Continuous labor support from labor attendant for primiparous women: a meta-analysis.
Obstet Gynecol
; 88(4 Pt 2): 739-44, 1996 Oct.
Article
em En
| MEDLINE
| ID: mdl-8841285
ABSTRACT
OBJECTIVE:
To evaluate the available literature on the effects of continuous labor support among primiparous women. DATA SOURCES We did a Medline search using the keywords "labor support," "doula," and "monitrice." Papers published in English from 1965 to May 1995 were eligible for this review. We also cross-checked all the references in the selected reports. METHODS OF STUDY SELECTION We identified seven randomized clinical trials published during that period; four of these were eligible for our meta-analysis. DATA EXTRACTION ANDSYNTHESIS:
Meta-analysis of four studies conducted among young, low-income, primiparous women who gave birth on a busy labor floor in the absence of a companion suggested that continuous labor support by a labor attendant shortens the duration of labor by 2.8 hours (95% confidence interval [CI] 2.2-3.4), doubles spontaneous vaginal birth (relative risk [RR] 2.01, 95% CI 1.5-2.7) and halves the frequency of oxytocin use (RR 0.44, 95% CI 0.4-0.7), forceps use (RR 0.46, 95% CI 0.3-0.7), and cesarean delivery rate (RR 0.54, 95% CI 0.4-0.7). Women with labor support also reported higher satisfaction and a better postpartum course.CONCLUSION:
Labor support may have important positive effects on obstetric outcomes among young, disadvantaged women. Further studies on benefit relative to cost are needed before a broad-scale program is advocated.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Apoio Social
/
Trabalho de Parto
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Prognostic_studies
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Systematic_reviews
Aspecto:
Determinantes_sociais_saude
Limite:
Female
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Humans
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Pregnancy
Idioma:
En
Revista:
Obstet Gynecol
Ano de publicação:
1996
Tipo de documento:
Article