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Primary midwives' experiences of collegial midwifery assistance during the active second stage of labor : Data from the Oneplus trial

Tern, Helena LU orcid ; Edqvist, Malin LU orcid ; Ekelin, Maria LU ; Dahlen, Hannah G. and Rubertsson, Christine LU (2023) In Birth 50(4). p.868-876
Abstract

Background: Collegial midwifery assistance during the active second stage of labor that involves a second midwife being present has been shown to reduce severe perineal trauma (SPT) by 30%. The aim of this study was to investigate primary midwives' experiences of collegial midwifery assistance with the purpose of preventing SPT during the active second stage of labor. Methods: This study uses an observational design with data from a multicenter randomized controlled trial (Oneplus). Data consist of clinical registration forms completed by the midwives after birth. Descriptive statistics as well as univariable and multivariable logistic regression were used to analyze the data. Results: The majority of the primary midwives felt confident... (More)

Background: Collegial midwifery assistance during the active second stage of labor that involves a second midwife being present has been shown to reduce severe perineal trauma (SPT) by 30%. The aim of this study was to investigate primary midwives' experiences of collegial midwifery assistance with the purpose of preventing SPT during the active second stage of labor. Methods: This study uses an observational design with data from a multicenter randomized controlled trial (Oneplus). Data consist of clinical registration forms completed by the midwives after birth. Descriptive statistics as well as univariable and multivariable logistic regression were used to analyze the data. Results: The majority of the primary midwives felt confident (61%) and were positive (56%) toward the practice. Midwives with less than 2 years' work experience were more likely to completely agree they felt confident (aOR 9.18, 95% CI: 6.28–13.41) and experience the intervention as positive (aOR 4.04, 95% CI: 2.83–5.78) than those with over 20 years' work experience. Factors such as duration of time spent in the birthing room by the second midwife, opportunity for planning and if the second midwife provided support were further associated with the primary midwife's experience of the practice as being positive. Conclusions: Our findings indicate that having a second midwife present during the active second stage of labor was an accepted practice, with the majority of primary midwives feeling confident and positive toward the intervention. This was especially pronounced among midwives with less than 2 years' work experience.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
collegial assistance, intervention, midwifery, severe perineal trauma, work experience
in
Birth
volume
50
issue
4
pages
868 - 876
publisher
Wiley
external identifiers
  • scopus:85164371959
  • pmid:37401365
ISSN
0730-7659
DOI
10.1111/birt.12739
language
English
LU publication?
yes
id
f6fe6f99-e30f-43d9-9b10-210d32291987
date added to LUP
2023-10-10 14:16:23
date last changed
2024-06-14 07:20:14
@article{f6fe6f99-e30f-43d9-9b10-210d32291987,
  abstract     = {{<p>Background: Collegial midwifery assistance during the active second stage of labor that involves a second midwife being present has been shown to reduce severe perineal trauma (SPT) by 30%. The aim of this study was to investigate primary midwives' experiences of collegial midwifery assistance with the purpose of preventing SPT during the active second stage of labor. Methods: This study uses an observational design with data from a multicenter randomized controlled trial (Oneplus). Data consist of clinical registration forms completed by the midwives after birth. Descriptive statistics as well as univariable and multivariable logistic regression were used to analyze the data. Results: The majority of the primary midwives felt confident (61%) and were positive (56%) toward the practice. Midwives with less than 2 years' work experience were more likely to completely agree they felt confident (aOR 9.18, 95% CI: 6.28–13.41) and experience the intervention as positive (aOR 4.04, 95% CI: 2.83–5.78) than those with over 20 years' work experience. Factors such as duration of time spent in the birthing room by the second midwife, opportunity for planning and if the second midwife provided support were further associated with the primary midwife's experience of the practice as being positive. Conclusions: Our findings indicate that having a second midwife present during the active second stage of labor was an accepted practice, with the majority of primary midwives feeling confident and positive toward the intervention. This was especially pronounced among midwives with less than 2 years' work experience.</p>}},
  author       = {{Tern, Helena and Edqvist, Malin and Ekelin, Maria and Dahlen, Hannah G. and Rubertsson, Christine}},
  issn         = {{0730-7659}},
  keywords     = {{collegial assistance; intervention; midwifery; severe perineal trauma; work experience}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{868--876}},
  publisher    = {{Wiley}},
  series       = {{Birth}},
  title        = {{Primary midwives' experiences of collegial midwifery assistance during the active second stage of labor : Data from the Oneplus trial}},
  url          = {{http://dx.doi.org/10.1111/birt.12739}},
  doi          = {{10.1111/birt.12739}},
  volume       = {{50}},
  year         = {{2023}},
}