Abstract:
AIMS:The aim of this study was to determine during which phase of delivery augmentation is started when used and to establish any correlation that might exist between the oxytocin infusion and the evaluations by primiparas themselves of their labour pain, strength of contractions and fatigue. In addition, we wanted to determine any differences in duration between labour with and labour without augmentation. We finally wanted to measure the incidence of instrumental deliveries, perineal trauma and neonatal outcome among the augmented vs. the non-augmented groups. BACKGROUND:The most commonly diagnosed complication in primiparas is ineffective contractions or protracted labour, otherwise known as dystocia, which literally means arrested or prolonged labour. Different treatments have been tried during the active phase of labour as well as the second stage of labour. The most common treatment today is amniotomy, often used in combination with an intravenous oxytocin infusion. MATERIALS AND METHODS:The study was conducted at the hospital in Ostersund in central Sweden from August 1998 to September 1999. Consecutive primiparas giving birth at full-term were selected to the study. The inclusion criteria were an uncomplicated pregnancy and a spontaneous single delivery with head presentation. The total number of participants was 164. RESULTS:The results showed that 50 of 164 primiparas needed no augmentation, while 88 were augmented during the active phase and 26 during the second stage of labour. The duration of the active phase [median (md) 4 hours 45 minutes, 6 hours 49 minutes and 6 hours 20 minutes respectively for the different groups, P = 0.03], the time between full dilation of the cervix and the start of the second stage (md 20 minutes, 30 minutes and 60 minutes respectively, P = 0.012) and the duration of the second stage of labour (md 40 minutes, 44 minutes and 60 minutes respectively, P = 0.04) were significantly longer in the augmented groups. Operative deliveries, too, were more frequent in the augmented groups. There was a significantly higher rate of perineotomies in the group augmented during the second stage of labour. There were, however, no differences in Apgar score <7 at 1 minute. pH in the umbilical cord and the base deficit were higher in the group which were augmented during the second stage of labour (P = 0.02 and P = 0.06 respectively). Women describing their impression of the experience as a whole generally gave it a high rating, but women who were augmented during the second stage of labour gave the experience a significantly lower score (P = 0.01). CONCLUSION:Augmentation is used in unusually prolonged deliveries. We did not find that augmentation involved a higher frequency of perineal trauma, although it was correlated with a higher frequency of operative deliveries. There was no correlation between the oxytocin infusion and the primiparas' descriptions of the strength of contractions, pain and fatigue, although greater use of epidurals was observed in women with augmented labour. The number of nulliparas in this study was too small to analyse the incidence of ruptures in the sphincter or draw conclusions about differences between the groups with regard to Apgar scores or metabolic acidosis. RELEVANCE TO CLINICAL PRACTICE:In clinical practice, good routines concerning oxytocin augmentation are crucial. Interventions as oxytocin augmentation seem to cause harm to mother and child. To evaluate interventions continuously in obstetric care is therefore important.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
Svärdby K,Nordström L,Sellström Edoi
10.1111/j.1365-2702.2005.01481.xsubject
Has Abstractpub_date
2007-01-01 00:00:00pages
179-84issue
1eissn
0962-1067issn
1365-2702pii
JCN1481journal_volume
16pub_type
杂志文章abstract:AIM:To determine and describe the experiences of pregnant women who receive a diagnosis of chromosomopathy and/or foetal malformation during a prenatal check-up and who decide to legally terminate the pregnancy. BACKGROUND:When a pregnancy is terminated, the woman must cope with frustrated motherhood. The psychologica...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15162
更新日期:2020-04-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine the effect of the introduction of an electronic nursing documentation system on the efficiency of documentation in a residential aged care facility. BACKGROUND:Modern technology has the potential to free caregivers in residential aged care facilities from their burden of paper documentat...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2012.04157.x
更新日期:2012-10-01 00:00:00
abstract:AIM:To scope and explore hydration practices in care homes. BACKGROUND:Older residents do not regularly consume adequate fluids to support health. Achieving this is difficult with residents who have coexisting health, sensory and functional problems, as well as challenging hydration habits. DESIGN:This project used a...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14727
更新日期:2019-04-01 00:00:00
abstract::This is the first of two articles providing an introduction to appraising published research critically. In this paper three styles of research are presented and the basic types of research objectives and designs are briefly described. ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.1994.tb00393.x
