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☐ ☆ ✇ Evidence-Based Nursing

Midwife-led care for the induction of labour with a Foley catheter and subsequent amniotomy is associated with equivalent maternal outcomes but worse neonatal outcomes

Por: Phillipi · M. · Caughey · A. B. — Diciembre 15th 2025 at 09:45

Commentary on: Velthuijs ELM, Jacod BC, Videler-Sinke L, et al. Outcome of induction of labour at 41 weeks with Foley catheter in midwifery-led care. Midwifery 2024 Aug;135:104026. doi: 10.1016/j.midw.2024.104026. Epub 9 May 2024. PMID: 38781793.

Implications for practice and research

  • Performing induction of labour with a Foley catheter and subsequent amniotomy in midwife-led care is associated with worse neonatal outcomes and equivalent maternal outcomes compared with consultant-led care.

  • Future research should further explore the cost-effectiveness, feasibility and neonatal outcomes associated with midwife-led care in different patient populations.

  • Context

    Although care for low-risk births in the Netherlands is primarily conducted by midwives, the use of consultant-led care has been increasing for a variety of indications, leading to a high patient burden for consultants. The induction of labour (IOL) of late-term pregnancies has historically been an indication for consultant-led care. This study by Velthuijs et...

    ☐ ☆ ✇ Evidence-Based Nursing

    Plastic exposure may be associated with the deposition of microplastics in reproductive tissues and adverse clinical outcomes

    Por: Phillipi · M. · Caughey · A. B. — Diciembre 15th 2025 at 09:45

    Commentary on: Hunt K, Davies A, Fraser A, Burden C, Howell A, Buckley K, Harding S, Bakhbakhi D. Exposure to microplastics and human reproductive outcomes: A systematic review. BJOG. 2024 Apr;131(5):675-683. doi: 10.1111/1471-0528.17756. Epub 2024 Jan 29. PMID: 38287142.

    Implications for practice and research

  • Plastic exposure may be associated with increased deposition of microplastics in reproductive tissues, and the quantity of microplastics in these tissues may lead to adverse clinical outcomes.

  • Future research should aim to provide high-quality, generalisable evidence to further demonstrate the impact of plastic exposure and microplastics on reproductive outcomes in humans.

  • Context

    As a result of the mass scale of production of plastics since the 1950s, microplastics, defined as particles 1 Microplastics have been linked to reproductive toxicity in both cell culture...

    ☐ ☆ ✇ Evidence-Based Nursing

    Interactive and constructive childbirth education is more effective than traditional methods in improving knowledge, attitudes and self-efficacy towards the upright position and mobility in labour

    Por: Phillipi · M. · Caughey · A. B. — Octubre 3rd 2025 at 17:49

    Commentary on: Borer H, Dubovi I. Fostering childbirth education on upright positions and mobility during labour in nulliparous women. BMC Pregnancy Childbirth 2023;23:870. doi: 10.1186/s12884-023-06166-4.

    Implications for practice and research

  • Childbirth education can be delivered in interactive and constructive formats to more effectively promote evidence-based interventions that improve maternal satisfaction.

  • Future research can explore the implementation and effectiveness of the ICAP framework in childbirth education in more diverse settings and environments.

  • Context

    Recent literature has demonstrated benefits of the upright position and mobility during labour, including a reduction in caesarean birth incidence and the promotion of positive childbirth experiences. However, mobilisation during labour is still not a common practice worldwide. This study by Borer and Dubovi investigates the use of interactive-constructive forms of childbirth instruction to improve maternal education of the benefits of mobility and foster positive attitudes towards this style of labouring. Chi...

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