The effects of continuous labor support by midwife: a randomized control trial

Year 2021, Volume: 11 Issue: 2, 251 - 257, 30.06.2021

Gulsemin Bostanoglu Meltem Demirgöz Bal

https://doi.org/10.33808/clinexphealthsci.736497

Cited By: 1

Abstract

Objective: The aim of this study was to evaluate the effects of continuous labor support by midwife.

Methods: This study was a randomized controlled experimental design. Seventy primipara women were randomized into two groups, the continuous labor support by midwife group (n=35) and control group (n=35). In the experiment group was given the continuous midwife support and in the control group were undergone to routine hospital care in the clinic. Visual Analog Scale was used to assess women’s anxiety
level and coping with labor pain. All interventions and childbirth time were recorded by the researcher.

Results: Anxiety level decreased and the level of coping with labor pain increased in the experimental group (p<0.05). The total childbirth time in the intervention group was shorter by 2 hours and 21 minutes. Labor induction, episiotomy, amniotomy and perineal trauma were higher in the control group (p<0.05).

Conclusion: Continuous labor support should be provided at each childbirth to enhance childbirth outcomes.

Keywords

Continuous labor support, randomized controlled study, midwife, childbirth, Turkey

References

• 1. Beech, BA, Phipps, B. Normal birth: women's stories. In: Downe S, editor. Normal childbirth: evidence and debate. 2nd edition. Edinburgh: Churchill Livingstone; 2004; 67-79.
• 2. TDHS “Turkey Demographic and Health Survey". Hacettepe University Institute of Population Studies (2018). Hacettepe University Institute of Population Studies, T.C. Ministry of Development and TUBITAK, Ankara, Turkey.
• 3. National Institute for Health and Care Excellence (2017). Intrapartum care for healthy women and babies. Clinical Guideline.
• 4. Hodnett E, Lowe NK, Hannah ME, Willan AR., et all. Effectiveness of nurses as providers of birth labor support in North American hospitals a randomized controlled trial, JAMA. 2002; 288(11):1373-81.
• 5. Hodnett ED, Gates S, Hofmeyr GJ, Sakala C. Continuous support for women during childbirth. Cochrane Database Syst Rev, 15;7:CD003766. doi: 10.1002/14651858.CD003766.pub5.
• 6. Bohren MA, Hofmeyr GJ, Sakala C, Fukuzawa RK, Cuthbert A. (2017). Continuous support for women during childbirth. Cochrane Database of Systematic Reviews. 6;7:CD003766. doi: 10.1002/14651858.CD003766.
• 7. Tumbilin A, Simkin P. Pregnat Women's Perceptions of Their Nurse's Role during labor and delivery. 2001; Mar;28(1):52-6.
• 8. Dickinson JE, Paech MJ, McDonald SJ, Evans SF. Maternal satisfaction with childbirth and intrapartum analgesia in nulliparous labour. Aust N Z J Obstet Gynaecol. 2003 Dec;43(6):463-8.
• 9. Hodnett ED, Gates S, Hofmeyr GJ, Sakala C. Continuous support for women during childbirth. Cochrane Database Syst Rev. 2012; 17;10:CD003766.
• 10. Sangestani G, Khatiban M, Pourolajal J, Oshvandi K. Influence of Doula on the Primiparous Parturients' Anxiety in the Delivery Ward. J Hayat. 2014;19 (4) :48-60.
• 11. Sehhatie F, Najjarzadeh M, Zamanzadeh V, Seyyedrasooli A. The effect of midwifery continuing care on childbirth outcomes. Iran J Nurs Midwifery Res. 2014 May;19(3):233-7.
• 12. Sydsjö G, Blomberg M, Palmquist S, Angerbjörn L, Bladh M, Josefsson A. Effects of continuous midwifery labour support for women with severe fear of childbirth. BMC Pregnancy Childbirth. 2015 May 15;15:115.
• 13. Fernández-Campos FJ, Escrivá D, Palanca JM, Ridocci F, Barrios C, Gallego J. Women’s acute anxiety variations before and after epidural anesthesia for childbirth. J Psychosom Obstet Gynaecol. 2017; 38 (2):152-158.
• 14. Scott KD, Berkowitz G, Klaus M.comparison of intermittent and continuous support during labor: A meta-analysis. Am J Obstet Gynecol. 1999 May;180(5):1054-9.
