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Labor Coaching

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1. Traditionally vs sonographically coached second stage of labor: a pilot study. (PubMed)

Traditionally vs sonographically coached second stage of labor: a pilot study. To investigate the usefulness of visual biofeedback using transperineal ultrasound to improve coached pushing during the active second stage of labor in nulliparous women.This was a randomized controlled trial of low-risk nulliparous women in the active second stage of labor. Patients were allocated to either coached pushing aided by visual demonstration on transperineal ultrasound of the progress of the fetal head (...) (sonographic coaching) or traditional coaching. Patients in both groups were coached by an obstetrician for the first 20 min of the active second stage of labor and, subsequently, the labor was supervised by a midwife. Primary outcomes were duration of the active second stage and increase in the angle of progression at the end of the coaching process. Secondary outcomes included the incidence of operative delivery and complications of labor.Forty women were recruited into the study. Those who received

2018 Ultrasound in Obstetrics and Gynecology

2. Labor Coaching

Labor Coaching Labor Coaching Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Labor Coaching Labor Coaching Aka: Labor Coaching (...) , Labor Coaches From Related Chapters II. Management: Use Gravity and Position Change One leg up Sit on the toilet and push Drape self over an oversized ball III. Management: Standard Positioning Start Hips hyperflexed and abducted Hands on thighs and knees Patient pulls knees towards her Maximize abdominal muscle use with forward curl Encourage "Push as if having BM" Perineal massage No benefit in maintaining intact perineum May decrease labor discomfort Patient to hold presenting part down between

2018 FP Notebook

3. Approaches to Limit Intervention During Labor and Birth

or obstetric complications. c When not coached to breathe in a specific way, women push with an open glottis. In consideration of the limited data regarding superiority of sponta- neous versus Valsalva pushing, each woman should be encouraged to use her preferred and most effec- tive technique. c Collectively, and particularly in light of recent high- quality study findings, data support pushing at the start of the second stage of labor for nulliparous women receiving neuraxial analgesia. Delayed pushing (...) and are not contraindicated by maternal medical or obstetric complications. SecondStageofLabor: PushingTechnique Obstetrician–gynecologists and other obstetric care providers in the UnitedStates often encourage women in labor to push with a prolonged, closed glottis effort (ie, Valsalva maneuver) during each contraction. However, when not coached to breathe in a specific way, women push with an open glottis (48). A Cochrane review of eight RCTs that compared spontaneous to Valsalva pushing in the second stage of labor

2019 American College of Obstetricians and Gynecologists

4. CRACKCast E180 – Labor & Delivery

CRACKCast E180 – Labor & Delivery CRACKCast E180 - Labor & Delivery - CanadiEM CRACKCast E180 – Labor & Delivery In by Adam Thomas May 24, 2018 This episode of CRACKCast covers Rosen’s Chapter 181, Labor and Delivery. This chapter covers the high risk realm of ED deliveries, including potential complications such as PROM, malpresentation and umbilical cord emergencies. Shownotes – Key Points All ED deliveries should be considered high risk . Antepartum hemorrhage, PROM, eclampsia, premature (...) labor, precipitous delivery, malpresentation, and umbilical cord emergencies are overrepresented in emergency deliveries. Women in labor who present to the ED are generally best cared for in the obstetric suite. Women with the urge to push or with the head of the infant crowning are at imminent risk of delivery, which should take place in the ED. The benefits of transfer of a woman with an impending high-risk delivery to a perinatal center must be carefully weighed against potential clinical adverse

