Maternity Nursing Q 65
The following are natural childbirth procedures, except?
A. Lamaze method
B. Dick-Read method
C. Ritgen’s maneuver
D. Psychoprophylactic method
Correct Answer: C. Ritgen’s maneuver
Ritgen’s method is used to prevent perineal tear/laceration during the delivery of the fetal head. Lamaze method is also known as psychoprophylactic method and Dick-Read method are commonly known natural childbirth procedures which advocate the use of nonpharmacologic measures to relieve labor pain.
Option A: Lamaze breathing historically is considered the hallmark of Lamaze preparation for childbirth. Controlled breathing enhances relaxation and decreases the perception of pain. It is one of many comfort strategies taught in Lamaze classes. In restricted birthing environments, breathing may be the only non-pharmacological comfort strategy available to women. Conscious breathing and relaxation, especially in combination with a wide variety of comfort strategies, can help women avoid unnecessary medical intervention and have a safe, healthy birth.
Option B: The term ‘natural childbirth’ derives from the title of a short 1933 treatise by Grantly Dick-Read. In this and several other books and articles published over the next quarter-century, the British-born physician outlined an alternative to the anesthetized, medically controlled way of birth common among Western women of privilege, based on the premise that fear lay at the root of pain in labor. For Dick-Read, whether or not a mother experienced pain in labor depended not on some property inherent to the physiology of parturition but on cultural attitudes to childbirth.
Through education and relaxation, women could overcome what he termed the ‘Fear–Tension–Pain’ cycle and labor in comfort without resorting to medical intervention. Preparation for labor meant providing pregnant women with detailed instruction, from their physician, midwife, or qualified childbirth educator, on the physiology of pregnancy and birth, nutrition, exercise, hygiene, and infant care.
Option D: In the late 1940s, Soviet scientists invented a new non-pharmacological method called the ‘psychoprophylactic method of painless childbirth’ (PPM), which later became well known as the Lamaze method in the West.1 This gift of Soviet science to the women of the world was based on the assumption that it was possible to eliminate the sensation of bodily pain during labor by training the mind of a pregnant woman before she gives birth.