• 15. Buckley, Sarah J. Hormonal Physiology of Childbearing: Evidence and Implications for Women, Babies, and Maternity Care. Washington, D.C.: Childbirth Connection Programs, National Partnership for Women & Families, January 2015
• 16. Safarzadeh A. The effect of doula supporting on the severity of pain and duration of active phase of labor in primiparous women. Iranian Registry of Clinical Trials. 2012; IRCT201111156242N2
• 17. Sandall J, Soltani H, Gates S, Shennan A, Devane D. Midwife-led continuity models versus other models of care for childbearing women. Cochrane Database Syst Rev. 2016 Apr 28;4:CD004667.
• 18. Man Wang, Qing Song, Jun Xu, Zheng Hu, Yingying Gong, Arier C. Lee, and Qi Chen. Continuous support during labour in childbirth: a Cross-Sectional study in a university teaching hospital in Shanghai, China. BMC Pregnancy Childbirth. 2018 Dec 6;18(1):480.
• 19. Demirel G, Celik DB. Intervention To Natural Birth: Use Of Synthetic Oxytocin. Sted. 2013;22(4): 157-64.
• 20. Kenny TH, Nicodemo JM, Fenton BW, von Gruenigen, VE. Does quality “bundling” improve obstetrical outcomes? A comparative study of elective inductions. J Reprod Med. 2013;58(9-10):402-10.
• 21. Hersh AR, Skeith AE, Sargent JA, Caughey AB. (2019). Induction of labor at 39 weeks of gestation versus expectant management for low-risk nulliparous women: a cost-effectiveness analysis. Am J Obstet Gynecol, 220(6):590.e1-590.e10. doi: 10.1016/j.ajog.2019.02.017.
• 22. Alfirevic Z, Keeney E, Dowswell T, Welton NJ, Medley N, Dias S, et all. Which method is best for the induction of labour? A systematic review, network meta-analysis and cost-effectiveness analysis. Health Technol Assess. 2016; 20(65),1-584.
• 23. Acharya T, Devkota R, Bhattarai B, Acharya, R. Outcome of misoprostol and oxytocin in induction of labour. 2017;5: 1–7
• 24. Bal MD, Yilmaz SD. Comprehensive Birth for Midwives. Akademisyen Bookstore, Ankara, Turkey. 2017
• 25. Beji NK. Women's Health And Diseases, Nobel Medical Bookstores, İstanbul, Turkey. 2015.
• 26. Sinclair AJ, Ramsay IN. The psychosocial impact of urinary incontinence in women. The Obstetrician & Gynaecologist. 2011; 13(3), 143–148.
• 27. Sundquist JC. Long-term outcome after obstetric injury: a retrospective study. Acta Obstet Gynecol Scand. 2012; 91(6):715-8.
• 28. Fitzpatrick M, O'Herlihy C. Short-term and long-term effects of obstetric anal sphincter injury and their management. Curr Opin Obstet Gynecol. 2005;17(6):605-10.
• 29. Weledji EP, Elong A, Verla V. Secondary repair of severe chronic fourth-degree perineal tear due to obstetric trauma. J Surg Case Rep. 2014;13;2014(5). pii: rju034. 30. Mota RL. Female urinary incontinence and sexuality. Int Braz J Urol. 2017; 43(1):20-28. doi: 10.1590/S1677-5538.IBJU.2016.0102
• 31. WHO (2018). WHO recommendations: Intrapartum care for a positive childbirth experience Geneva: World Health Organization.
• 32. Aguiar M, Farley A, Hope L, Amin A, Shah P, Manaseki-Holland S. Birt-Related Perineal Trauma In Low- And Middle- Income Countries: A Systematic Review And Meta-Analysis. Maternal and Child Health Journal. 2019; 23(8), 1048-1070.
• 33. Orlovic M, Carter AW, Marti J, Mossialos E. Estimating the incidence and the economic burden of third and fourth-degree obstetric tears in the English NHS: an observational study using propensity score matching. BMJ Open. 2017;12;7(6),e015463.
• 34. Bernitz S, Oian P, Rolland R, Sandvik L, Blix E. Oxytocin and dystocia as risk factors for adverse birth outcomes: A cohort of low-risk nulliparous women. Midwifery. 2014 Mar;30(3):364-70.
• 35. Bugg GJ, Stanley E, Baker PN, Taggart MJ, Johnston TA. Outcomes of labours augmented with oxytocin. Eur J Obstet Gynecol Reprod Biol. 2006; 124(1),37–41.
• 36. Darj E, Stalnacke B. Very early discharge from hospital after normal deliveries, Ups J Med Sci. 2000; 105 (1): 57-66.