2018 CandiEM

5. Approaches to Limit Intervention During Labor and Birth

and other obstetric care providers tailor interventions that best meet the needs of each individual woman. Frequent position changes during labor to enhance maternal comfort and promote optimal fetal positioning can be supported as long as adopted positions allow appropriate maternal and fetal monitoring and treatments and are not contraindicated by maternal medical or obstetric complications. When not coached to breathe in a specific way, women push with an open glottis. In consideration of the limited (...) not coached to breathe in a specific way, women push with an open glottis ( ). A Cochrane review of eight RCTs that compared spontaneous to Valsalva pushing in the second stage of labor found no clear differences in the duration of the second stage, spontaneous vaginal delivery episiotomy, perineal lacerations, 5-minute Apgar score less than 7, or neonatal intensive care admissions, or duration of pushing ( ). A meta-analysis that included three RCTs of low-risk nulliparous women at 36 weeks of gestation

2017 American College of Obstetricians and Gynecologists

6. An Addiction-Based Mobile Health Weight Loss Intervention With Coaching

, and appeared to be a cost-effective, labor efficient method for adolescent weight management. The proposed multi-site randomized control trial (RCT) will test the effectiveness of an addiction-based weight loss intervention, embodied first as a smartphone app with telephone coaching and second as an identical approach phone-coaching alone intervention compared to age matched controls participating in an in-clinic weight management interventions in a larger sample of economically, racially and ethnically (...) An Addiction-Based Mobile Health Weight Loss Intervention With Coaching An Addiction-Based Mobile Health Weight Loss Intervention With Coaching - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. An Addiction

2018 Clinical Trials

7. Active Labor Market Programme Participation for Unemployment Insurance Recipients: A Systematic Review

Active Labor Market Programme Participation for Unemployment Insurance Recipients: A Systematic Review Campbell Systematic Reviews 2015:2 First published: 02 January, 2015 Search executed: September, 2012 Active Labour Market Programme Participation for Unemployment Insurance Recipients: A Systematic Review Trine Filges, Geir Smedslund, Anne-Sofie Due Knudsen, Anne-Marie Klint Jørgensen Colophon Title Active Labour Market Programme Participation for Unemployment Insurance Recipients (...) were searched. ‘The Journal of Labor Economics’ and ‘Labour Economics’ were hand searched for the year 2012 and the available issues of 2013 (1. 2 and 3). Grey Literature Google (including Google Scholar) was used to search the web to identify potential unpublished studies. Advance search options were used to refine the grey search strategy. OpenGrey was used to search for European grey literature (http://www.opengrey.eu/ The private independent research institutes and economic networks: IZA

2015 Campbell Collaboration

8. Visual Biofeedback using trans-perineal ultrasound during the second stage of labor. (PubMed)

tool to coached maternal pushing during the second stage of labor, with obstetric as well as psychological benefits. Further studies are required to confirm our findings and define the optimal duration of the intervention. Copyright © 2017 ISUOG. Published by John Wiley & Sons Ltd.Copyright © 2017 ISUOG. Published by John Wiley & Sons Ltd. (...) Visual Biofeedback using trans-perineal ultrasound during the second stage of labor. To assess the obstetric and psychological effects of visual biofeedback by transperineal ultrasound (TPU) during the second stage of labor.This was a prospective, single-center observational study of low-risk nulliparous women with epidural analgesia undergoing vaginal delivery. Visual biofeedback using TPU was provided to 26 women during the second stage of labor. Pushing efficacy was assessed by the change

2017 Ultrasound in Obstetrics and Gynecology

9. Labor Coaching

Labor Coaching Labor Coaching Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Labor Coaching Labor Coaching Aka: Labor Coaching (...) , Labor Coaches From Related Chapters II. Management: Use Gravity and Position Change One leg up Sit on the toilet and push Drape self over an oversized ball III. Management: Standard Positioning Start Hips hyperflexed and abducted Hands on thighs and knees Patient pulls knees towards her Maximize abdominal muscle use with forward curl Encourage "Push as if having BM" Perineal massage No benefit in maintaining intact perineum May decrease labor discomfort Patient to hold presenting part down between

2015 FP Notebook

10. A telehealth program for CPAP adherence reduces labor and yields similar adherence and efficacy when compared to standard of care (PubMed)

