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LamazeLIVE 2019: Research Update

LamazeLIVE 2019: Research Update

LamazeLIVE 2019: Research Update

DEBORAH AMIS, RN, LCCE, FACCE
DEBORAH AMIS, RN, LCCE, FACCE
on behalf of Lamaze International

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Review:

Launch date: 13 May 2019
Expiry Date: 13 May 2022

Last updated: 13 May 2019

Reference: 193945

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Course Availability

This course is only available to trainees days after purchase. It would need to be repurchased by the trainee if not completed in the allotted time period. This course is no longer available. You will need to repurchase if you wish to take the course again.

Description

During the past year, what research studies and publications most impacted childbirth education? Learn what's new in the literature regarding the ARRIVE trial, cesarean surgery, “laboring down,” efforts around the world to decrease interventions, and more.

Participants may earn 1 Lamaze Contact Hour and 1.2 contact hour of CABRN upon successful completion.

Objectives

Identify key strategies from research published in the last year which should be included in childbirth education classes to decrease unnecessary cesarean surgery.
I. Maternal mortality
A. Decreasing worldwide
B. Increasing in the US
i. Racial iniquities
ii. Role of cesarean surgery in increasing mortality
iii. Strategies to reduce risk for cesarean surgery
Discus briefly controversial studies published in the last year which are not congruent with Lamaze Six Healthy Birth Practices.
II. The ARRIVE Trial
A. Background for study
B. Description of study
C. Results of study: routine induction group had
i. No difference in composite newborn morbidity scores
ii. Small reduction in risk of
cesarean surgery
D. Concerns about study
E. The JBI systematic review
F. Implications for childbirth classes
i. Lack of hormonal preparation for birth
ii. Required medical
interventions
iii Possible increased length
of labor
III. The Laboring Down Study
A. Description of study
B. Results of study: delayed pushing group had
i. No difference in risk for cesarean
ii. Increased risk for chorioamnionitis
iii. Increased risk for postpartum hemorrhage
iv. Increased risk for neonatal academia
v. Decreased risk for 3rd and 4th degree lacerations
C. Concern about study: Length of 2nd stage in BOTH groups not longer than recommended by ACOG
D. Implications for childbirth classes
i. Importance of informed, shared decision making
ii. Option of delayed pushing is another side effect of epidural analgesia
Discuss briefly professional guidelines that have been published in the last year to promote safe, healthy, physiologic birth.
IV. National (US) Effort: ACOG’s recommendations for reducing unnecessary interventions
A. Differences from 2017 recommendations
B. Implications for childbirth classes
V. International publications
A. The International Childbirth Initiative
B. WHO Recommendations: Intrapartum care for a positive childbirth experience
C. Role of the midwife in both international publications
IV. Conclusion
A. Team Birth pilot project
B. Bonus material in handouts
C. Resources
D. Photo and birth story
DEBORAH AMIS, RN, LCCE, FACCE

Author Information Play Video Bio

DEBORAH AMIS, RN, LCCE, FACCE
on behalf of Lamaze International

DEBBY AMIS is the coauthor of Prepared Childbirth — The Family Way, Prepared Childbirth — The Educator’s Guide, and the 2012 and 2015 editions of The Lamaze Toolkit. She is also a trainer for the New York City Lamaze Childbirth Educator program. She and her husband live in Houston, Texas.

Current Accreditations

This course has been certified by or provided by the following Certified Organization/s:

  • California Board of Registered Nursing (CBRN)
  • 1.25 Hours

Faculty and Disclosures

Additional Contributors

Educational Planner: Jessica Deeb, MS, RN, WHNP-BC, IBCLC, LCCE

Conflicts Declared

Conflicts of Interest declaration by Author:

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