Continuous support during labour in childbirth: a Cross-Sectional study in a university teaching hospital in Shanghai, China

Wang, Man; Song, Qiusheng; Xu, Jun; Hu, Zheng; Gong, Yingying; Lee, Arier; Chen, Qi

doi:10.1186/s12884-018-2119-0

Cited by 28 publications

(22 citation statements)

References 27 publications

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“…In the metaanalysis of randomized controlled studies by Hodnett et al (10) was found that continuous labor support reduced interventions in labor process, similar to our study. However, Sandall et al (18) and Man Wang et al (19), unlike these results, they did not detect any change in the intervention rates in the group they gave birth support.…”

Section: Discussionmentioning

confidence: 68%

The effects of continuous labor support by midwife: a randomized control trial

Bostanoglu¹,

Bal²

2021

Clinical and Experimental Health Sciences

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Objective: The aim of this study was to evaluate the effects of continuous labor support by midwife.Methods: This study was a randomized controlled experimental design. Seventy primipara women were randomized into two groups, the continuous labor support by midwife group (n=35) and control group (n=35). In the experiment group was given the continuous midwife support and in the control group were undergone to routine hospital care in the clinic. Visual Analog Scale was used to assess women's anxiety level and coping with labor pain. All interventions and childbirth time were recorded by the researcher.Results: Anxiety level decreased and the level of coping with labor pain increased in the experimental group (p<0.05). The total childbirth time in the intervention group was shorter by 2 hours and 21 minutes. Labor induction, episiotomy, amniotomy and perineal trauma were higher in the control group (p<0.05). Conclusion:Continuous labor support should be provided at each childbirth to enhance childbirth outcomes.

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Section: Discussionmentioning

confidence: 68%

The effects of continuous labor support by midwife: a randomized control trial

Bostanoglu¹,

Bal²

2021

Clinical and Experimental Health Sciences

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“…Wang (15) showed that the cesarean rate was significantly lower in women with supportive care compared to women with routine maternal care in the hospital (3.3% versus 24%), the duration of labor in the group with delivery care was significantly lower compared with that of the group with routine hospitalization (median: 1.5 h versus 3.05 h, p <0.0001). these results were much lower than those found in the present study (median: 6.7 h versus 13.4 h) and those reported by Borhen, that of 13 studies taken into account for the duration of labor, 6 had significantly lower means in the support group and an average of 6.97 h for the groups with support and an average of 8.46 h for groups without support (8).…”

Section: Discussionmentioning

confidence: 99%

“…Different strategies have been devised to try to reduce cesarean deliveries, as continuous intrapartum support, which has been associated with better patient satisfaction and a statistically significant reduction in the cesarean delivery rate (7), (8), (9), (10), (11), in previous studies this support has been provided by a doula and the husband (12), midwives (13), female relative (14), relatives and professional staff (15). Bohren in his systematic review of the Cochrane database, indicates that it is not clear how to provide effective support in labor, since there are questions about the impact of the type of provider of labor support, about the impact under a variety of environmental conditions, about the moment of measurement of the effects (early vs active labor), also on the relative impact of the different models of labor support, as the model of support only during the intrapartum period or the model of support during the antenatal, intrapartum and postpartum periods (8).…”

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confidence: 99%

Continuous intrapartum support to reduce primary cesarean in Mexico

Cardona-Torres

Leyva-Jiménez

2020

Preprint

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Background Cesarean deliveries are effective in saving maternal and infant lives, but only when they are necessary for medical reasons. In Mexico, the average cesarean delivery rate in 2015 was reported at 45%, the high incidence of cesarean deliveries is considered a problem of public health in the country, our purpose was to reduce the cesarean delivery rate for primary cesarean, in nulliparous women, term, singleton, vertex presentation and under 40 years through continuous intrapartum support provided by a professional nurse. Methods This was a historical control study, in a health institution in Mexico, in the period de July-December 2018. The control group received the usual obstetric care, without continuous intrapartum support. The study group received the usual obstetric care plus continuous intrapartum support, it was obtained the cesarean delivery rate, estimating the risk ratio, the absolute risk reduction and odds ratio, in addition, a binomial logistic regression model was carried out and was adjusted with possible covariates. Results In the study group the cesarean delivery rate was 1.7% (1 of 60) significantly lower than in the control group (29.1% (16 of 55) [X 2 = 17.13, df = 1, N = 115, p < .001], with a risk ratio of 0.06 (95% CI: 0.01 to 0.42), the absolute risk reduction was 27.4%, (95% CI: 15% - 40%), also the hours of labor were significantly lower (p < 0.001) in the study group (median = 6.7 hours, 95% CI: 6.0-8.1), than in the control group (median = 13.4 hours, 95% CI: 10.7 - 16.1) and no significant covariates were found. Keywords: Cesarean delivery rate, Continuous intrapartum support, labor

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“…(39) kadınların desteklendiği doğumlarda mekonyum aspirasyon ve doğum asfiksisinde önemli azalma olduğunu bildirirken, Wang ve ark. (40) doğumda sürekli desteklenen kadınların acil sezaryen oranlarının ciddi oranda düştüğünü bildirmektedir. Greiner ve ark.…”

Section: Discussionunclassified

Evaluation of the Effect of the Physical Support to the Pregnancy on Birth Outcome

Bingöl¹,

Bal²,

Esencan³

et al. 2020

JAREN

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Objectives: This study was aimed to examine the effects of physical support during the childbirth period on the birth process. Methods: Research is an experimental randomized controlled study. In the study group, each pregnant woman was directly assisted by using non-pharmacological methods without leaving the woman during her birth. Simultaneous evaluations were made to the control group with routine hospital procedures. Wijma Delivery Expectancy/ Experience Questionnaire (W-DEQ)-A was applied to all pregnant women before delivery. Wijma Delivery Expectancy/ Experience Questionnaire (W-DEQ)-B version and The Scale for Measuring Maternal Satisfaction at Normal and Cesarean Birth were completed to all pregnant women after delivery. Results: The need for induction at birth decreased for women who were offered physical support (p = 0.033). The duration of labor for the study group was 657,93 ± 283.69 min. while the control group had 1062,43 ± 673.11 min. (p = 0.004) and the difference between them is statistically significant were determined (p=0,004). It was determined that the rate of episiotomy (p=0,000), fundal press (p=0,000) and fear of birth (p=0,001) decreased after birth. Also, women were found to have higher birth satisfaction (p = 0.001). Conclusion: It was determined that the physical support applied during the active phase of birth affects the birth process positively.

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Continuous support during labour in childbirth: a Cross-Sectional study in a university teaching hospital in Shanghai, China

Cited by 28 publications

References 27 publications

The effects of continuous labor support by midwife: a randomized control trial

The effects of continuous labor support by midwife: a randomized control trial

Continuous intrapartum support to reduce primary cesarean in Mexico

Evaluation of the Effect of the Physical Support to the Pregnancy on Birth Outcome

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