A telehealth program for CPAP adherence reduces labor and yields similar adherence and efficacy when compared to standard of care This study evaluated the effectiveness and coaching labor requirements of a web-based automated telehealth (TH) messaging program compared with standard of care (SOC) in newly diagnosed patients with obstructive sleep apnea (OSA).In this non-blinded, multicenter, prospective study, all patients were started on continuous positive airway pressure (CPAP) with heated (...) humidification and a wireless modem. They all received standardized CPAP education and setup. Patients in the TH group (n = 58) received an automated series of text messages and/or e-mails that were triggered by preset conditions. Patients in the SOC group (n = 64) received scheduled calls on days 1, 7, 14, and 30. Additional contacts were allowed for patients in both groups as deemed clinically necessary. Coaching labor was calculated by totaling the number and type of patient contacts and assigning

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2016 Sleep & breathing = Schlaf & Atmung

11. Coaching patients in the use of decision and communication aids: RE-AIM evaluation of a patient support program. (PubMed)

: The main barrier to sustainability was the cost of paid intern labor. We addressed this by testing a service learning model in which student interns work as program coaches in exchange for academic credit rather than salary. The feasibility test succeeded, and we are now expanding the use of unpaid interns.We have sustained a clinic-wide implementation of decision and communication aids through a novel staffing model that uses paid and unpaid student interns as coaches. (...) Coaching patients in the use of decision and communication aids: RE-AIM evaluation of a patient support program. Decision aids educate patients about treatment options and outcomes. Communication aids include question lists, consultation summaries, and audio-recordings. In efficacy studies, decision aids increased patient knowledge, while communication aids increased patient question-asking and information recall. Starting in 2004, we trained successive cohorts of post-baccalaureate, pre

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2015 BMC health services research

12. Interactive Web-based Program and CBT-coaching With Physiotherapy for Patients With Chronic Musculoskeletal Pain

Interactive Web-based Program and CBT-coaching With Physiotherapy for Patients With Chronic Musculoskeletal Pain Interactive Web-based Program and CBT-coaching With Physiotherapy for Patients With Chronic Musculoskeletal Pain - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved (...) studies (100). Please remove one or more studies before adding more. Interactive Web-based Program and CBT-coaching With Physiotherapy for Patients With Chronic Musculoskeletal Pain The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02378519 Recruitment Status : Unknown Verified September 2016 by Peter

2014 Clinical Trials

13. Effect of the Length of Second Stage of Labor in Primigravidae on Maternal & Neonatal Outcomes

. Recruitment status was: Active, not recruiting First Posted : February 8, 2016 Last Update Posted : February 8, 2016 Sponsor: Kasr El Aini Hospital Information provided by (Responsible Party): Mohamed El-Sharkawy, Kasr El Aini Hospital Study Details Study Description Go to Brief Summary: The primary purpose of this study is to compare the effects of two different methods of care during the second stage of labor for nulliparous women (coached versus uncoached pushing) on the length of the second stage (...) and how this may affect maternal and neonatal outcome. Condition or disease Intervention/treatment The Length of Second Labor Stage in Primigravidae on Maternal & Neonatal Outcomes Behavioral: Coached pushing group Behavioral: uncoached pushing group Study Design Go to Layout table for study information Study Type : Observational [Patient Registry] Estimated Enrollment : 434 participants Observational Model: Case Control Time Perspective: Prospective Target Follow-Up Duration: 6 Months Official Title

2015 Clinical Trials

14. A Quasi-experimental Evaluation of Performance Improvement Teams in the Safety-Net: A Labor-Management Partnership Model for Engaging Frontline Staff. (PubMed)

