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Teaching Guatemalan Lay Midwives Acupressure: Outcomes and Lessons Learned.

Lisa J Taylor-Swanson1, Lisa Bell1, Wen Tu1

  • 1College of Nursing, University of Utah, Salt Lake City, Utah, USA.

Medical Acupuncture
|January 1, 2025
PubMed
Summary

Guatemalan lay midwives learned acupressure techniques for labor and delivery. This intervention improved their knowledge and satisfaction, showing potential for better birth outcomes with limited resources.

Keywords:
Guatemalaacupressurediscouraging laborencouraging laborlay midwives

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Area of Science:

  • Maternal Health
  • Complementary Medicine
  • Global Health

Background:

  • Lay midwives in Guatemala face significant resource limitations during home births.
  • Acupressure is a potential intervention to manage preterm labor and encourage post-term labor.
  • Integrating acupressure could enhance maternal and infant outcomes in resource-limited settings.

Purpose of the Study:

  • To assess lay midwives' learning and satisfaction with acupressure techniques.
  • To evaluate the feasibility and usefulness of acupressure in their practice.
  • To improve birth outcomes through knowledge transfer of acupressure.

Main Methods:

  • Developed two acupressure protocols based on clinical expertise and literature.
  • Conducted pre-test, focus group, and educational sessions for lay midwives.
  • Administered post-tests and provided illustrated reminder cards due to low literacy rates.

Main Results:

  • Eleven lay midwives, with extensive experience, participated.
  • Participants demonstrated a lack of prior acupressure knowledge but high eagerness to learn.
  • Post-intervention, midwives recalled key acupressure points and intended to use them.

Conclusions:

  • Lay midwives readily adopted new acupressure knowledge, showing increased understanding.
  • The educational intervention was effective in enhancing skills for managing labor.
  • Future training should address midwives' requests for interventions for retained placenta.