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Midwife-led Care Safer for Low-Risk Pregnancy - Articles - Nursesarena Forum

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Midwife-led Care Safer for Low-Risk Pregnancy by Idowu Olabode : December 14, 2014, 03:54:03 PM
The guidance was published by the National Institute for Health and Care Excellence (Nice) in the United Kingdom on Wednesday 3. December.

In the guidance document, the evidence shows that midwife-led care is safer than hospital care for women having a straight forward, low risk, pregnancy.

This is because the rate of interventions, such as the use of forceps or an epidural, is lower and the outcome for the baby is no different compared with an obstetric unit.

Susan Bewley, Professor of Complex Obstetrics at King’s College London, who chaired the group responsible for developing the updated recommendations said:

“Midwives are highly capable professionals and can provide amazing one-to-one care to pregnant women in labour, whether that’s in a woman’s own home, a midwife-led unit or a traditional labour ward".

The update to the 2007 intrapartum care guideline also covers recommendations on cord clamping and advises not to clamp the cord earlier than 1 minute from the birth of the baby unless there is concern about the integrity of the cord or the baby has a heartbeat below 60 beats per minute that is not getting faster.

The cord should be clamped before 5 minutes in order to perform controlled cord traction as part of active management, but women should be supported if they request that the cord is clamped and cut later than 5 minutes.


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