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Database - Alliance francophone pour l'accouchement respecté (AFAR)

Description of this bibliographical database (AFAR website)
Currently 3059 records
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Created on : 21 Apr 2005
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Transition and the second stage of labour: In: Henderson C & Cooper M (Eds) Myles Textbook for Midwives (14th edition) Harcourt Health Sciences, London. Chap.27:487-506.

Author(s) :

Downe S.

Year of publication :


URL(s) :…

Résumé (français)  :

Abstract (English)  :

When labour moves from the phase of dilatation to the phase of active maternal pushing, the whole tempo of activity changes. As the nature of her uterine activity changes, the mother’s response to her labour often moves through confusion and loss of control to intense physical effort and exertion as her baby is finally pushed towards its birth. Both parents require stamina and courage, and confidence in the skill of the attendant midwife. Excitement and expectation mount as the birth becomes imminent. A happy outcome will depend upon mutual respect and trust between professionals and parents. A mother will never forget a midwife who positively supports her capacity to give birth to her baby.the context of this debate, the chapter aims to:

• consider the nature of the transitional and second stage phases of labour
• describe the usual sequence of events during these stages
• summarise signs of transition and of the expulsive phase of labour
• discuss the care of the mother and her partner
• review the observations that should be carried out at this time.

Sumário (português)  :

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Argument (français) :

Aux sages-femmes, comment bien reconnaitre la transition, et accompagner les moments intenses, physiques et émotionnels, lorsque la naissance devient imminente.

Argument (English):

Argumento (português):

Keywords :

➡ attendance ; physiology ; position during labor ; psychology ; perineal/vaginal tears ; episiotomy

Author of this record :

Cécile Loup — 21 Apr 2005

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