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Women's experiences of being assisted by two midwives during the active second stage of labour : Secondary outcomes from the Oneplus trial

Tern, Helena LU orcid ; Rubertsson, Christine LU ; Ekelin, Maria LU ; Dahlen, Hannah G. ; Häggsgård, Cecilia LU and Edqvist, Malin LU orcid (2024) In Sexual and Reproductive Healthcare 39.
Abstract

Background: ‘Collegial Midwifery Assistance’ (CMA) is a clinical practice aiming to reduce severe perineal trauma (SPT) during childbirth. This practice involves two midwives being present during the active second stage of labour rather than one, which is the case in standard care. The effectiveness of CMA was evaluated in the Oneplus trial and a 30% reduction in SPT was shown. Aim: The aim was to investigate the experience of women who received the CMA intervention in the trial and to explore factors influencing their experiences. Methods: A cohort study using data from the Oneplus trial and a one-month postpartum follow-up questionnaire. Descriptive statistics, univariable and multivariable logistic regression analyses were performed.... (More)

Background: ‘Collegial Midwifery Assistance’ (CMA) is a clinical practice aiming to reduce severe perineal trauma (SPT) during childbirth. This practice involves two midwives being present during the active second stage of labour rather than one, which is the case in standard care. The effectiveness of CMA was evaluated in the Oneplus trial and a 30% reduction in SPT was shown. Aim: The aim was to investigate the experience of women who received the CMA intervention in the trial and to explore factors influencing their experiences. Methods: A cohort study using data from the Oneplus trial and a one-month postpartum follow-up questionnaire. Descriptive statistics, univariable and multivariable logistic regression analyses were performed. Results: A total of 1050 women who received the CMA intervention responded to the questionnaire. Of these, 35.8% reported that they strongly agreed with feeling safe during the second stage of labour and 42.6% were inclined to have an additional midwife present at a subsequent birth. The intervention was favourably received by women who experienced fear of birth, who were non-native Swedish speakers, and had lower educational attainment. Furthermore, women were more positive towards CMA the longer the intervention lasted. Conclusions: The results of this study suggest that the CMA intervention is accepted well by women and can be safely implemented into standard care. The duration of the CMA intervention was an important factor that influenced women's experiences and should be used to guide future practice.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Childbirth experience, Labour stage, Midwifery, OASIS, Perineal trauma, Second stage, Severe perineal trauma
in
Sexual and Reproductive Healthcare
volume
39
article number
100926
publisher
Elsevier
external identifiers
  • pmid:38041929
  • scopus:85179070490
ISSN
1877-5756
DOI
10.1016/j.srhc.2023.100926
language
English
LU publication?
yes
id
a1533010-5a97-4390-a3d8-747128dabf9c
date added to LUP
2024-01-31 10:03:24
date last changed
2024-04-16 22:18:37
@article{a1533010-5a97-4390-a3d8-747128dabf9c,
  abstract     = {{<p>Background: ‘Collegial Midwifery Assistance’ (CMA) is a clinical practice aiming to reduce severe perineal trauma (SPT) during childbirth. This practice involves two midwives being present during the active second stage of labour rather than one, which is the case in standard care. The effectiveness of CMA was evaluated in the Oneplus trial and a 30% reduction in SPT was shown. Aim: The aim was to investigate the experience of women who received the CMA intervention in the trial and to explore factors influencing their experiences. Methods: A cohort study using data from the Oneplus trial and a one-month postpartum follow-up questionnaire. Descriptive statistics, univariable and multivariable logistic regression analyses were performed. Results: A total of 1050 women who received the CMA intervention responded to the questionnaire. Of these, 35.8% reported that they strongly agreed with feeling safe during the second stage of labour and 42.6% were inclined to have an additional midwife present at a subsequent birth. The intervention was favourably received by women who experienced fear of birth, who were non-native Swedish speakers, and had lower educational attainment. Furthermore, women were more positive towards CMA the longer the intervention lasted. Conclusions: The results of this study suggest that the CMA intervention is accepted well by women and can be safely implemented into standard care. The duration of the CMA intervention was an important factor that influenced women's experiences and should be used to guide future practice.</p>}},
  author       = {{Tern, Helena and Rubertsson, Christine and Ekelin, Maria and Dahlen, Hannah G. and Häggsgård, Cecilia and Edqvist, Malin}},
  issn         = {{1877-5756}},
  keywords     = {{Childbirth experience; Labour stage; Midwifery; OASIS; Perineal trauma; Second stage; Severe perineal trauma}},
  language     = {{eng}},
  publisher    = {{Elsevier}},
  series       = {{Sexual and Reproductive Healthcare}},
  title        = {{Women's experiences of being assisted by two midwives during the active second stage of labour : Secondary outcomes from the Oneplus trial}},
  url          = {{http://dx.doi.org/10.1016/j.srhc.2023.100926}},
  doi          = {{10.1016/j.srhc.2023.100926}},
  volume       = {{39}},
  year         = {{2024}},
}