Document Detail

Mothers without companionship during childbirth: an analysis within the Millennium Cohort Study.
MedLine Citation:
PMID:  19036038     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Studies have highlighted the benefits of social support during labor but no studies focused on women who choose to be unaccompanied or who have no companion available at birth. Our goals were, first, to identify characteristics of women who are unaccompanied at birth and compare these to those who had support and, second, to establish whether or not being unaccompanied at birth is a risk marker for adverse maternal and infant health outcomes.
METHODS: The sample comprised 16,610 natural mother-infant pairs, excluding women with planned cesarean sections in the Millennium Cohort Study. Multivariable regression models were used to examine, first, sociodemographic, cultural, socioeconomic, and pregnancy characteristics in relation to being unaccompanied and, second, being unaccompanied at birth in relation to labor and delivery outcomes, maternal health and health-related behaviors, parenting, and infant health and development.
RESULTS: Mothers who were single (vs not single), multiparous (vs primiparous), of black or Pakistani ethnicity (vs white), from poor households (vs nonpoor), with low levels of education (vs high levels), and who did not attend antenatal classes (vs attenders) were at significantly higher risk of being unaccompanied at birth. Mothers unaccompanied at birth were more likely to have a preterm birth (vs term), an emergency cesarean section (vs spontaneous vaginal delivery) and spinal pain relief or a general anesthetic (vs no pain relief), a shorter labor, and lower satisfaction with life (vs high satisfaction) at 9 months postpartum. Their infants had significantly lower birthweight and were at higher risk of delayed gross motor development (vs normal development).
CONCLUSIONS: Being unaccompanied at birth may be a useful marker of high-risk mothers and infants in need of additional support in the postpartum period and beyond.
Holly N Essex; Kate E Pickett
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Birth (Berkeley, Calif.)     Volume:  35     ISSN:  1523-536X     ISO Abbreviation:  Birth     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-27     Completed Date:  2008-12-18     Revised Date:  2014-03-14    
Medline Journal Info:
Nlm Unique ID:  8302042     Medline TA:  Birth     Country:  United States    
Other Details:
Languages:  eng     Pagination:  266-76     Citation Subset:  IM    
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MeSH Terms
Child Development
Cohort Studies
Great Britain
Infant, Newborn
Labor, Obstetric / psychology*
Logistic Models
Maternal Welfare
Mother-Child Relations
Mothers / psychology*,  statistics & numerical data
Outcome Assessment (Health Care)
Parturition / psychology*
Patient Satisfaction
Pregnancy Outcome
Social Support*
Socioeconomic Factors
Grant Support
CSA/03/07/014//Department of Health
Erratum In:
Birth. 2010 Mar;37(1):76

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

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