Parsons Myra
23 Mansfield Road, Galston, NSW 2159, Australia.
Midwifery. 2004 Mar;20(1):72-81. doi: 10.1016/S0266-6138(03)00055-X.
to assess the views and practices of midwives regarding oral intake in labour for women with low-risk pregnancies.
an exploratory survey design including open- and closed-ended questions.
four hospitals in Sydney, Australia.
89 practising midwives who provided care for labouring women.
midwives were divided on the issue of what and when labouring women should, or should not, be allowed to eat and drink. The views and practices of these midwives were influenced by the accepted practice in the hospital in which they were employed and the types of midwifery models in which they have practised.
there is insufficient conclusive research evidence to support any stance on oral intake for labouring women. Most information purported by supporters of oral intake is based on anecdotal evidence and assumptions based on the physiology of the body. 'Nil by mouth' policies have never been researched while clear fluid policies are based on research performed with non-obstetric patients.
without reliable research evidence for the management of oral intake for labouring women no hospital practice or policy is valid. This leaves midwives with the responsibility of deciding what they believe is the best management for the oral intake of labouring women in their care.
评估助产士对低风险妊娠妇女分娩期间经口摄入的看法和做法。
一项探索性调查设计，包括开放式和封闭式问题。
澳大利亚悉尼的四家医院。
89名照顾分娩妇女的执业助产士。
助产士在分娩妇女应该或不应该吃什么、何时吃的问题上存在分歧。这些助产士的观点和做法受到她们所在医院的公认做法以及她们所实践的助产模式类型的影响。
没有足够的确凿研究证据支持对分娩妇女经口摄入采取任何立场。经口摄入支持者提出的大多数信息基于轶事证据和基于身体生理的假设。“禁食”政策从未被研究过，而清流政策是基于对非产科患者进行的研究。
没有可靠的研究证据来管理分娩妇女的经口摄入，任何医院的做法或政策都是无效的。这使得助产士有责任决定她们认为对其护理的分娩妇女经口摄入的最佳管理方式。
