'Soothing the ring of fire': Australian women's and midwives' experiences of using perineal warm packs in the second stage of labour

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dc.contributor.author Dahlen, HG
dc.contributor.author Homer, CSE
dc.contributor.author Cooke, M
dc.contributor.author Upton, AM
dc.contributor.author Nunn, RA
dc.contributor.author Brodrick, BS
dc.date.accessioned 2010-05-28T09:49:43Z
dc.date.issued 2009-04
dc.identifier.citation Midwifery, 2009, 25 (2)
dc.identifier.issn 0266-6138
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/9445
dc.description.abstract Objective: to determine women's and midwives' experiences of using perineal warm packs in the second stage of labour. Design: as part of a randomised controlled trial (Warm Pack Trial), women and midwives were asked to complete questionnaires about the effects of the warm packs on pain, perineal trauma, comfort, feelings of control, satisfaction and intentions for use during future births. Setting: two hospitals in Sydney, Australia. Participants: a randomised controlled trial was undertaken. In the late second stage of labour, nulliparous women (n=717) giving birth were randomly allocated to having warm packs (n=360) applied to their perineum or standard care (n=357). Standard care was defined as any second stage practice carried out by midwives that did not include the application of warm packs to the perineum. Three hundred and two nulliparous women randomised to receive warm packs (84%) received the treatment. Questionnaires were completed by 266 (88%) women who received warm packs, and 270 (89%) midwives who applied warm packs to these women. Intervention: warm, moist packs were applied to the perineum in the late second stage of labour. Findings: warm packs were highly acceptable to both women and midwives as a means of relieving pain during the late second stage of labour. Almost the same number of women (79.7%) and midwives (80.4%) felt that the warm packs reduced perineal pain during the birth. Both midwives and women were positive about using warm packs in the future. The majority of women (85.7%) said that they would like to use perineal warm packs again for their next birth and would recommend them to friends (86.1%). Likewise, 91% of midwives were positive about using the warm packs, with 92.6% considering using them in the future as part of routine care in the second stage of labour. Key conclusions: responses to questionnaires, eliciting experiences of women and midwives involved in the Warm Pack Trial, demonstrated that the practice of applying perineal warm packs in the late second stage of labour was highly acceptable and effective in helping to relieve perineal pain and increase comfort. Implications for practice: perineal warm packs should be incorporated into second stage pain relief options available to women during childbirth. © 2007 Elsevier Ltd. All rights reserved.
dc.language eng
dc.relation.isbasedon 10.1016/j.midw.2007.08.002
dc.title 'Soothing the ring of fire': Australian women's and midwives' experiences of using perineal warm packs in the second stage of labour
dc.type Journal Article
dc.description.version Published
dc.parent Midwifery
dc.journal.volume 2
dc.journal.volume 25
dc.journal.number 2 en_US
dc.publocation Singapore en_US
dc.identifier.startpage 39 en_US
dc.identifier.endpage 48 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 111006 Midwifery
dc.personcode 923712
dc.personcode 044710
dc.personcode 995146
dc.percentage 100 en_US
dc.classification.name Midwifery en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords Childbirth
dc.description.keywords Labour
dc.description.keywords Obstetric
dc.description.keywords Pain
dc.description.keywords Perineum
dc.description.keywords Second stage
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research
utslib.copyright.status Closed Access
utslib.copyright.date 2015-04-15 12:17:09.805752+10
pubs.consider-herdc true
utslib.collection.history Uncategorised (ID: 363)
utslib.collection.history Closed (ID: 3)


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