更新日期:1994-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To analyse the reporting structures of nursing leaders of publicly funded hospitals and seek both the views of nurse leaders and Chief Executive Officers/Chief Operating Officers on the structural positioning of nurse leaders in the organisation. BACKGROUND:Concern that the continuing restructuring...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12839
更新日期:2015-08-01 00:00:00
abstract:AIMS AND OBJECTIVES:The purpose of this study was to test a process model that assesses the relationship of sexual health knowledge and normative beliefs to sexual health behavioural intention, with sexual self-concept as a mediating variable. The model is intended to assist in the prediction of which adolescents would...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2011.04035.x
更新日期:2012-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To describe positively and negatively perceived situations experienced by adults with type 1 diabetes using continuous glucose monitoring and the actions they take to deal with these situations. BACKGROUND:Real-time continuous glucose monitoring has been shown to improve glycaemic control and reduc...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14911
更新日期:2019-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore the effects of hospital-family holistic care model based on 'Timing It Right' on the health outcome of patients with permanent colostomy. BACKGROUND:Colorectal cancer is a common malignant tumour of digestive system, which seriously threatens human life and health. Colostomy is one of th...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/jocn.15199
更新日期:2020-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore: the selection criteria for first responder nurses during disaster; scope of practice for disaster relief nurses; appropriate nurse - medical practitioner ratio at the disaster site. BACKGROUND:Nurses are key members of disaster response medical teams. A scarcity of literature exists rel...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2011.03790.x
更新日期:2012-01-01 00:00:00
abstract:AIM:To assess the psychometric properties of the Chinese version of the Satisfaction with the Nursing Home Instrument. BACKGROUND:Resident's satisfaction has been regarded by the literature as a gold standard for quality of nursing home care. Accurate assessment of resident's satisfaction can provide valuable informat...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2005.01507.x
更新日期:2006-12-01 00:00:00
abstract:AIMS AND OBJECTIVES:To determine predisposing and precipitating risk factors for incident delirium in medical patients during an acute hospital admission. BACKGROUND:Incident delirium is the most common complication of hospital admission for older patients. Up to 30% of hospitalised medical patients experience inciden...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13529
更新日期:2017-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To investigate the current practice and experience of sign-off mentors in one NHS trust. BACKGROUND:In the UK, sign-off mentors support nursing students in their last clinical placement and are accountable for the final assessment of fitness to practice as a registered nurse. DESIGN:Mixed-methods ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.13652
更新日期:2017-10-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine qualitative studies which reported on patients' challenges of living with and managing inflammatory bowel disease (IBD). BACKGROUND:There is a growing body of qualitative research focusing on the subjective experiences of patients with IBD. This research points to the daily challenges th...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,meta分析,评审
doi:10.1111/jocn.15080
更新日期:2020-02-01 00:00:00
abstract:AIMS AND OBJECTIVES:To establish adolescents' beliefs regarding the need for structured diabetes education and their views on how such a programme should be organised and what topics need to be addressed. BACKGROUND:Structured diabetes education programmes have become common place in diabetes care in recent years. Des...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03692.x
更新日期:2012-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine nurses' experiences in spiritual care in diverse clinical settings, preferably not palliative care. BACKGROUND:Spirituality is part of holistic nursing care. The concept of spiritual literacy is introduced as the nurse's ability to read the spiritual signs of the human experience. DESIG...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12907
更新日期:2015-10-01 00:00:00
abstract:OBJECTIVES:The objectives of this systematic review were first, to describe how breastfeeding is professionally supported during pregnancy, at maternity hospitals and during the postnatal period. Secondly, to find out how effective interventions are in supporting breastfeeding. BACKGROUND:Breastfeeding is an effective...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2702.2007.02239.x
更新日期:2008-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:To review the evidence on nonpharmacological approaches to care for behavioural and psychological symptoms of dementia in older adults. BACKGROUND:Dementia is increasing in worldwide prevalence and can have severe and life-altering impacts on older adults. Behavioural and psychological symptoms of ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.14007
更新日期:2018-04-01 00:00:00
