Doula

Category - Labor & Birth

Which of the following BEST describes the phrase "cascade of interventions"?
  1. A chain of events that have unintended effects on the natural progression of labor
  2. A sudden gush of amniotic fluid
  3. Any intervention done without medical indication
  4. The result of pharmacological pain management in labor
Explanation
Answer: A - The "cascade of interventions" is a phrase meaning a domino-effect that happens when certain birth practices lead to additional interventions with added risks that ultimately change the natural progression of labor. A sudden gush of fluid from the vagina would signal that the amniotic sac has ruptured. While some interventions are necessary for the health of the mother and/or baby, they are not benign and should only be used if medical indication exists. The use of pain medication in labor has its own set of risks, and can be a contributing factor to the "cascade."
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