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Bibliographical entry (without author) : | A comparison of intermittent and continuous support during labor: a meta-analysis. Am J Obstet Gynecol. 1999 May;180(5):1054-9. |
Author(s) : | Scott KD, Berkowitz G, Klaus M. |
Year of publication : | 1999 |
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Abstract (English) : | Our goal was to contrast the influence of intermittent and continuous support provided by doulas during labor and delivery on 5 childbirth outcomes. Data were aggregated across 11 clinical trials by means of meta-analytic techniques. Continuous support, when compared with no doula support, was significantly associated with shorter labors (weighted mean difference -1.64 hours, 95% confidence interval -2.3 to -.96) and decreased need for the use of any analgesia (odds ratio.64, 95% confidence interval.49 to.85), oxytocin (odds ratio.29, 95% confidence interval.20 to.40), forceps (odds ratio.43, 95% confidence interval.28 to.65), and cesarean sections (odds ratio.49, 95% confidence interval.37 to.65). Intermittent support was not significantly associated with any of the outcomes. Odds ratios differed between the 2 groups of studies for each outcome. Continuous support appears to have a greater beneficial impact on the 5 outcomes than intermittent support. Future clinical trials, however, will need to control for possible confounding influences. Implications for labor management are discussed. |
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Comments : | Acces libre au resume, texte payant. |
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Keywords : | ➡ c-section/caesarean ; traumatism ; post-traumatic stress ; psychology ; duration of labour ; forceps delivery ; pain medication ; epidural ; active management of labor ; instrumental delivery ; pain |
Author of this record : | Cécile Loup — 20 Oct 2003 |
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