abstract:AIMS AND OBJECTIVES:To assess intensive care unit nurses' knowledge of intensive care unit delirium and delirium assessment before and after an educational intervention. In addition, nurses' perception on the usefulness of a delirium assessment tool and barriers against delirium assessment were assessed as secondary ob...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14525
更新日期:2018-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore the lived experience of patients in fast-track primary unilateral total hip and knee arthroplasty from the first visit at the outpatient clinic until discharge. BACKGROUND:Fast-track has resulted in increased effectiveness, including faster recovery and shorter length of stay to about tw...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13121
更新日期:2016-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To identify determinants of self-efficacy and quality of life in patients with temporary enterostomy. BACKGROUND:Anterior resection with temporary enterostomy is the preferred treatment for patients with rectal cancer, which may impair patients' quality of life. So far, most studies have focused on...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13469
更新日期:2017-02-01 00:00:00
abstract::Part 1 of this article discussed the process of evaluating patient satisfaction by means of unstructured, in-depth interviews. In this part, the content of interviews will be presented and the analytic domains derived from the research will be described. These are 'nursing', 'the hospital' and 'patients' concerns', an...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.1996.tb00224.x
更新日期:1996-01-01 00:00:00
abstract:AIMS AND OBJECTIVE:To measure and explore between 2007-2010 measure and explore the nature of family resilience in the context of families with a member with chronic pain. BACKGROUND:Chronic pain impacts on the entire family. The literature suggests that it is possible to strengthen resilience in individuals with chro...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2012.04271.x
更新日期:2012-12-01 00:00:00
abstract:AIM:The aim of this study was to explore how the planning, daily care and follow-up procedures work in the care trajectory for patients treated with home enteral tube feeding, from the perspective of hospital and community care nurses. BACKGROUND:Discharge planning for patients in need of home enteral tube feeding is ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2007.02181.x
更新日期:2008-11-01 00:00:00
abstract:AIM:To develop an instrument measuring the beliefs and attitudes of Chinese adolescents towards substance abuse. BACKGROUND:It is documented that many negative consequences for youth, including physical, mental and psychosocial health problems are associated with substance abuse. There has led to a growing concern abo...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2005.01202.x
更新日期:2005-09-01 00:00:00
abstract::Patients often experience problems after discharge, for instance with housekeeping or a general lack of information. The effect of a nurse-initiated Telephone Reassurance Programme (TRP) on ophthalmic patient outcomes was investigated. Patients in the intervention group were phoned by a nurse 3-6 days after being rand...
journal_title:Journal of clinical nursing
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1046/j.1365-2702.2000.00356.x
更新日期:2000-03-01 00:00:00
abstract::The purpose of this study was to identify factors of importance for children's participation in medical and nursing care. A method close to the critical incident technique was used. A total of 92 stories told by staff and containing different levels of children's participation in decision making were analysed. The fac...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2001.00433.x
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:Nurses are considered important healthcare professionals during the management of the pandemic process due to the considerable amount of time they spend in the face-to-face nursing of infected patients. To optimise the service of healthcare workers, it is recommended that the mental health needs of the healt...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15602
更新日期:2020-12-15 00:00:00
abstract:AIMS AND OBJECTIVES:The proposed study aimed to answer the following question: What communication issues do nurses find challenging when caring for people with life-limiting illness? BACKGROUND:Evidence suggests that attitudes, skills and knowledge about how nurses communicate effectively with patients and their famil...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15099
更新日期:2020-02-01 00:00:00
abstract:AIMS AND OBJECTIVES:To report the findings from an evaluation of the impact of the Compassion in Practice Vision and Strategy (National Health Service England (NHSE), 2012) on nursing, midwifery and care staff. BACKGROUND:The Compassion in Practice Vision and Strategy was a programme of work to highlight the importanc...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14176
更新日期:2018-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine rates and associated correlates of human papilloma virus vaccine uptake in women who have sex with women in the United States, and to determine whether they differ from those in women who do not have sex with women. BACKGROUND:Women who have sex with women are at risk for human papilloma...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13491
更新日期:2016-12-01 00:00:00