D03-1 Barriers and Facilitators to Birth Without Epidural in a Tertiary Obstetric Referral Centre: Perspectives of Health Care Professionals and Patients

 

Authors: Alyssa Knox, BA, MSc(A) Student; Geneviève Rouleau, MIPH, MSc(A) Student; Sonia Semenic, RN, PhD; Malisa Khonghkham, RN, MScN; Luisa Ciofani, RN, MSc(A), IBCLC, PNC(C)  

 

Purpose: In this study, healthcare professionals and patients identified contextual factors which they felt influenced the use of epidural analgesia in a tertiary obstetric care setting. The presenters will describe these findings, and will discuss recommendations to improve support for birth without epidural in this context.

 

Learning Objectives:

• Describe key factors that may influence epidural use in high-risk obstetrical care settings.
• Critically analyse differences in patients' and health care professionals' understandings of the birthing experience.
• Discuss recommendations for supporting birth without epidural in high-risk obstetrical units.

Presenters: Alyssa Knox and Geneviève Rouleau, McGill University Ingram School of Nursing, Montreal QC

 

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D03-2 Birthing with Balls!

 

Authors: Stephanie Assouline, RN, BsN (Student); Irene Sarasua, RN, MSc(A), PNC(C), IBCLC; Nadine Fava, RN, BFA, MScA; Caroline Ball, RN, BScN, IBCLC

 

Purpose: The purpose of this presentation is threefold: 1) to present the evidence for the use of peanut balls with labouring women; 2) to describe the introduction of peanut balls in a tertiary care high-risk obstetrical referral centre; and 3) to discuss patient and healthcare provider satisfaction with the use of peanut balls for labour/labour support.

 

Learning Objectives:

• Gain knowledge of the state of the evidence on the use of peanut balls in labour, with particular relevance to their use among non-ambulatory labouring patients.
• Learn steps taken to implement peanut balls in a labour and delivery unit, including teaching workshops for both patients and nursing staff.
• Learn about patient and health care provider experiences and satisfaction with using peanut balls during labour.

Presenters:  Irene Sarasua and Nadine Fava, Jewish General Hospital, Montreal QC