Talk:Childbirth

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Can we give an approximate date for this statement?: "Until recently babies born in hospitals were removed from their mothers shortly after birth and brought to the mother only at feeding times.". My own guess would be say the late 1990s but does anyone have a reference for it? Also, is this statement valid at the global level or does it only apply to developed countries - Europe, USA and alike?

This article was the subject of a Wiki Education Foundation-supported course assignment, between 13 June 2022 and 10 July 2022. Further details are available on the course page. Student editor(s): Mekuix (article contribs). Peer reviewers: Sacalle96.

— Assignment last updated by Saurabh3131 (talk) 12:33, 3 July 2022 (UTC)[reply]

Great article with good content across the different areas. It could benefit some small comments, but very minor corrections. I think it would benefit from a reading from top-to-bottom to make it sound like a single author. Other than that, an small epidemiology section would be very interesting and important for this topic. Other than that, great article! Congratulations! Sacalle96 (talk) 00:44, 7 July 2022 (UTC)[reply]

Thanks for the review. I made some changes in order to move info to create an epidemiology section and will continue to work on it. And then--you know how it goes--reading through the entire article, which I have not done for a few years, I see a few things that are needed. In Europe they have better care and better death rates--likely at least in part related to the use of midwives. So I'm doing a little research and may put it in epidemiology or start a new section. I might move C-sections to epidemiology and discuss how they often are not needed and do increase the death rate, etc. Any ideas from others? Sectionworker (talk) 19:48, 7 July 2022 (UTC)[reply]

Thanks! Will go through to make the article more fluid to read.Mekuix (talk) 00:12, 8 July 2022 (UTC)[reply]

A new section has been added and I suggest that for the most part it be removed. The section Associated occupations already covers a lot of it. Some of it that is not sourced is doubtful, for example, "The most critical support role in labour and delivery is the bedside labour and delivery nurse." I'd like to see this sourced in other but a nursing textbook. You are not going to find overworked nurses helping a woman in labor to order her meal, etc. Some of the stuff at the end is good and we should try to work it in somewhere. I have copied it:

A few support roles you can expect to see when giving birth vaginally in a hospital are an obstetrician/gynecologist, a midwife, multiple nurses, friends and family (although visitor limitations have been limited in many facilities to only one person due to the ongoing pandemic. The most critical support role in labour and delivery is the bedside labour and delivery nurse. This nurse continuously monitors vital signs of the parent and baby and supports the birthing parent throughout the entire labour. The nurse is responsible for other tasks such as helping the patient ambulate, breath, order food, and use the bathroom. Another critical role of the labour and delivery nurse is to call for and report to the obstetrician or midwife any changes in the labour, concerns, or complications. Without the nurse the gynecologist or midwife would not know when to come in to see that specific patient as they are typically checking in on many patients at once.

Obstetric care frequently subjects women to institutional routines, which may have adverse effects on the progress of labour. Supportive care during labour may involve emotional support, comfort measures, and information and advocacy which may promote the physical process of labour as well as women's feelings of control and competence, thus reducing the need for obstetric intervention. The continuous support may be provided either by hospital staff such as nurses or midwives, doulas, or by companions of the woman's choice from her social network. A 2015 Cochrane review that examined debriefing interventions for women who perceived childbirth as traumatic failed to find any evidence to support routine debriefing as a needed intervention after childbirth.^[2] There is increasing evidence to show that the participation of the child's father in the birth leads to a better birth and also post-birth outcomes, providing the father does not exhibit excessive anxiety.^[3]

Continuous labour support may help women to give birth spontaneously, that is, without caesarean or vacuum or forceps, with slightly shorter labours, and to have more positive feelings regarding their experience of giving birth. Continuous labour support may also reduce women's use of pain medication during labour and reduce the risk of babies having low five-minute Agpar scores.^[4]Sectionworker (talk) 13:21, 10 July 2022 (UTC)[reply]

This has been up for four days and neither the author nor anyone else has responded. I will go about making some changes in the addition. Sectionworker (talk) 20:46, 14 July 2022 (UTC)[reply]

This article was the subject of a Wiki Education Foundation-supported course assignment, between 8 August 2022 and 20 September 2022. Further details are available on the course page. Student editor(s): Artsenic17, MS2random, 00ik00 (article contribs). Peer reviewers: Pardeep8, CS-UCSF, Habdulbaki.

— Assignment last updated by Pardeep8 (talk) 06:13, 16 September 2022 (UTC)[reply]

As part of the UCSF SOM Inquiry in Action we we made some changes to the childbirth page. Specifically we have added some more details under the complications section. For the postpartum hemorrhage we have removed the existing paragraph as there were no citations for the statistics and we were not able to find the source on our own. We incorporated the original text information into our updated post using statistics and information we were able to verify. We mainly added information on the main causes of postpartum hemorrhage with expanded explanations for some of the more common causes.  

In the preterm birth section, we have added information about respiratory distress syndrome, which is seen in preterm babies, and the use of tocolytics to delay birth so that the fetal lungs can rapidly using corticosteroids. In the Labour induction and elective Caesarean section section, we have added information about indications and recommendations relating to Caesarean section.

In the post-term birth section, we added information about its definition, risk factors and complications to both the fetus/neonate and the gestational parent. Artsenic17 (talk) 18:37, 12 September 2022 (UTC)[reply]

I agree with removing information that is not cited or not adequately cited. I also agree with adding more explanation for the causes of postpartum hemorrhage. One suggestion might be to further simplify the language and medical terminology such that non-medical readers or those with limited health literacy can more easily discern the information. For example, "Thrombin which is a molecule used in the human body’s blood clotting system represents all coagulopathies" could become "Thrombin is a protein in blood that prevents bleeding. In postpartum hemorrhage, "Thrombin" represents bleeding disorders." CS-UCSF (talk) 22:07, 15 September 2022 (UTC)[reply]

I agree with the removal of non-cited information and information that is not sufficiently supported by existing literature for postpartum hemorrhage. I also agree with the inclusion of more information regarding respiratory distress syndrome and labor induction due to their high prevalence. Making these edits more accessible to the average reader would make them even more impactful through the use of less medical jargon and accompanying it with explanations of diseases like RDS and medication effects. Habdulbaki (talk) 04:39, 16 September 2022 (UTC)[reply]

I think it is very important to utilize credible information when reporting statistics and prevalence of disease to the public, so I am glad you were able to edit the sourceless information and provide new, verified information to supplement the paragraph. Also, I agree with the suggestion to adjust the language and terminology used to allow for the information to be more digestible for anyone who may be reading. This allows for greater equity in the dissemination of health information. Another suggestion for an edit might be to add more information to the multiple births sections, particularly in relation to the unique risks and complications. I think risks from the parental and fetal side can be addressed (ex. TTTS). Pardeep8 (talk) 05:58, 16 September 2022 (UTC)[reply]

The following Wikimedia Commons file used on this page or its Wikidata item has been nominated for deletion:

• A woman giving birth at home in California.jpg

Participate in the deletion discussion at the nomination page. —Community Tech bot (talk) 05:08, 2 May 2023 (UTC)[reply]

Wikipedia should be more focused on explaining the birth of its historical characters.

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