Evidence Based Birth
What is Evidence-Based Birth?
Rebecca Dekker, Ph.D., began the excellent website, Evidence-Based Birth. She assumes that evidence-based charge is in the gray area where research evidence, clinical expertise, and the patient’s values overhang. Or, as she speaks, it’s like a three-legged stool.
There is no particular “right way” to give birth. By viewing quality research evidence on the benefits during birth, trusting a provider to help drive those options in a very particular way, and understanding that every woman has unique views and priorities for her family, new families can truly get “evidence-based” care.
What You Should Ask When Making Birth Choice
How can expecting parents approach birth most efficiently? It all starts with good information. Patients should feel happy and empowered to ask questions and get the information needed.
Make knowledgeable choices.
· What are the benefits? (Why is an option remaining presented?)
· What are the risks? (What will the result on me/my baby/my labor be?)
· What are my alternatives? (Is there a different way to achieve the same result?)
· Does this feel right to me? (Is it consistent with my preferences? What does my instinct tell me?)
Trust Between Parents and Providers
Of course, this good decision-making also relies on having a trustful relationship with a. It’s necessary to share values and preferences with providers so there’s a connection for the patient’s choices. Ideally, this discussion begins early in pregnancy.
Let your provider know if you hold strong feelings about any phase of the birth experience and take the time to produce sure your views are understood and considered.
I was as healthy and strong at 9 months pregnant as I am right now. So why did I get the feeling that something was wrong with the care I received?
Was my care based on the best evidence?
For those of you who don’t understand, evidence-based care means that your healthcare is based on the most up-to-date medical evidence about what works best. Evidence-based care also means that you are told accurately about the risks and benefits of different options so that you can make the best known medical choices for your situation.
Using the support at my university, I started to read the therapeutic evidence for the care I got at my first birth. Imagine my shock when I discovered that much of the care that I received has been shown by medical evidence to be harmful to healthy pregnant women and their babies!
Amazed by the proof
Amazed by the proof I was uncovering, I googled I was stunned to discover that nobody else was blogging about this the way I thought it could be done.
The evidence exists out there but to read the evidence you need an extravagant subscription and you want to have research skills to decipher the evidence. I proceeded to have both the signature and the skills. I believed to myself, Wouldn’t it be great if I could blog about the evidence about birth opportunities so that pregnant women all over the world can enter and understand this information?
At Evidence-Based Birth, my main objective is to write articles that review the highest quality medical evidence for certain birth practices. For examples of evidence-based studies. For your sake, I always have at least two experts review my articles, and I try to write the articles as. I don’t want to insert my own opinions into these articles.
Instead, I would like for the evidence to speak for itself, and then let thee and your care provider determine how you want to use that evidence for your unique situation.
People about the evidence
I realize that teaching people about the evidence is not sufficient. Real-life tales can give people the strength to put evidence into motion. So I write testimonials, written by partners and care providers, that promote the use of the evidence-based practice. For examples of recommendations,
Another source for you at Evidence Based Birth are printable practice bulletins. Those are 1-2 page, printable versions of my articles that are written in the language of healthcare providers. You can print these off and use them to start discussions with your care provider about evidence-based care. To see a list of possible printable practice announcements,
Why should I care about whether or not my birth is evidence-based?
Nursing scholars are in a unique position to discern what is going on in the mothership care system with a fresh, honest view. I asked a nursing scholar who is currently in her OB clinical rotation to bestow her opinion about why you should consider evidence-based birth:
Kara Lester, a BSN healing scholar, writes:
Many pregnant moms
“As a healing student currently in my OB turn, I have met many pregnant moms during the semester. Some are well-educated, while others have more limited knowledge about pregnancy. It is so important for partners to be active partners in their care because it gives them freedom within the healthcare setting.
Women who are aware of the evidence and options available will have more confidence when it comes to voicing their thoughts and feelings to healthcare providers.
“Also as healthcare providers, we need to allow women to get more involved in their care by giving them the facts and making them decide what option is best for their location. During one of my clinical rotations, I sat in a birthing class with a first-time pregnant couple also saw firsthand that as their experience grew, so did their confidence.
Comfortable in their choices
As the couple became more interested, they started to feel more comfortable in their choices. It was really neat to see their transformation from being quiet and eager to calm and confident. Witnessing this reminded me that as an active participant you really can influence the care you receive and present the outcome of your stay.”
What can I do next?
You have previously taken a great initial step by reading what evidence-based care involves. However, here’s a small secret I’m going to tell you.
Seldom your care
Seldom your care providers force not know on the evidence, or they strength choose to ignore the evidence. Why? We don’t know exactly why, but there are many possible causes. It may be that any care providers are too busy and make not have the opportunity to celebrate up with the most up-to-date research. Or possibly they can’t access the confirmation.
Or maybe they just fancy to do things the way they have always made them.
So here is my preparation assignment for you: Ask your care provider about the evidence.
What are the risks? What are the benefits? Are there any other benefits that I should consider?
Ultimately, I believe that the power to move towards evidence-based care is in your support the hands of significant women and their children. In 2013, we expect these numbers to multiply. the regional or national level including, an association committed to promoting evidence-based motherliness care in the U.S.
women stand up
Who knows? Maybe, if enough women stand up to direct the best care evidence-based care–we can make birth safer and more enjoyable for us and our babies on a national scale.
Thoughts for discussion: Why do you think evidence-based care is important? Does understanding the evidence make you feel more confident in your choices?
is an Assistant Professor of Nursing and teaches ethnopharmacology to undergraduate nursing students? She recently received the Marie Cowan Promising Young Investigator Award of the American Heart Association, and she is the principal investigator on an analysis grant from the National Institutes of Health
. In 2012, Rebecca founded and joined the governing board of a non-profit organization dedicated to developing evidence-based care for women and babies. You can follow Rebecca’s articles on Evidence-Based Birth.