Mechthild
Prof. Dr. Mechthild M. Gross, Hebamme
Head of Midwifery Research and Education Unit Department of Obstetrics, Gynaecology & Reproductive Medicine Hannover Medical School Carl-Neuberg-Str. 1 D - 30625 Hannover
Tel: ++49 511 532 6116, Fax: ++49 511 532 6191
Mobil: ++49 176 1532 6116
[log in to unmask]<mailto:[log in to unmask]>
www.mh-hannover.de/Hebammenwissenschaft.html<http://www.mh-hannover.de/Hebammenwissenschaft.html>
Von: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] Im Auftrag von Sandall, Jane
Gesendet: Sonntag, 1. Juli 2018 15:02
An: [log in to unmask]
Betreff: Advice on physiologic birth
Please see post from hannah Dahlen
All replies to list please.
Hi Brains Trust.
I have a question for you. A few of us such as Holly Powell Kennedy, Soo Downe and Maralyn Foureur, Jane Sandall and I are trying to develop a phenotype of physiological birth (or undisturbed birth).
This is based on the thrifty phenotype hypothesis (Barres & Zierath, 2016) where critical windows of development both in utero and childhood are associated with development of disease later in life.
The EPIIC hypothesis https://www.ncbi.nlm.nih.gov/pubmed/23414680 we published in 2013 posits that eustress (normal physiological stress) during the window of the actual labor and birth is protective by assuring that the hormonal physiology is supported and undisturbed (Dahlen et al, 2013).
Below is a list we have come up with and we want to have it concise but not forget anything major. Please let us know what you think and if we have forgotten something important:
Characteristics of "undisturbed" birth
* Spontaneous onset & progression of labor to vaginal birth at term [37-42 weeks] of a singleton infant in cephalic presentation
* No pharmacologic intervention (including antibiotics)
* Intermittent auscultation of the fetal heart
* No treatment required for blood loss
* Mother able to move about as desired
* Mother able to eat and drink as desired
* Mother able to be attended by companions of choice
* Infant required no resuscitation
* Skin-to-skin
* Delayed cord clamping
* Infant able to breastfeed within one hour of birth
* Healthy mother who feels joy and power
Thanks as always for sharing your wisdom!
Jane Sandall CBE
Professor of Women's Health
King's College London
[log in to unmask]
07713 743150
________________________________
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Date: Sun, 1 Jul 2018 18:10:43 +0000
From: Ellen Blix <[log in to unmask]>
Subject: Dear Canadians on the list
Does any of you have access to this article: Liston R, Sawchuck D, Young D. No. 197b-Fetal Health Surveillance: Intrapartum
>Consensus Guideline. Journal of Obstetrics and Gynaecology Canada. >2018;40(4):e298-e322.
And if you could send me a copy ([log in to unmask]) it would be really helpful. (I need it for a review of guidelines, our library does not have access to the journal and it takes weeks to get a paper copy.)
Regards, Ellen
Ellen Blix
Professor, midwife
Faculty of Health Sciences
OsloMet - Oslo Metropolitan University
Norway
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Date: Sun, 1 Jul 2018 18:34:34 +0000
From: Ellen Blix <[log in to unmask]>
Subject: Re: Advice on physiologic birth
Dear Hannah and all
Very good points - but what about undisturbed care of the woman? That the midwife/other carer is able to provide one-to-one care.
Regards, Ellen
Ellen Blix
Professor, midwife
Faculty of Health Sciences
OsloMet - Oslo Metropolitan University
Oslo, Norway
From: A forum for discussion on midwifery and reproductive health research.
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Date: Sun, 1 Jul 2018 19:02:06 +0000
From: "Nieuwenhuijze M (AV-M)" <[log in to unmask]>
Subject: Re: Advice on physiologic birth
Great list.
Shouldn't there also be:
* spontaneous birth/expulsion of complete placenta (including membranes)
Met vriendelijke groet | Kind regards,
Marianne Nieuwenhuijze PhD MPH RM
Lector Midwifery | Professor of Midwifery Lectoraat Midwifery Science | Research Centre for Midwifery Science Academie Verloskunde Maastricht Zuyd University
+31(0)43 388 54 11
[log in to unmask]<mailto:[log in to unmask]>,
www.av-m.nl<http://www.av-m.nl/>
Postbus 1256, 6201 BG Maastricht, Universiteitssingel 60, 6229 ER Maastricht
[ZUYD]
From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of Sandall, Jane
Sent: zondag 1 juli 2018 15:02
To: [log in to unmask]
Subject: Advice on physiologic birth
Please see post from hannah Dahlen
All replies to list please.
Hi Brains Trust.
I have a question for you. A few of us such as Holly Powell Kennedy, Soo Downe and Maralyn Foureur, Jane Sandall and I are trying to develop a phenotype of physiological birth (or undisturbed birth).
This is based on the thrifty phenotype hypothesis (Barres & Zierath, 2016) where critical windows of development both in utero and childhood are associated with development of disease later in life.
