RCM Guidance for Midwifery care in labour
The royal college of Midwives has launched new guidance ‘Midwifery care in labour guidance for all women in all settings’.
The document provides evidence-based recommendations for care of women during labour and birth. The guidance cover topics including eating and drinking in labour, Fetal heart rate assessment and preventing severe genital trauma. It covers recommendations for practice and good practice points.
Some of the recommendations include:
The RCM has published a document for midwives and also for women and their companions.
US Obstetric Trauma for vaginal deliveries is decreasing
The Agency for Healthcare Research and Quality has released their ‘Chartbook on patient safety report’ which reviews data across a number of areas to highlight areas of strength and weakness. Included in this report is data measuring obstetric trauma from 2000 to 2015.
Over the period obstetric trauma for deliveries both with and without an instrument has decreased. The overall rate in 2015 was , the rate of obstetric trauma was 119.3 for instrument-assisted vaginal deliveries and 17.7 per 1,000 vaginal deliveries without instrument assistance.
There were some disparities across age groups, ethnicities and states with Vermont having the lowest obstetric trauma rate and Nebraska the highest.
The full report an be viewed here.
RCOG Clinical Guidance – Care of Women with obesity in pregnancy
The RCOG has published an update of its green top guideline ‘Care of Women with Obesity in Pregnancy’. The guideline includes recommendations for interventions prior to conception, during pregnancy and the period after.
The recommendations cover:
The document provides specific guidance as to what actions can be taken on the above topics and also outlines the evidence for that particular recommendation.
Read the full guideline here.