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| Name | Class |
|---|---|
| Fondo de Investigación en Salud (FIS), México | UNKNOWN |
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The objective of the study was to evaluate the intervention of intrapartum continuous support by a professional nurse with a university degree to reduce the nulliparous, term, singleton, vertex (NTSV) cesarean birth rate, in women pregnant less than 40 years in the HGZ No. 4 of the Guanajuato delegation of the Mexican Institute of Social Security, Mexico
Continuous intrapartum support is a strategy used to decrease the cesarean section rate, where multiple factors influence its effectiveness (start and duration of support, professional training of support staff, and others.). The objective of the study was to decrease the rate of deliveries by cesarean, through continuous intrapartum support during the active phase until birth, by a professional nurse with a university degree, the support was based on three basic aspects: 1) emotional support, 2) physical support and comfort measures and 3) information and counseling, for which a quasi-experimental study was conducted, with a study population of 115 women in labour (nulliparous, full-term, single product, vertex position) and under 40 years, a group control was formed (n = 55) who received routine maternal care and a study group (n = 60) who received continuous intrapartum support.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Women in labor with continuous intrapartum support | Experimental | Continuous intrapartum support was based on three basic aspects: 1) emotional support, 2) physical support and comfort measures and 3) information and advice. |
|
| Women in labor without continuous intrapartum support. | No Intervention | The no intervention group received the usual obstetric care, without continuous intrapartum support. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Continuous Intrapartum Support | Procedure | Received the usual obstetric care plus continuous intrapartum support that was provided by a Bachelor of Nursing and Obstetrics who received prior training by a professional doula. |
| Measure | Description | Time Frame |
|---|---|---|
| Cesarean delivery rate | Percentage de cesarean section in the arms | Until the occurrence of delivery (expected range from 6 hours to 12 hours) |
| Measure | Description | Time Frame |
|---|---|---|
| Time of labour | Labour covered the period of time from the active phase to birth. (Hours) | From the active phase up to delivery (expected range from 6 hours to 12 hours) |
| Apgar score | Is a quick test performed on a baby at 1 and 5 minutes after birth |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Luz M Cardona, Master | IMSS Hospital General de Zona 4, Celaya, Guanajauto, México | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| IMSS Hospital General de Zona 4 | Celaya | Guanajuato | 38060 | Mexico |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | World Health Organization and Human Reproduction Programme. WHO Statement on Caesarean Section Rates. Statement. Geneva, Switzerland: World Health Organization, Department of Reproductive Health and Research ; 2015. | ||
| 28681500 | Background | Bohren MA, Hofmeyr GJ, Sakala C, Fukuzawa RK, Cuthbert A. Continuous support for women during childbirth. Cochrane Database Syst Rev. 2017 Jul 6;7(7):CD003766. doi: 10.1002/14651858.CD003766.pub6. | |
| 28854903 |
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Through a public web address
Since its publication, minimum 5 years.
web address
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The control group was composed of women with labour, who attended the General Hospital of Zone 4 of the Guanajuato Delegation of the IMSS in the period of October-December 2016. The study group was composed of women with labour who presented at the same hospital to receive obstetric care in the period of October - December 2018.
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| At 1 and 5 minutes after delivery |
| Obstetric analgesia | If obstetric analgesia was applied to reduce the pain of labour. (Yes/No) If obstetric analgesia was applied to reduce the pain of labour. (Yes/No) | From the active phase up to delivery (expected range from 6 hours to 12 hours) |
| Induction of labour | If oxytocin was used to induce labour. (Yes/No). | start of active phase (up to 1 hour) |
| Background |
| Kabakian-Khasholian T, Portela A. Companion of choice at birth: factors affecting implementation. BMC Pregnancy Childbirth. 2017 Aug 31;17(1):265. doi: 10.1186/s12884-017-1447-9. |
| 18507579 | Background | McGrath SK, Kennell JH. A randomized controlled trial of continuous labor support for middle-class couples: effect on cesarean delivery rates. Birth. 2008 Jun;35(2):92-7. doi: 10.1111/j.1523-536X.2008.00221.x. |
| 20152972 | Background | Kashanian M, Javadi F, Haghighi MM. Effect of continuous support during labor on duration of labor and rate of cesarean delivery. Int J Gynaecol Obstet. 2010 Jun;109(3):198-200. doi: 10.1016/j.ijgo.2009.11.028. Epub 2010 Feb 12. |
| 19128863 | Background | Khresheh R. Support in the first stage of labour from a female relative: the first step in improving the quality of maternity services. Midwifery. 2010 Dec;26(6):e21-4. doi: 10.1016/j.midw.2008.11.003. Epub 2009 Jan 6. |
| 30522458 | Background | Wang M, Song Q, Xu J, Hu Z, Gong Y, Lee AC, Chen Q. 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. doi: 10.1186/s12884-018-2119-0. |