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Aromatherapy and Massage Intrapartum Service Impact on Use of Analgesia and Anaesthesia in Women...
Full title: Aromatherapy and Massage Intrapartum Service Impact on Use of Analgesia and Anaesthesia in Women in Labor: A Retrospective Case Note
Abstract Background: Over the past decade, interest in complementary therapies and alternative medicine has escalated among midwives and the general public in response to increased demand from expectant mothers for more choice, control, and continuity in labor. Objective: The aim of this study was to explore if an aromatherapy and massage intrapartum service (AMIS) reduced the need for analgesia during labor. This article reports results related to the effects of an AMIS on type of analgesia chosen by women in labor, and on rates of anesthesia-one aspect of the full study. Setting/location: The study was conducted in a general maternity unit in southwest England, UK. Design: A quantitative research approach was taken, whereby contemporaneously completed service evaluation forms of 1079 women (601 nulliparous women and 478 multiparous women; AMIS group) were retrospectively analyzed in comparison with the birth records of an equal number of similar women (comparison group). Data analysis was achieved by entering data from the forms and comparison sample into an SPSS package and running statistical tests. Results: In the AMIS group, overall analgesia usage was higher for transcutaneous electrical stimulation at 34%, compared with 15.9% (p<0.001 allowing for parity), and for nitrous oxide and oxygen at 87.6%, compared with 80.8% (p<0.001). Pethidine use did not differ after adjustment for parity at 30.1%, compared with 24.2% (p=0.27) in the AMIS and comparison groups, respectively. Rates were lower in the AMIS group for epidural anaesthesia at 29.7%, compared with 33.8% (p=0.004 allowing for parity) in the comparison group; spinal anesthesia at 6%; compared with 12.1% (p<0.001) in the comparison group; and general anesthesia at 0.8%, compared with 2.3% (p=0.033) in the comparison group. Conclusions: Having an AMIS appears to have a positive impact on reducing rates of all types of intrapartum anaesthesia. The Service is a beneficial addition to conventional midwifery practice that may influence mode of delivery and reduce general anesthesia rates.
J Altern Complement Med. 2012 Aug 16. Dhany AL, Mitchell T, Foy C. 1 The Birthing Unit, Gloucestershire Royal Hospital , Gloucester, Gloucestershire, United Kingdom
Many people have a very big problem with being able to forgive others. Often their difficulty is to the fact their memory of a particularly uncomfortable event causes them to physically relive the unpleasantness that originally occurred. Hypnotherapists call this phenomenon revivification. This is especially severe when a person has obsessive thoughts during which they ruminate. When you combine a tendency to ruminate with a revivification, it becomes practically impossible for someone to forgive.
Therefore, in severe instances a person’s inability to forgive is much like any other...
Weight loss is probably one of the most difficult challenges faced by way too many people around the world. Being obese or over weight as defined by an excessive Body Mass Index (BMI) is a symptom of excessive calorie intake versus inadequate motivation.
Unlike bad habits such as smoking and nail biting, eating is something that a person cannot live without. They cannot “kick the habit” and get thin. So, the trick is finding the right balance between eating and calorie burning.
On the other hand, the quality of a person’s nutrition is also very important. It is not all about calorie...
Various techniques such as Tai Chi, Yoga, self-hypnosis, and various forms of contemplative care can help people increase their ability to focus and concentrate. The resulting improvements can help athletes, students, surgeons, and others who will greatly benefit. In order to understand how this works, you have to ponder why our day-to-day mental activity makes it hard for us to concentrate.
Generally, the problem with concentration and focus comes from our brain’s problem- solving process. Our ability to perceive or imagine situations needing resolution leads our brain to begin the...
