Penelitian menunjukkan bahwa bentuk-bentuk berikut perawatan atau prosedur meningkatkan risiko dan bisa jadi tidak memiliki manfaat untuk ibu dan bayi:

1. Menawarkan dan melakukan pemeriksaan vagina selama persalinan secara berlebihan (link al.2013 Downe et).

• meningkatkan tekanan emosional (NICE 2007, Devane. 1996, Lewin et al. 2005).
• meningkatkan risiko infeksi pada bayi (Lumbiganon et al. 2004 Seaward et al. 1997 dan Hannah et al. 2000).

2. Pemantauan denyut jantung bayi dengan doppler pada wanita berisiko rendah (Alfirevic et al. 2010 link).

USG doppler rutin tidak dianjurkan pada kehamilan berisiko rendah (NICE 2007: 35)

3. Pemantauan janin elektronik terus menerus – monitor belt (. Alfirevic et al 2013 link).

• Lebih mungkin untuk mendapatkan intervensi obstetri kecil seperti analgesia epidural, pemantauan janin elektronik terus menerus berlangsung dan pengambilan sampel darah janin untuk gawat janin (Blix 2005);
• Meningkatkan risiko kelahiran dibantu vakum atau forsep (Alfirevic et al 2013.);
• meningkatkan risiko mengalami operasi caesar (Alfirevic et al 2013.);

4. Berbaring selama persalinan atau kelahiran (Lawrence et al. 2013 link).

• meningkatkan durasi/lama persalinan (Lawrence et al.2013).
• meningkatkan risiko kelahiran caesar (Lawrence et al.2013).
• meningkatkan kebutuhan epidural (Lawrence et al.2013).
• meningkatkan risiko perdarahan yang signifikan (Terry dkk. 2006)
• meningkatkan risiko robekan perineum (Dudding et al. 2008)
• Meningkatkan risiko kerusakan otot dasar panggul (Fraser et al. 2000 Schaffer et al.2005, Handa et al.1996).

5. Episiotomi untuk alasan apapun selain bayi yang tertekan (Dannecker Link et al. 2004)

• meningkatkan risiko kerusakan dasar panggul yang signifikan (Carroli dan Mignini 2009, DiPiazza et al. 2006, Gerdin et al. 2007, Altman et al.2007, Sartore dkk, 2004, Bick et al. 2008, Dannecker et al. 2004) .
• meningkatkan tekanan darah;
• meningkat resiko keidak nyamanan setelah melahirkan;
• meningkatkan risiko mual dan muntah;
• meningkatkan penggunaan obat untuk menghilangkan rasa sakit pada periode postnatal;
• meningkatkan jumlah perempuan kembali ke rumah sakit dengan pendarahan vagina (Begley di al. 2011).

Nah yuk tingatkan layanan bersalin dan pastikan bahwa intervensi rutin yang kita lakukan benar benar mempunyai bukti terbaik untuk ibu dan bayi

Anda bisa mulai belajar dari berbagai penelitian yang ada di sumber pustaka kami. Silahkan buka link nya satu persatu dan berdayakan diri Anda , demi buah hati.

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