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Nursing Support During Latent Phase Labor: A Scoping Review.
Rachel Blankstein Breman1, Carrie Neerland
1Dr. Rachel Blankstein Breman is an Assistant Professor and KL2 Scholar Grant #1UL1TR003098-01, University of Maryland, School of Nursing, Baltimore, MD. Dr. Breman can be reached via email at rbreman@umaryland.edu Dr. Carrie Neerland is an Assistant Professor, University of Minnesota, School of Nursing, Minneapolis, MN.
MCN. the American Journal of Maternal Child Nursing
|April 10, 2020
Summary
Nurses play a vital role in supporting women during the latent phase of labor. Understanding labor support, including nonpharmacological methods and the nurse
Area of Science:
- Obstetrics and Gynecology
- Nursing Science
- Maternal-Fetal Medicine
Background:
- The definition of active labor onset shifted in 2014 from 4 cm to 6 cm cervical dilation.
- Recent research suggests elective induction of labor for low-risk nulliparous women does not increase cesarean birth risk.
- These changes may prolong the latent phase of labor, increasing the demand for nursing support.
Purpose of the Study:
- To conduct a scoping review synthesizing existing literature on nursing support during the latent phase of the first stage of labor.
- To identify key themes and implications for nursing care in this specific labor period.
Main Methods:
- A scoping review of peer-reviewed research and quality improvement articles published from 2009 to the present.
- Literature search conducted in PubMed, CINAHL, and Scopus using keywords related to latent labor, birth, and nursing support.
- Inclusion criteria focused on articles with specific implications for nursing care during latent labor; exclusions involved non-nursing perspectives or tool development focus.
Main Results:
- Ten articles were included in the synthesis.
- Key themes identified include: support for physiologic labor and birth, the influence of the nurse's personal views, the birth environment, techniques and tools used, decision-making processes, and the importance of prenatal discussions about latent labor.
Conclusions:
- Nonpharmacological methods are crucial for supporting physiologic labor and birth during the latent phase.
- Nurses' personal beliefs about labor support significantly impact the care provided to laboring women.
- There is a need for enhanced nursing education regarding effective labor support strategies.
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