A Quasi-experimental Evaluation of Performance Improvement Teams in the Safety-Net: A Labor-Management Partnership Model for Engaging Frontline Staff. Unit-based teams (UBTs), initially developed by Kaiser Permanente and affiliated unions, are natural work groups of clinicians, managers, and frontline staff who work collaboratively to identify areas for improvement and implement solutions.We evaluated the UBT model implemented by the Los Angeles County Department of Health Services (...) training in basic performance improvement methods, and each UBT was assigned a team "coach."Our outcome measure was 6-month change in the "adaptive reserve" score, the units' self-reported ability to make and sustain change. We analyzed transcripts of the interviews to find common themes regarding the UBT intervention.The survey response rate was 63% (158/252) at baseline and 75% (172/231) at 6 months. There was a significant difference-in-change in adaptive reserve between UBTs and non-UBTs at 6

2015 Journal of Public Health Management and Practice

15. Normal Labor and Delivery (Overview)

perinatal outcomes or an increased risk for operative deliveries despite an often prolonged second stage of labor. [ , , ] Furthermore, investigators who recently compared obstetric outcomes associated with coached versus uncoached pushing during the second stage reported a slightly shortened second stage (13 min) in the coached group, with no differences in the immediate maternal or neonatal outcomes. [ ] Le Ray et al reported that manual rotation of fetuses who were in occiput posterior or occiput (...) Normal Labor and Delivery (Overview) Normal Labor and Delivery: Practice Essentials, Definition, Stages of Labor and Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjYwMDM2LW92ZXJ2aWV3 processing

2014 eMedicine.com

16. Normal Labor and Delivery (Treatment)

perinatal outcomes or an increased risk for operative deliveries despite an often prolonged second stage of labor. [ , , ] Furthermore, investigators who recently compared obstetric outcomes associated with coached versus uncoached pushing during the second stage reported a slightly shortened second stage (13 min) in the coached group, with no differences in the immediate maternal or neonatal outcomes. [ ] Le Ray et al reported that manual rotation of fetuses who were in occiput posterior or occiput (...) Normal Labor and Delivery (Treatment) Normal Labor and Delivery: Practice Essentials, Definition, Stages of Labor and Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjYwMDM2LW92ZXJ2aWV3 processing

2014 eMedicine.com

17. Normal Labor and Delivery (Follow-up)

perinatal outcomes or an increased risk for operative deliveries despite an often prolonged second stage of labor. [ , , ] Furthermore, investigators who recently compared obstetric outcomes associated with coached versus uncoached pushing during the second stage reported a slightly shortened second stage (13 min) in the coached group, with no differences in the immediate maternal or neonatal outcomes. [ ] Le Ray et al reported that manual rotation of fetuses who were in occiput posterior or occiput (...) Normal Labor and Delivery (Follow-up) Normal Labor and Delivery: Practice Essentials, Definition, Stages of Labor and Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjYwMDM2LW92ZXJ2aWV3 processing

2014 eMedicine.com

18. Normal Labor and Delivery (Diagnosis)

perinatal outcomes or an increased risk for operative deliveries despite an often prolonged second stage of labor. [ , , ] Furthermore, investigators who recently compared obstetric outcomes associated with coached versus uncoached pushing during the second stage reported a slightly shortened second stage (13 min) in the coached group, with no differences in the immediate maternal or neonatal outcomes. [ ] Le Ray et al reported that manual rotation of fetuses who were in occiput posterior or occiput (...) Normal Labor and Delivery (Diagnosis) Normal Labor and Delivery: Practice Essentials, Definition, Stages of Labor and Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjYwMDM2LW92ZXJ2aWV3 processing

2014 eMedicine.com

19. Clinical Aggression Training: A Rapid Review

or more trainers or “safety coaches” for each unit or floor. These individuals can offer guidance and coaching in real-time—for example, if they see a colleague struggling to de-escalate an agitated patient. They can also run ad hoc or scheduled refresher sessions, which may be particularly useful and relevant to workers because the training takes place in their own work environment. Web-based training 9 This increasingly popular approach offers fidelity of presentation and automated documentation

2019 Monash Health Evidence Reviews

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