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Papers of the Week

2022 Sep

J Midwifery Womens Health



Midwifery Management of a Birthing Person with Cervical Edema During Labor.


LoGiudice JA, Holland E, Esposito C P
J Midwifery Womens Health. 2022 Sep; 67(5):644-650.
PMID: 36215142.


During active labor, a birthing person with cervical edema often has a dysfunctional or prolonged labor and, therefore, an increased risk for cesarean birth. Midwives seeking evidence on how to manage cervical edema when they are faced with this clinical situation will note a gap in the literature regarding the management of cervical edema that this report aims to fill. This case will discuss the use of intravenous diphenhydramine (Benadryl), the application of ice to the cervix, side-lying release, epidural analgesia use, manual reduction of the cervix, and various positions to encourage reduction in cervical swelling. It is hoped these strategies will add to a midwife's clinical resources by providing ways to promote vaginal birth in the setting of cervical edema during labor.