According to the WHO, a conducted delivery is one that, even starting spontaneously, is attempted to be shortened with the use of synthetic oxytocin, with artificial rupture of membranes or with unnecessary or excessive medication for normal delivery.
Sometimes certain techniques used during labor to try to speed it up, rather than make it easier, they lead to an increased chance of needing other interventions. On our site we tell you why interventions are due during a natural birth.
All the techniques used during labor to speed up labor are called "Cascade of Intervention".
However, all these practices change the course of delivery and, sometimes, undermine the mother's decision.
The use of synthetic oxytocin makes the epidural and monitoring necessary, the mother's freedom of movement is limited, slows down the process and increases the chances of an instrumental delivery (where they use suction cups or forceps to remove the baby). This increases the maternal-fetal risk and can affect the psycho-physical well-being of both.
My advice as a healthcare professional working with women is to:
- Before making any kind of decision in your delivery, you inform about the benefits and risks of each procedure.
- It is also very important that know the phases and the sensations that you will experience during the development of a normal birth. This will increase your security and confidence during this process.
Labor is not linear. There are moments when it seems that everything stops, but that happens to give the mother a truce and regain strength for the final process.
The most used medical interventions during the labor process are:
- Monitoring of vital signs.
- Artificial rupture of membranes or amniotomy.
- Amnioscopy or examination of amniotic fluid to assess possible fetal distress.
- The use of enemas and shaving.
- The limitation of maternal mobility.
- The vaginal exams, the administration of oxytocin.
- The epidural.
- Caesarean section.
- The use of forceps or suction cup.
- The episiotomy.
It is quite probable that when one of these interventions is performed, another or more will follow.
You can read more articles similar to Why interventions should be reduced during natural childbirth, in the category of Delivery on site.