In Japan, midwives are not allowed to suture, except for in emergencies. In this presentation we will discuss the practice of “waiting” and supporting the natural process that allows a woman to birth her baby gently. We also will be discussing practical skills that help prevent lacerations via a gentle hands-on technique. In cases when the midwife does need to intervene, the internal exam should be minimal and gentle to prevent perineal edema and laceration. In this presentation we will be introduced to the kurenme birth clip. These small metal clips have been used by Japanese midwives for many years to treat perineal tears and as an alternative to suturing of small tears that could otherwise cause additional trauma to the area. In this presentation, we will overview and learn how to use the birth clip in a clinical situation.
Learning Objectives:
Objective 1: Explain the impact of a positive birth experience on the long term health of the mother and baby
Objective 2: Incorporate the importance of empowering pregnant women with evidence based information on the normal physiology of labour/birth; comfort measures to cope with pain; her rights to choice of companion, birthing positions and skin to skin into their practice
Objective 3: Discuss the negative impact of unnecessary interventions on the mother-baby dyad
Objective 4: Explain the urgent need for obstetricians to help change childbirth practises globally and to work with midwives as professional colleagues, with mutual respect and trust.
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