Hi Claudia
In Denmark women also used to get the same recommendation: if membranes
ruptured and the babies head had not engaged, they where asked to lay down
and come to hospital lying down in an ambulance.
A few years ago this practice began to chance in Denmark as more became
aware of the total lake of documentation, and many hospitals do not
recomend this anymore/or only in extreme cases (transverse lies ect).
Unfortunately this chance was not done within any formal evaluation, and
there has not (to my knowledge) been published anything about this.
Claudia, do you know the origin of this practice??
Jette
Claudia Oblasser <[log in to unmask]>@JISCMAIL.AC.UK> on 27-06-2004
12:27:41
Please respond to "A forum for discussion on midwifery and reproductive
health research." <[log in to unmask]>
Sent by: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
To: [log in to unmask]
cc:
Subject: international survey on a practice intervention
Dear colleagues,
I am an Austrian midwife undertaking a dissertation towards an MA in
Midwifery Practice at Thames Valley University London. My topic is an
Austrian practice intervention in maternity care:
To avoid cord prolapse, midwives and obstetricians in Austria give pregnant
women the following recommendation: „When your membranes rupture at home
and without a caregiver being present, lie down immediately. Stay in a
lying position until a caregiver has confirmed that the presenting fetal
part is deep enough in your pelvis (fixed) so that the cord cannot prolapse
any more when you stand up.“ This implies that women planning a hospital
birth (98%) are recommended to be brought to the hospital lying in the
ambulance instead of going there by themselves, and home birth women should
wait for their midwife in a lying position.
One part of the project consists in collecting information on this
intervention from other countries. The response rate of ICM´s national
member associations was low, and therefore I now contact you for help. I
would like to receive replies from midwives in a wide range of countries,
who may be able to help by commenting on policy in their own country. If
you are interested in participating in my study, please contact me by e-
mail for further information, or to receive a copy of my brief
questionnaire.
Regards
Claudia Oblasser
Sauerhofstrasse 26/8
2500 Baden, Austria
[log in to unmask]
|