Abstract
Objective
The objective of our study was to explore Canadian registered midwives’ (RMs’) experiences
with nipple stimulation.
Methods
An online survey was distributed to practising RMs in British Columbia and Ontario.
Results
In total 350 RMs completed the survey. Of these, 154 (44%) practised in British Columbia
and 196 (56%) practised in Ontario. This represents a response rate of 53.3% and 20.6%
in B.C. and Ontario, respectively. Ninety-six percent of those surveyed (337 RMs)
reported having advised clients to use nipple stimulation as a means of releasing
oxytocin, and 80% (267 RMs) considered nipple stimulation to be effective. Respondents
reported 926 protocols for nipple stimulation. The most common indication for nipple
stimulation was for labour augmentation, used by 92% of respondents.
Conclusion
Nipple stimulation is widely used by RMs practising in British Columbia and Ontario.
Survey respondents believed it to be effective and beneficial in mitigating the need
for synthetic oxytocin. Survey results showed that the most common indication for
nipple stimulation is labour augmentation. Future research should prospectively address
the safety and effectiveness of this non-medical method of labour augmentation.
Résumé
Objectif
L'objectif de notre étude était d’étudier les expériences des sages-femmes autorisées
(SFA) au Canada en matière de stimulation des mamelons.
Méthodologie
Les SFA en exercice en Colombie-Britannique et en Ontario ont été invitées à participer
à un sondage en ligne.
Résultats
Au total, 350 SFA ont répondu au sondage. De ce nombre, 154 (44 %) pratiquaient en
Colombie-Britannique et 196 (56 %), en Ontario, ce qui correspond à un taux de réponse
de 53,3 % et de 20,6 % en Colombie-Britannique et en Ontario, respectivement. Parmi
les personnes interrogées, 96 % (337 SFA) ont indiqué avoir conseillé à des clientes
d'utiliser la stimulation du mamelon comme moyen de sécréter de l'ocytocine, et 80 %
(267 SFA) jugent que la stimulation du mamelon est efficace. Les répondantes ont rapporté
926 protocoles de stimulation des mamelons. La dystocie dynamique est l'indication
la plus fréquente pour la stimulation des mamelons, utilisée par 92 % des répondantes.
Conclusion
La stimulation des mamelons est largement utilisée par les SFA qui pratiquent en Colombie-Britannique
et en Ontario. Les répondantes au sondage estiment qu'elle est efficace et bénéfique
pour diminuer le besoin d'administrer de l'ocytocine synthétique. Les résultats du
sondage ont montré que la dystocie dynamique est l'indication la plus fréquente pour
la stimulation des mamelons. Les recherches futures devront aborder prospectivement
l'innocuité et l'efficacité de cette méthode non médicale pour remédier à la dystocie
dynamique.
Keywords
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Article info
Publication history
Published online: May 16, 2020
Footnotes
Disclosures: The authors declare they have nothing to disclose.
Both authors have indicated that they meet the journal's requirements for authorship.
Identification
Copyright
© 2020 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc. All rights reserved.
