The Nurses’ Role in Providing Comfort During Childbirth Using Ambulation and Hydrotherapy

Providing care and comfort to women during childbirth is an important role. While medical interventions are available, all are associated with potential risks. Using nonpharmacologic means to support the normal process of birth, nurses may reduce the use of medical procedures and their potential complications. The purpose of this article is to discuss the use of two techniques that promote physiologic childbirth, ambulation and hydrotherapy, and the nurses’ role in providing comfort using these techniques in this important life event. Use of these techniques may delay or minimize the use of medical interventions while supporting the normal physiology of labor and birth.

[1]  P. Slade,et al.  Selected coping strategies in labor: an investigation of women's experiences. , 2003, Birth.

[2]  C. Sakala,et al.  Hormonal Physiology of Childbearing, an Essential Framework for Maternal-Newborn Nursing. , 2016, Journal of obstetric, gynecologic, and neonatal nursing : JOGNN.

[3]  F. M. B. da Silva,et al.  A randomised controlled trial evaluating the effect of immersion bath on labour pain. , 2009, Midwifery.

[4]  Michael G. Miller,et al.  Barriers to the use of hydrotherapy in labor. , 2009, Journal of obstetric, gynecologic, and neonatal nursing : JOGNN.

[5]  E. Declercq,et al.  Listening to Mothers II: Report of the Second National U.S. Survey of Women’s Childbearing Experiences , 2007, Journal of Perinatal Education.

[6]  M. Stark,et al.  Observing position and movements in hydrotherapy: a pilot study. , 2008, Journal of obstetric, gynecologic, and neonatal nursing : JOGNN.

[7]  P. Simkin,et al.  Nonpharmacologic relief of pain during labor: systematic reviews of five methods. , 2002, American journal of obstetrics and gynecology.

[8]  Alys Einion Hormonal physiology of childbearing: evidence and implications for women, babies and maternity care. , 2017, The practising midwife.

[9]  J. Lothian,et al.  Promoting, protecting, and supporting normal birth: a look at the evidence. , 2008, Journal of obstetric, gynecologic, and neonatal nursing : JOGNN.

[10]  R. Maude,et al.  It's beyond water: stories of women's experience of using water for labour and birth. , 2007, Women and birth : journal of the Australian College of Midwives.

[11]  M. Rossignol,et al.  Nonpharmacologic approaches for pain management during labor compared with usual care: a meta-analysis. , 2014, Birth.

[12]  A Model Practice Template for Hydrotherapy in Labor and Birth. , 2017, Journal of midwifery & women's health.

[13]  Randomized controlled trial of hands-and-knees positioning for occipitoposterior position in labor. , 2005 .

[14]  P. Simkin,et al.  Update on nonpharmacologic approaches to relieve labor pain and prevent suffering. , 2004, Journal of midwifery & women's health.

[15]  E. Cordioli,et al.  Immersion in water in labour and birth , 2009, The Cochrane database of systematic reviews.

[16]  R. Pickering,et al.  Randomised controlled trial of labouring in water compared with standard of augmentation for management of dystocia in first stage of labour , 2004, BMJ : British Medical Journal.

[17]  Sushmitha R Karkada,et al.  Effectiveness of Ambulation during First Stage of Labour, on the Outcome of Labour among Primigravid Women in Selected Hospitals of Palakkad District, Kerala , 2015 .

[18]  M. Stark Testing the Effectiveness of Therapeutic Showering in Labor , 2017, The Journal of perinatal & neonatal nursing.

[19]  M. Ondeck Healthy Birth Practice #2: Walk, Move Around, and Change Positions Throughout Labor , 2014, The Journal of Perinatal Education.

[20]  Kuan-Chia Lin,et al.  Effects of birth ball exercise on pain and self-efficacy during childbirth: a randomised controlled trial in Taiwan. , 2011, Midwifery.

[21]  T. Hortobágyi,et al.  The Effects of Hydrotherapy on Anxiety, Pain, Neuroendocrine Responses, and Contraction Dynamics During Labor , 2010, Biological research for nursing.

[22]  Continuous Labor Support for Every Woman. , 2018, Nursing for women's health.

[23]  A. Cuthbert,et al.  Immersion in water during labour and birth. , 2018, The Cochrane database of systematic reviews.

[24]  Jianping Zhang,et al.  A comparison of maternal and neonatal outcomes between water immersion during labor and conventional labor and delivery , 2014, BMC Pregnancy and Childbirth.