The EPIIC hypothesis https://www.ncbi.nlm.nih.gov/pubmed/23414680 we published in 2013 posits that eustress (normal physiological stress) during the window of the actual labor and birth is protective by assuring that the hormonal physiology is supported and undisturbed (Dahlen et al, 2013).
Below is a list we have come up with and we want to have it concise but not forget anything major. Please let us know what you think and if we have forgotten something important:
Characteristics of "undisturbed" birth
* Spontaneous onset & progression of labor to vaginal birth at term [37-42 weeks] of a singleton infant in cephalic presentation
* No pharmacologic intervention (including antibiotics)
* Intermittent auscultation of the fetal heart
* No treatment required for blood loss
* Mother able to move about as desired
* Mother able to eat and drink as desired
* Mother able to be attended by companions of choice
* Infant required no resuscitation
* Skin-to-skin
* Delayed cord clamping
* Infant able to breastfeed within one hour of birth
* Healthy mother who feels joy and power
Thanks as always for sharing your wisdom!
Jane Sandall CBE
Professor of Women's Health
King's College London
[log in to unmask]
07713 743150
________________________________
To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
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------------------------------
Date: Sun, 1 Jul 2018 19:40:45 +0000
From: "Prins, Marianne" <[log in to unmask]>
Subject: Re: Advice on physiologic birth
Dear Hannah and Jane,
Probably a good idea to include:
- Spontaneous rupture of membranes
- We have to think on the number of vaginal examinations in the active phase
- Labour without episiotomy?
- Mother and child undisturbed contact first two hours post partum?
Best whishes Marianne Prins
From: A forum for discussion on midwifery and reproductive health research.
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Date: Sun, 1 Jul 2018 21:47:09 +0200
From: Suze Jans <[log in to unmask]>
Subject: Re: Advice on physiologic birth
Great list!
I would add:
Mother able to choose the position she wants during 2nd and 3rd stage.
Best wishes
Suze
Suze Jans, PhD, MSc. RM
TNO
Leiden
> On 1 Jul 2018, at 21:02, Nieuwenhuijze M (AV-M) <[log in to unmask]> wrote:
>
> Great list.
> Shouldn’t there also be:
> · spontaneous birth/expulsion of complete placenta (including membranes)
>
> Met vriendelijke groet | Kind regards,
>
> Marianne Nieuwenhuijze PhD MPH RM
>
> Lector Midwifery | Professor of Midwifery Lectoraat Midwifery Science
> | Research Centre for Midwifery Science Academie Verloskunde
> Maastricht Zuyd University
> +31(0)43 388 54 11
> [log in to unmask],
> www.av-m.nl
> Postbus 1256, 6201 BG Maastricht, Universiteitssingel 60, 6229 ER
> Maastricht <image001.gif>
>
>
>
>
> From: A forum for discussion on midwifery and reproductive health
> research. [mailto:[log in to unmask]] On Behalf Of
> Sandall, Jane
> Sent: zondag 1 juli 2018 15:02
> To: [log in to unmask]
> Subject: Advice on physiologic birth
>
> Please see post from hannah Dahlen
> All replies to list please.
>
> Hi Brains Trust.
>
> I have a question for you. A few of us such as Holly Powell Kennedy, Soo Downe and Maralyn Foureur, Jane Sandall and I are trying to develop a phenotype of physiological birth (or undisturbed birth).
>
> This is based on the thrifty phenotype hypothesis (Barres & Zierath, 2016) where critical windows of development both in utero and childhood are associated with development of disease later in life.
>
> The EPIIC hypothesis https://www.ncbi.nlm.nih.gov/pubmed/23414680 we published in 2013 posits that eustress (normal physiological stress) during the window of the actual labor and birth is protective by assuring that the hormonal physiology is supported and undisturbed (Dahlen et al, 2013).
>
> Below is a list we have come up with and we want to have it concise but not forget anything major. Please let us know what you think and if we have forgotten something important:
>
> Characteristics of “undisturbed” birth • Spontaneous onset &
> progression of labor to vaginal birth at term [37-42 weeks] of a
> singleton infant in cephalic presentation • No pharmacologic
> intervention (including antibiotics) • Intermittent auscultation of
> the fetal heart • No treatment required for blood loss • Mother able
> to move about as desired • Mother able to eat and drink as desired •
> Mother able to be attended by companions of choice • Infant required
> no resuscitation • Skin-to-skin • Delayed cord clamping • Infant able
> to breastfeed within one hour of birth • Healthy mother who feels joy
> and power
>
> Thanks as always for sharing your wisdom!
>
> Jane Sandall CBE
> Professor of Women's Health
> King's College London
> [log in to unmask]
> 07713 743150
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&
> A=1
>
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&
> A=1
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------------------------------
Date: Sun, 1 Jul 2018 21:04:53 +0000
From: Jenny Hall <[log in to unmask]>
Subject: Re: Advice on physiologic birth
?This is wonderful!
