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. 2013 Spring;22(2):83-92.
doi: 10.1891/1058-1243.22.2.83.

First do no harm: interventions during childbirth

Lauren Jansen, Martha Gibson, Betty Carlson Bowles, Jane Leach

First do no harm: interventions during childbirth

Lauren Jansen et al. J Perinat Educ. 2013 Spring.

Abstract

Although medical and technological advances in maternity care have drastically reduced maternal and infant mortality, these interventions have become commonplace if not routine. Used appropriately, they can be life-saving procedures. Routine use, without valid indications, can transform childbirth from a normal physiologic process and family life event into a medical or surgical procedure. Every intervention presents the possibility of untoward effects and additional risks that engender the need for more interventions with their own inherent risks. Unintended consequences to intrapartum interventions make it imperative that nurse educators work with other professionals to promote natural childbirth processes and advocate for policies that focus on ensuring informed consent and alternative choices. Interdisciplinary collaboration can ensure that intrapartum caregivers "first do no harm."

Keywords: childbirth education; complications; intrapartum interventions; risk factors; technological advances.

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Figures

Figure 1
Figure 1
An illustration of cascading events using bed rest as an intervention. UTI = urinary tract infection.
See this image and copyright information in PMC

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