I GIVE ALL MY PATIENTS EPISITOMIES PROFESSIONAL

Nurses' priorities and patient safety goals were sometimes misaligned with those of physicians, resulting in potentially unsafe communication. These strategies were executed in a complex, hierarchical context characterized by varied practice patterns and relationships. The nurses' central action of holding off harm encompassed three communication strategies: persuading agreement, managing information, and coaching of mothers and physicians. Data were analyzed using the constant comparative method, dimensional analysis, and situational analysis (Charmaz, Clarke, Schatzman, ). To explore maternity nurses' perceptions of women's informed decision making during labor and birth to better understand how interdisciplinary communication challenges might affect patient safety.ДЇour hospitals in the western United States.ДЇorty-six (46) nurses and physicians practicing in maternity units.Дata collection strategies included individual interviews and participant observation. These findings suggest that a shift in focus away from risk and towards health and wellbeing in the planning of maternity care may go some way towards providing a solution to the increasing intervention rates for low-risk women. Practice is influenced by an assumption of birth as abnormal and is compounded by issues such as institutional risk management, lack of midwifery responsibility, fear of involvement in adverse outcomes and personal values regarding physiological birth.

I GIVE ALL MY PATIENTS EPISITOMIES PROFESSIONAL

Three sub-themes are presented under this central theme - (1) external influences on risk perception that include practice guidelines and professional responsibility (2) influence of personal fears and values on risk perception focusing on differing attitudes to physiological birth (3) impact of professionals' perceptions of risk on women's decision-making in labour. The results of this review revealed an over-arching theme of an assumption of abnormality in the birthing process leading to unnecessary intervention and surveillance. The initial search resulted in the retrieval of 2429 articles which were reduced to 14 through a systematic process. A robust search strategy incorporated electronic searches in The Cochrane Database of Systematic Reviews, EBSCO, EMBASE and Scopus from 2009 to 2014.

This review synthesises original research that examines how perceptions of risk impact on midwives' and obstetricians' facilitation of care for low-risk women in labour.ДЄ five stage process for conducting integrative reviews was employed. Risk and risk assessment are increasingly affecting how maternity services are governed with rates of intervention continuing to rise in obstetric-led services for low-risk women. If organised by professional societies, more scientific conferences on limiting episiotomy might remedy this situation. The rate of episiotomy was higher than global recommended standards and primips are disproportionately affected. One hundred and one (82.3%) of them hinted that they will not feel satisfied if they were given episiotomy with the reason that it ensures quick vaginal birth. Seventy five (56%) of the pregnant women reported feeling generally bad about episiotomy. All the 19(100%) SBAs reported that there was no existing facility-based policy regarding routine episiotomy. Ten (52.6%) of the SBAs were unsure of any evidence supporting routine episiotomy. About 266 (77.1%) of first time mothers (primips) and 79(22.9%) of nonfirst time mothers (multips) received episiotomy. Assembled data were summarised with descriptive statistics. Data was collected using a three part instrument involving a data extraction sheet, episiotomy practice questionnaire for SBAs, and feelings about episiotomy questionnaire for pregnant women.

Census sampling was used to select 19 SBAS and 973 vaginal birth records from 2019, while consecutive sampling technique was used to enrol 134 consenting pregnant women obtaining antenatal services in the facility. This study assessed the perspectives of SBAs and pregnant women regarding episiotomy in a Nigerian university teaching hospital.ДЄ cross-sectional design was employed. More than two decades afterwards, some health facilities are still grappling with meeting the set target. The World Health Organization recommended less than 10% episiotomy rate for Skilled Birth Attendants (SBAs) and hospitals in 1996.

I give all my patients episitomies