'Undisturbed' to me also means that the caregivers are experienced and 'sit on their hands', 'watchful waiting' and create and protect a safe space
Best Wishes
Jenny
Dr Jenny Hall, Fellow RCM, Senior Fellow HEA Senior Lecturer, PGCert Education practice Centre for Excellence in learning, Bournemouth University, Executive Business Centre,
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Date: Sun, 1 Jul 2018 21:55:24 +0000
From: reem hatamleh <[log in to unmask]>
Subject: Re: AW: Advice on physiologic birth
Dear allI think there are two points can be added to the definition 1. no need for episiotomy2. no incidence of laceration or tear in the birth canal
Dr. Reem Hatamleh, PhD, RN, RMW assistant professor in Midwifery Maternal and Child Health and Midwifery Department Jordan university of Science and Technology/ Faculty of Nursing mail address: P.O Box 3030 Irbid 22110, Jordan phone: 0096227201000 Ext, 23712 e.mail: [log in to unmask] [log in to unmask]
On Sunday, July 1, 2018 09:16:33 PM EEST, Mechthild Gross <[log in to unmask]> wrote:
#yiv5343583346 #yiv5343583346 -- _filtered #yiv5343583346 {font-family:Calibri;panose-1:2 15 5 2 2 2 4 3 2 4;} _filtered #yiv5343583346 {font-family:Tahoma;panose-1:2 11 6 4 3 5 4 4 2 4;}#yiv5343583346 #yiv5343583346 p.yiv5343583346MsoNormal, #yiv5343583346 li.yiv5343583346MsoNormal, #yiv5343583346 div.yiv5343583346MsoNormal {margin:0cm;margin-bottom:.0001pt;font-size:12.0pt;font-family:New;}#yiv5343583346 a:link, #yiv5343583346 span.yiv5343583346MsoHyperlink {color:blue;text-decoration:underline;}#yiv5343583346 a:visited, #yiv5343583346 span.yiv5343583346MsoHyperlinkFollowed {color:purple;text-decoration:underline;}#yiv5343583346 p {margin-right:0cm;margin-left:0cm;font-size:12.0pt;font-family:New;}#yiv5343583346 span.yiv5343583346E-MailFormatvorlage18 {color:#1F497D;}#yiv5343583346 .yiv5343583346MsoChpDefault {font-size:10.0pt;} _filtered #yiv5343583346 {margin:70.85pt 70.85pt 2.0cm 70.85pt;}#yiv5343583346 div.yiv5343583346WordSection1 {}#yiv5343583346 Dear Hanna and all,
administering a peripheral venous line as a routine procedure may increase the likelihood to administer drugs during labour and birth. Maybe it would be good to avoid doing it.
Good luck
Mechthild
Prof. Dr. Mechthild M. Gross, Hebamme
Head of Midwifery Research and Education Unit
Department of Obstetrics, Gynaecology & Reproductive Medicine
Hannover Medical School
Carl-Neuberg-Str. 1
D – 30625 Hannover
Tel: ++49 511 532 6116, Fax: ++49 511 532 6191
Mobil: ++49 176 1532 6116
[log in to unmask]
www.mh-hannover.de/Hebammenwissenschaft.html
Von: A forum for discussion on midwifery and reproductive health research.[mailto:[log in to unmask]]Im Auftrag von Sandall, Jane
Gesendet: Sonntag, 1. Juli 2018 15:02
An: [log in to unmask]
Betreff: Advice on physiologic birth
Please see post from hannah Dahlen
All replies to list please.
Hi Brains Trust.
I have a question for you. A few of us such as Holly Powell Kennedy, Soo Downe and Maralyn Foureur, Jane Sandall and I are trying to develop a phenotype of physiological birth (or undisturbed birth).
This is based on the thrifty phenotype hypothesis (Barres & Zierath, 2016) where critical windows of development both in utero and childhood are associated with development of disease later in life.
The EPIIC hypothesis https://www.ncbi.nlm.nih.gov/pubmed/23414680 we published in 2013 posits that eustress (normal physiological stress) during the window of the actual labor and birth is protective by assuring that the hormonal physiology is supported and undisturbed (Dahlen et al, 2013).
Below is a list we have come up with and we want to have it concise but not forget anything major. Please let us know what you think and if we have forgotten something important:
Characteristics of “undisturbed” birth
• Spontaneous onset & progression of labor to vaginal birth at term [37-42 weeks] of a singleton infant in cephalic presentation
• No pharmacologic intervention (including antibiotics)
• Intermittent auscultation of the fetal heart
• No treatment required for blood loss
• Mother able to move about as desired
• Mother able to eat and drink as desired
• Mother able to be attended by companions of choice
• Infant required no resuscitation
• Skin-to-skin
• Delayed cord clamping
• Infant able to breastfeed within one hour of birth
• Healthy mother who feels joy and power
Thanks as always for sharing your wisdom!
Jane Sandall CBE
Professor of Women's Health
King's College London
[log in to unmask]
07713 743150
To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
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Date: Mon, 2 Jul 2018 09:55:16 +1200
From: Ruth Martis <[log in to unmask]>
Subject: Re: Advice on physiologic birth
Routine episiotomy free, enema free, shaving free births as it is still practice in a number of countries
From: A forum for discussion on midwifery and reproductive health research.
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End of MIDWIFERY-RESEARCH Digest - 30 Jun 2018 to 1 Jul 2018 (#2018-122)
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