Tuesday, July 7, 2009

Pilot Study Removes Standard Hospital Bed As Focal Point Of Labor

Posted by Kim:

WOW! What an awesome concept! Wait until you read the article below!!! I am so excited to read about the PLACE study recognizing the need to provide women with a safe, but un-clinical place to labor and birth their babies. As a matter of fact, this study reminds me of...... the BINSI Mission Statement! We have always said that we are a company founded and firmly grounded in a desire to help women feel powerful, healthy, beautiful and in control as they enter their amazing journey into motherhood. In addition to our mission, Carri wrote an article "Hospital Births: Losing the Fear Factor" that discusses this exact same subject from a personal perspective. In her article she says "No matter how prepared a woman is, hospital births come with a high I.F. (Intimidation Factor). From the beeping machines and rubber gloves to the polite but often officious staff; much of the hospital experience communicates one message to the mommy-to-be: You are not in charge here." However, together Carri and I have been working hard to dispel this assumption for years. We have been encouraging women to take control of their birth environment and make it their own. No, the laboring mom can not switch out the hospital bed, but she can bring her own clothes to labor in, comforting CDs, aromatherapy, focus points, flash lights (or battery operated window candles) etc. to personalize her environment. Please read our suggestions on What To Pack In Your Birth Bag on our website for more suggestions. So imagine if we could combine all of our own personal touches with the new and improved hospital room that removes the focus on the clinical (and may I add uncomfortable) hospital bed? I swear I was more sore from sleeping in my rock hard bed than I was from my birth! Now we are getting some where!!!

As written by Lucianna Ciccocioppo, University of Toronto

A University of Toronto pilot study that re-conceptualized the hospital labour room by removing the standard, clinical bed and adding relaxation-promoting equipment had a 28 percent drop in infusions of artificial oxytocin, a powerful drug used to advance slow labours.

The study, called PLACE (Pregnant and Labouring in an Ambient Clinical Environment) was published in the current edition of the journal Birth.

In addition, more than 65 percent of the labouring women in the ambient room, compared to 13 per cent in the standard labour room, reported they spent less than half their hospital labour in the standard labour bed.

Led by Dr. Ellen Hodnett, Bloomberg Faculty of Nursing professor and Heather M. Reisman Chair in Perinatal Nursing Research at the University of Toronto, PLACE included 62 women at two Toronto teaching hospitals.

Hodnett devised a set of simple, but radical modifications to the standard hospital labour room, with the intention of surrounding the women and their caregivers with specific types of auditory, visual and tactile stimuli.

"The removal of the standard hospital bed sent a message that this was not the only place a woman could labour," says Hodnett. A portable, double-sized mattress with several large, comfortable cushions was set up in the corner of the ambient room. Fluorescent lighting was dimmed, and DVDs of ocean beaches, waterfalls and other soothing vistas were projected onto a wall. A wide variety of music was also made available.

"The intent was to allow the women the ability to move about freely during their labour, to permit close contact with their support people, and to promote feelings of calm and confidence," says Hodnett.

Reaction to the ambient room was overwhelmingly positive, as respondents were pleased to have options for mobility and for helping to cope with their labour. They also indicated they received greater one-on-one attention and support from their nurses.

"This study raises questions about the assumptions underlying the design of the typical hospital labour room," says Hodnett. "The birth environment seems to affect the behaviour of everyone in it - the laboring women as well as those who provide care for her.

Hodnett hopes to further this study with a larger, randomized controlled trial.

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