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Creado el : 20 Oct 2003
Alterado em : 02 Dec 2007

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Ficha bibliográfica (sin autores) :

A comparison of intermittent and continuous support during labor: a meta-analysis. Am J Obstet Gynecol. 1999 May;180(5):1054-9.

Autores :

Scott KD, Berkowitz G, Klaus M.

Año de publicación :

1999

URL(s) :

http://www2.us.elsevierhealth.com/scripts/om.dll/s…

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)  :

Resumen (español)  :

Comentarios :

Acces libre au resume, texte payant.

Argument (français) :

Argument (English):

Argumento (português):

Argumento (español):

Palabras claves :

➡ cesárea ; traumatismos ; estrés postraumático ; psicología ; tiempo de labor ; fórceps ; analgésicos ; epidural ; gestión activa del trabajo ; extracción instrumental ; dolor

Autor de este registro :

Cécile Loup — 20 Oct 2003
➡ última modificación : Alison Passieux — 02 Dec 2007