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Childbirth experiences in proactive versus standard support of labor in the latent phase- A randomized, controlled clinical trial

Ginecologia e Obstetrícia
Imagem de arquivo, ilustrativa — não é do estudo. Radiografia da mão de uma criança de 4 anos (Viena, 1896). Josef Maria Eder e Eduard Valenta · CC0 · Wikimedia Commons

Ensaio clínico randomizadoNível 2 · Nova evidênciaSexual & reproductive healthcare : official journal of the Swedish Association of Midwives1 fev 20260 citações

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Resumo original em inglês

O que aconteceu

A long latent phase followed by prolonged labor may negatively affect childbirth experience. This study investigated whether proactive support of labor (PSL), compared to standard support of labor (SSL), during the latent phase improves childbirth experience in nulliparous women. Secondary objectives were to assess the impact of labor duration on experience within PSL and SSL groups and maternal preferences for delivery mode in a hypothetical subsequent pregnancy.

Randomized clinical, single-centre trial at St. Olav's Hospital, University Hospital of Trondheim, Norway.

Primiparous women from the "Proactive vs. Standard Support of Labor" study who completed the Childbirth Experience Questionnaire (CEQ).

Reported CEQ-scores six to eight weeks postpartum, were compared between the PSL and SSL groups using the Mann-Withney U test.

O que encontraram

Total CEQ score and four domain scores.

Of 347 participants, 305 (88%) completed the CEQ. No significant difference was found in total CEQ score between PSL (n = 172; mean 3.11, SD 0.43) and SSL (n = 133; mean 3.10, SD 0.46; p = 0.937), nor across domain scores. CEQ scores did not differ significantly between groups for labor < 12 hours (p = 0.814) or ≥ 12 hours (p = 0.404). Maternal preference for caesarean section was similar: PSL 4% vs. SSL 8%.

Por que isso importa

Among nulliparous women, proactive support of labor during the latent phase neither improved nor diminished childbirth experience compared with standard support, as both groups scored high on total CEQ.

Resumo publicado sob licença CC BY. A tradução para o português ainda não chegou a este estudo.

O estudo original

Childbirth experiences in proactive versus standard support of labor in the latent phase- A randomized, controlled clinical trial

Marit Larsen, Anne Husby, Maria Underdal, Negin Sadati, Øyvind Salvesen, Ingebjørg Laache, Møyfrid Brenne Fehn, Raija Dahlø, Stine Bernitz, Eszter Vanky

Descritores MeSH

  • Labor, Obstetric
  • Parturition
  • Delivery, Obstetric
  • Norway
  • Adult
  • Pregnancy
  • Surveys and Questionnaires
  • Time Factors
  • Parity
  • Female

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