Table 2: Analysis of normal births according to the Lamaze philosophy.
|
|
Yes n (%) |
No n (%) |
1. Letting labor begin at its own pace |
Induction |
166 (36.1) |
294 (63.9) |
Are there other drugs used to accelerate labor?* |
52 (11.3) |
408 (88.7) |
|
2. Letting women walk, move around and change positions throughout labor |
Does the pregnant woman walk during labor? |
425 (92.4) |
35 (7.6) |
Does the pregnant woman move? |
426 (92.6) |
34 (7.4) |
|
Does the pregnant woman change positions? |
426 (92.6) |
34 (7.4) |
|
Is the pregnant woman encouraged by health personnel? |
436 (95.4) |
24 (4.6) |
|
3. Letting a loved one (friend, spouse, or doula) support women continuously |
Is there a loved one to support the expectant mother at birth? |
425 (92.4) |
35 (7.6) |
If yes, please specify who?
Mother Sister Spouse Mother-in-law Other ** |
151 (32.6) 136 (29.6) 21 (4.6) 35 (7.6) 117 (25.7) |
|
|
4. Avoiding interventions such as restriction of eating/drinking, enema, forceps, vacuum, episiotomy, epidural anesthesia and continuous EFM, etc. unless medically necessary |
Restriction of eating/drinking |
108 (23.5) |
352 (76.5) |
Enema |
85 (18.0) |
375 (82.0) |
|
Forceps |
- |
100 |
|
Vacuum |
2 (0.4) |
458 (99.6) |
|
Episiotomy |
228 (49.1) |
232 (50.9) |
|
Epidural anesthesia |
21 (4.5) |
439 (95.4) |
|
Continuous EFM |
17 (3.7) |
443 (96.3) |
|
Amniotomy |
170 (37.0) |
290 (63.0) |
|
Intravenous fluid insertion |
134 (28.7) |
326 (71.3) |
|
Drug use for analgesia (for pain etc.) |
298 (64.8) |
162 (35.2) |
|
Number of touch/vaginal examinations |
95 (20.7) |
365 (79.3) |
|
5. Using upright pushing positions and following women’s urges to push |
Is the position of the pregnant woman on her back at birth? |
453 (98.5) |
7 (1.5) |
Is fundal pressure applied during birth? |
131 (28.5) |
329 (71.5) |
|
Is it open glottis pushing? |
135 (29.3) |
325 (70.7) |
|
Is it closed glottis pushing? |
114 (24.8) |
346 (75.2) |
|
Is the pregnant woman made to push by herself? |
211 (45.9) |
249 (54.1) |
|
6. Keeping mother and baby together to promote mother-baby bonding and support breastfeeding after birth
|
Has the baby been given to the mother immediately after birth? |
437 (95.0) |
23 (5.0) |
Has skin-to-skin contact been practiced? |
436 (94.8) |
24 (5.2) |
|
Has the baby been breastfed in the first 30 minutes-1 hour after birth? |
438 (95.2) |
22 (4.8) |
|
Are the mother and baby in the same room in the early postpartum period after birth? |
448 (97.4) |
12 (2.6) |
*: Antispasmodics; **: Friend, aunt, neighbor.