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Database - Alliance francophone pour l'accouchement respecté (AFAR)

Record ID : 140
Created on : 20/10/2003
Modified on : 2/12/2007

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URL of this record : http://afar.info/id=140

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Author(s) :

Scott KD, Berkowitz G, Klaus M.

Year of publication :

1999

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.

Résumé (français) :

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.

Sumário (português):

URL :

http://www2.us.elsevierhealth.com/scripts/om.dll/serve?retrieve=/pii/S0002937899002677&nav=full

Comments :

Acces libre au resume, texte payant.

Argument (français) :

Argument (English):

Argumento (português):

Keywords :

c-section/caesarean ; forceps delivery ; pain medication ; epidural ; traumatism ; psychology ; active management of labor ; duration of labour ; instrumental delivery ; pain

Author of this record :

C. Loup

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