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Related Experiment Videos

Continuous support for women during childbirth.

E D Hodnett1, S Gates, G J Hofmeyr

  • 1Faculty of Nursing, 50 St George Street, Toronto, Ontario, Canada, M5S 3H4.

The Cochrane Database of Systematic Reviews
|August 15, 2003
PubMed
Summary

Continuous support during labor improves childbirth experiences. Women receiving one-to-one support were less likely to need pain relief or have operative births, leading to greater satisfaction.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal and Child Health
  • Evidence-Based Midwifery

Background:

  • Historically, continuous labor support by women for women was standard practice.
  • Modern hospital settings often lack continuous intrapartum support, leading to concerns about dehumanized birth experiences.
  • There is a growing movement to reinstate continuous support during labor.

Purpose of the Study:

  • To evaluate the impact of continuous, one-to-one intrapartum support on mothers and newborns compared to usual care.
  • To investigate if factors like birth environment policies, caregiver affiliation, and timing of support initiation modify its effects.

Main Methods:

  • Systematic review and meta-analysis of randomized controlled trials (RCTs).
  • Searched Cochrane Pregnancy and Childbirth Group trials register and the Cochrane Central Register of Controlled Trials.

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  • Included 15 RCTs involving 12,791 women, analyzing both published and unpublished data.
  • Main Results:

    • Continuous intrapartum support reduced the likelihood of intrapartum analgesia and operative birth.
    • Women receiving continuous support reported higher satisfaction with their childbirth experience.
    • Benefits were more pronounced when support was provided by non-hospital staff, initiated early in labor, and in settings without routine epidural analgesia.

    Conclusions:

    • Continuous support throughout labor and birth is recommended for all women.
    • The findings support the integration of continuous labor support as a standard of care.
    • Optimizing the conditions for continuous support can maximize positive birth outcomes.