Document Detail

Effects of female relative support in labor: a randomized controlled trial.
MedLine Citation:
PMID:  10352048     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: This study was a randomized controlled trial of primigravidas in Botswana to determine the effectiveness of the presence of a female relative as a labor companion on labor outcomes. METHODS: One hundred and nine primigravidas in uncomplicated spontaneous labor were randomly distributed into a control group who labored without family members present, and an experimental group who had a female relative with them during labor. RESULTS: Significantly more mothers in the experimental group had a spontaneous vaginal delivery (91% vs 71%), less intrapartum analgesia (53% vs 73%), less oxytocin (13% vs 30%), fewer amniotomies to augment labor (30% vs 54%), fewer vacuum extractions (4% vs 16%), and fewer cesarean sections (6% vs 13%) than in the control group. These differences were all significant at p < 0.05. Epidural analgesia was not used in the hospital at the time of the study. The only analgesics used were intramuscular pethidine or hyoscine N-butylbromide (Buscopan). CONCLUSIONS: The presence in labor of a female relative was shown to be associated with fewer interventions and a higher frequency of normal delivery compared with the outcomes of those without family member support. The presence of a female relative as a labor companion is a low-cost, preventative intervention that is consistent with the traditional cultural practices in Botswana. In the light of this and previous studies, all women giving birth in a hospital should be offered the choice of a female relative as a companion to give support during labor.
B C Madi; J Sandall; R Bennett; C MacLeod
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Birth (Berkeley, Calif.)     Volume:  26     ISSN:  0730-7659     ISO Abbreviation:  Birth     Publication Date:  1999 Mar 
Date Detail:
Created Date:  1999-06-18     Completed Date:  1999-06-18     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8302042     Medline TA:  Birth     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  4-8     Citation Subset:  N    
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MeSH Terms
Delivery Rooms
Family / ethnology,  psychology*
Labor, Obstetric / ethnology,  psychology*
Mothers / psychology*
Pregnancy Outcome*
Social Support*
Visitors to Patients / psychology*
Comment In:
Birth. 1999 Mar;26(1):9-10   [PMID:  10352049 ]
Erratum In:
Birth 1999 Jun;26(2):137

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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