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EFFECTS OF EDUCATED LABOR ATTENDANT ON BIRTH PROCESS AND RELATED FACTORS
Sule Ozel1, Yaprak Engin-Ustun1, Umran Akinci1
1University of Health Sciences, Zekai Tahir Burak Woman's Health, Education and Research Hospital, Obstetrics and Gynecology, Ankara, Turkey.
Acta Clinica Croatica
|February 4, 2026
Summary
An educated labor attendant (ELA) significantly improved the delivery experience for pregnant women. ELAs reduced cesarean rates and enhanced maternal satisfaction and postpartum parenting behaviors.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Perinatal Care
Background:
- The presence of support during labor can influence maternal and neonatal outcomes.
- Educated labor attendants (ELAs) offer specialized support during childbirth.
- Understanding the impact of ELAs on delivery, satisfaction, and postpartum behavior is crucial for improving perinatal care.
Purpose of the Study:
- To evaluate the effects of an educated labor attendant (ELA) on the delivery process.
- To assess the impact of ELA on maternal delivery satisfaction.
- To determine the influence of ELA on postpartum parenting behavior.
Main Methods:
- A comparative study involving 252 pregnant women, divided into an intervention group with an ELA and a control group without.
- Evaluation of obstetric and neonatal outcomes, including cesarean section rates, analgesic use, and pain.
- Assessment using the Postpartum Parenting Behavior Scale (PPBS) and Labor Agentry Scale.
Main Results:
- The ELA group showed significantly lower rates of cesarean section, systemic analgesic use, and pain perception.
- Maternal satisfaction and labor agency scores were significantly higher in the ELA group.
- Postpartum Parenting Behavior Scale scores were also significantly higher in the ELA group.
Conclusions:
- Educated labor attendants positively impact the labor and delivery process.
- ELAs help pregnant women manage labor fear, leading to reduced cesarean rates.
- ELA support enhances maternal satisfaction and improves postpartum parenting behaviors.
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