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Knowledge and use of sterile water injections amongst midwives in the United Kingdom: A cross-sectional study
School of Nursing, Midwifery and Social Work, University of Queensland, Australia / Mater Research Institute UQ, Queensland, Australia.
Faculty of Health Sciences, University of Hull, Cottingham, United Kingdom.
University of Skövde, School of Health and Education. University of Skövde, Health and Education. (Kvinna, barn, ungdom och familj)ORCID iD: 0000-0002-0079-3966
Bradford Teaching Hospitals NHS Foundation Trust, Bradford Royal Infirmary, United Kingdom.
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2019 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 68, p. 9-14Article in journal (Refereed) Published
Abstract [en]

Background: The use of sterile water injections (SWI) for the relief of pain in labour is popular amongst midwives in countries such as Sweden and Australia. Anecdotal reports suggest the procedure is used less commonly in the United Kingdom (UK) and that a number of barriers to introducing the practice may exist. Objective: The objective of this study was to explore the awareness and use of SWI amongst midwives in the UK. Design: A cross-sectional study using an internet-based questionnaire. Participants: Midwives with Nursing and Midwifery Council Registration and currently practicing. Setting: The questionnaire was distributed via the Royal College of Midwives Facebook page and Twitter account. Invitations to participate were also sent to Heads of Midwifery to distribute to staff. Findings: Three hundred and ninety-eight midwives completed the survey. Eighty-two percent of midwives did not use SWI in practice although 69% would consider learning the procedure. There was considerable variation in techniques amongst midwives that did provide SWI. The lack of available practice guidelines and the advice from the National Institute for Health and Care Excellence to not use SWI were cited as the main barriers. Key conclusions: SWI use is uncommon in the UK although midwives are interested in incorporating the procedure into practice. Implications for practice: National guidance on SWI and the lack of information and training is restricting the use of the procedure in practice, despite SWI being widely used in other countries and being effective in the treatment of pain in labour.

Place, publisher, year, edition, pages
Churchill Livingstone , 2019. Vol. 68, p. 9-14
Keywords [en]
labour, midwifery practice, pain relief, sterile water injections
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Woman, Child and Family (WomFam)
Identifiers
URN: urn:nbn:se:his:diva-16350DOI: 10.1016/j.midw.2018.10.001ISI: 000450307700002PubMedID: 30312912Scopus ID: 2-s2.0-85055035074OAI: oai:DiVA.org:his-16350DiVA, id: diva2:1262710
Available from: 2018-11-12 Created: 2018-11-12 Last updated: 2019-09-30Bibliographically approved

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Mårtensson, Lena B.

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