ABSTRACT In the United States, intrapartum nurses are present at 99% of births. These
nurses have a unique opportunity to positively affect a laboring woman's comfort and labor …

Background Maternal pushing during the second stage of labour is an important and
indispensable contributor to the involuntary expulsive force developed by uterine …

NEW! Enhanced focus on prioritization of care in clinical reasoning case studies and nursing
care plans is consistent with NCLEX® updates. NEW! Recognition of the importance of …

Praise for the previous edition:" This... edition is timely, useful, well organized, and should be
in the bags of all doulas, nurses, midwives, physicians, and students involved in childbirth." …

Background Some research exists on the effect of non-pharmacological approaches for
labor pain relief. However, there is limited information about effectiveness of breathing …

Background perineal injury is common after birth and may be caused by tears or episiotomy
or both. Perineal massage has been shown to prevent episiotomies in primiparous women …

Objective: Episiotomy rates are declining in the United States. In settings with very low rates,
evidence remains sparse on how best to facilitate birth without lacerations. The purpose of …

Management of the second stage of labor often follows tradition‐based routines rather than
evidence‐based practices. This review of second‐stage labor care practices discusses risk …

Genital tract trauma is common following vaginal childbirth, and perineal pain is a frequent
symptom reported by new mothers. The following techniques and care measures are …

Evidence-based care is a well established principle in contemporary healthcare and a
worldwide health care movement. However, despite the emphasis on promoting evidence …