Nigel is a Midwife with clinical, education, research and policy experience. The main focus of his research has been on optimising care during childbirth. His PhD research explored the use of sterile water injections for the relief of back pain in labour. His work in this area is ongoing and has contributed to the increased use of this novel, simple and effective analgesic technique in Australia and the United Kingdom. Nigel has also published in the area of normal labour progress, including a randomised trial of labour documentation and management incorporating practice recommendations from the American College of Obstetricians and Gynaecologists, and retrospective studies into strategies for preventing severe perineal injury. Nigel is currently a Midwifery researcher and lecturer for the School of Nursing, Midwifery and Social Work at the University of Queensland and an Honorary Research Fellow with the Mater Research Institute.
Up to 30% of women experience severe back pain in labour. In qualitative studies women have described how labour back pain limited their mobility and altered their plans for analgesia use. Injections of small amounts of sterile water into the skin of the lower back are used to alleviate back pain for up to two hours. Whilst much research supports the effectiveness of the technique critics suggest a placebo effect or dismiss the procedure as ‘midwifery voodoo’. This presentation will examine the causes and physiology of back pain in labour, examine and critique the research into sterile water injections and describe the techniques, benefits and limitations for use in clinical practice.
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