2008
DOI: 10.1111/j.1523-536x.2008.00221.x
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A Randomized Controlled Trial of Continuous Labor Support for Middle‐Class Couples: Effect on Cesarean Delivery Rates

Abstract: For middle-class women laboring with the support of their male partner, the continuous presence of a doula during labor significantly decreased the likelihood of cesarean delivery and reduced the need for epidural analgesia. Women and their male partners were unequivocal in their positive opinions about laboring with the support of a doula.

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Cited by 123 publications
(85 citation statements)
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“…“Continuous labor support” refers to the nonmedical support of the parturient by a trained person, eg, a doula 19. Controlled trials and several systematic analyses have concluded that women who received continuous labor support have shorter labors, fewer operative deliveries, fewer analgesic interventions, and greater satisfaction 2628. Neonatal outcome is not altered.…”
Section: Nonpharmacologic Methods Of Labor Analgesiamentioning
confidence: 99%
“…“Continuous labor support” refers to the nonmedical support of the parturient by a trained person, eg, a doula 19. Controlled trials and several systematic analyses have concluded that women who received continuous labor support have shorter labors, fewer operative deliveries, fewer analgesic interventions, and greater satisfaction 2628. Neonatal outcome is not altered.…”
Section: Nonpharmacologic Methods Of Labor Analgesiamentioning
confidence: 99%
“…For instance, highly supported married patients recovering from coronary bypass surgery (i.e., those whose spouses visit them frequently in the hospital) use less pain medication, spend less time in intensive care, and are discharged from the hospital sooner than unmarried patients and married patients with less support (i.e., those whose spouses infrequently visit) (Kulik & Mahler, 1989). With regard to childbirth pain, women who receive greater support from caregivers during labor and delivery use fewer labor pain medications and analgesics (Gjerdingen et al, 1991; Hodnett et al, 2013; Kennel, Klaus, McGrath, Robertson, & Hinkley, 1991; McGrath & Kennell, 2008; Sauls, 2002), suggesting that they have a less painful experience. Among women interviewed 1-3 days following delivery, recalled pain during labor and delivery is negatively correlated with support from both husbands and hospital staff (Norr et al, 1977).…”
Section: Social Support and Painmentioning
confidence: 99%
“…A variety of psychosocial and emotional factors such as anxiety, depression, and anticipation of pain, influence women’s experiences with pain at the time of abortion (1720). Finally, there is ample literature demonstrating the impact of doula support on pain during labor and delivery (3, 7, 10). Nevertheless, we did not find a significant difference in pain scores.…”
Section: Commentmentioning
confidence: 99%
“…Additionally, different approaches to measuring pain are able to capture different components of pain management. Several studies of doula support at the time of labor and delivery demonstrate that doula support is associated with delayed epidural use and/or lower epidural rates (3, 7, 10). Although doula support in this context may decrease physical pain, an alternative interpretation of these data is that that doula support helps women cope with pain.…”
Section: Commentmentioning
confidence: 99%
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