Abstract

Objectives: To study the effect of the presence of a labour companion from the mother’s social network and the effect of giving to the companion an education regarding support to the parturient. Design: This was a comparative trial in a University Obstetric Unit. Sixty women were randomly distributed in two groups who were allowed female companions of their choice, one where the labour companion was given an education (A) and a second where the companion was not given such an education (B). Group C comprised of 30 women who did not have a companion as routinely practiced in our hospital. Perception of control over self during labour was assessed using the validated version of the Labour Agentry Scale (LAS-10) and perinatal events were recorded. Anova test and respective 95% confidence interval were used in statistical analyses. Results: Maternal satisfaction was significantly higher in the group A (Group A: mean = 56.10, Group B = 48.40, Group C = 45.93; p Conclusions: A female labour companion of the mother’s choice has a positive effect on the mother's experience of labour and perinatal events, irrespective of the companion receiving an education. DOI: http://dx.doi.org/10.4038/sljog.v35i4.6584 Sri Lanka Journal of Obstetrics and Gynaecology 2013; 35: 112-115

Highlights

  • Continuous nonmedical support during labour has been shown to produce favorable intrapartum, perinatal and neonatal outcomes[1]

  • A systematic review of 15 randomized controlled trials on continuous support during labor conducted under diverse settings and involving

  • The review concluded that all women should have continuous support during labour

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Summary

Introduction

Continuous nonmedical support during labour has been shown to produce favorable intrapartum, perinatal and neonatal outcomes[1]. 12,791 women provides robust evidence of these benefits[2]. The review concluded that all women should have continuous support during labour. A person who provides nonmedical emotional, physical and informational support to a woman during and after labour is referred to as a doula. By definition, this term would include members of the woman’s family and social network. The norm is for labouring women to be supported by their male partners and others of their choice. The outcome of support during labour by a male partner remains controversial[4,5]

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