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Continuous support for women during childbirth

  1. Ellen D Hodnett1,*,
  2. Simon Gates2,
  3. G Justus Hofmeyr3,
  4. Carol Sakala4

Editorial Group: Cochrane Pregnancy and Childbirth Group

Published Online: 15 JUL 2013

Assessed as up-to-date: 29 JUN 2013

DOI: 10.1002/14651858.CD003766.pub5


How to Cite

Hodnett ED, Gates S, Hofmeyr GJ, Sakala C. Continuous support for women during childbirth. Cochrane Database of Systematic Reviews 2013, Issue 7. Art. No.: CD003766. DOI: 10.1002/14651858.CD003766.pub5.

Author Information

  1. 1

    University of Toronto, Lawrence S. Bloomberg Faculty of Nursing, Toronto, Ontario, Canada

  2. 2

    Division of Health Sciences, Warwick Medical School, The University of Warwick, Warwick Clinical Trials Unit, Coventry, UK

  3. 3

    University of the Witwatersrand, University of Fort Hare, Eastern Cape Department of Health, Department of Obstetrics and Gynaecology, East London Hospital Complex, East London, Eastern Cape, South Africa

  4. 4

    Childbirth Connection, New York, USA

*Ellen D Hodnett, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, 155 College Street, Suite 130, Toronto, Ontario, M5T 1P8, Canada. ellen.hodnett@utoronto.ca.

Publication History

  1. Publication Status: New search for studies and content updated (no change to conclusions)
  2. Published Online: 15 JUL 2013

SEARCH

[Figure 1]
Figure 1. Methodological quality summary: review authors' judgements about each methodological quality item for each included study.
[Figure 2]
Figure 2. Methodological quality graph: review authors' judgements about each methodological quality item presented as percentages across all included studies
[Analysis 1.1]
Analysis 1.1. Comparison 1 Continuous support versus usual care - all trials, Outcome 1 Any analgesia/anaesthesia.
[Analysis 1.2]
Analysis 1.2. Comparison 1 Continuous support versus usual care - all trials, Outcome 2 Regional analgesia/anaesthesia.
[Analysis 1.3]
Analysis 1.3. Comparison 1 Continuous support versus usual care - all trials, Outcome 3 Synthetic oxytocin during labour.
[Analysis 1.4]
Analysis 1.4. Comparison 1 Continuous support versus usual care - all trials, Outcome 4 Labour length.
[Analysis 1.5]
Analysis 1.5. Comparison 1 Continuous support versus usual care - all trials, Outcome 5 Spontaneous vaginal birth.
[Analysis 1.6]
Analysis 1.6. Comparison 1 Continuous support versus usual care - all trials, Outcome 6 Instrumental vaginal birth.
[Analysis 1.7]
Analysis 1.7. Comparison 1 Continuous support versus usual care - all trials, Outcome 7 Caesarean birth.
[Analysis 1.8]
Analysis 1.8. Comparison 1 Continuous support versus usual care - all trials, Outcome 8 Perineal trauma.
[Analysis 1.9]
Analysis 1.9. Comparison 1 Continuous support versus usual care - all trials, Outcome 9 Low 5-minute Apgar score.
[Analysis 1.10]
Analysis 1.10. Comparison 1 Continuous support versus usual care - all trials, Outcome 10 Admission to special care nursery.
[Analysis 1.11]
Analysis 1.11. Comparison 1 Continuous support versus usual care - all trials, Outcome 11 Prolonged neonatal hospital stay.
[Analysis 1.12]
Analysis 1.12. Comparison 1 Continuous support versus usual care - all trials, Outcome 12 Postpartum report of severe labour pain.
[Analysis 1.13]
Analysis 1.13. Comparison 1 Continuous support versus usual care - all trials, Outcome 13 Negative rating of/negative feelings about birth experience.
[Analysis 1.14]
Analysis 1.14. Comparison 1 Continuous support versus usual care - all trials, Outcome 14 Difficulty mothering.
[Analysis 1.15]
Analysis 1.15. Comparison 1 Continuous support versus usual care - all trials, Outcome 15 Breastfeeding at 1-2 months postpartum.
[Analysis 1.16]
Analysis 1.16. Comparison 1 Continuous support versus usual care - all trials, Outcome 16 Postpartum depression.
[Analysis 1.17]
Analysis 1.17. Comparison 1 Continuous support versus usual care - all trials, Outcome 17 Low postpartum self-esteem.
[Analysis 2.1]
Analysis 2.1. Comparison 2 Continuous support versus usual care - policy regarding presence of companion, Outcome 1 Any analgesia/anaesthesia.
[Analysis 2.2]
Analysis 2.2. Comparison 2 Continuous support versus usual care - policy regarding presence of companion, Outcome 2 Synthetic oxytocin during labour.
[Analysis 2.3]
Analysis 2.3. Comparison 2 Continuous support versus usual care - policy regarding presence of companion, Outcome 3 Spontaneous vaginal birth.
[Analysis 2.4]
Analysis 2.4. Comparison 2 Continuous support versus usual care - policy regarding presence of companion, Outcome 4 Caesarean birth.
[Analysis 2.5]
Analysis 2.5. Comparison 2 Continuous support versus usual care - policy regarding presence of companion, Outcome 5 Admission to special care nursery.
[Analysis 2.6]
Analysis 2.6. Comparison 2 Continuous support versus usual care - policy regarding presence of companion, Outcome 6 Postpartum depression.
[Analysis 2.7]
Analysis 2.7. Comparison 2 Continuous support versus usual care - policy regarding presence of companion, Outcome 7 Negative rating of/negative feelings about birth experience.
[Analysis 2.8]
Analysis 2.8. Comparison 2 Continuous support versus usual care - policy regarding presence of companion, Outcome 8 Breastfeeding at 1-2 months postpartum.
[Analysis 3.1]
Analysis 3.1. Comparison 3 Continuous support versus usual care - availability of epidural analgesia, Outcome 1 Any analgesia/anaesthesia.
[Analysis 3.2]
Analysis 3.2. Comparison 3 Continuous support versus usual care - availability of epidural analgesia, Outcome 2 Synthetic oxytocin during labour.
[Analysis 3.3]
Analysis 3.3. Comparison 3 Continuous support versus usual care - availability of epidural analgesia, Outcome 3 Spontaneous vaginal birth.
[Analysis 3.4]
Analysis 3.4. Comparison 3 Continuous support versus usual care - availability of epidural analgesia, Outcome 4 Caesarean birth.
[Analysis 3.5]
Analysis 3.5. Comparison 3 Continuous support versus usual care - availability of epidural analgesia, Outcome 5 Admission to special care nursery.
[Analysis 3.6]
Analysis 3.6. Comparison 3 Continuous support versus usual care - availability of epidural analgesia, Outcome 6 Postpartum depression.
[Analysis 3.7]
Analysis 3.7. Comparison 3 Continuous support versus usual care - availability of epidural analgesia, Outcome 7 Negative rating of/negative feelings about birth experience.
[Analysis 3.8]
Analysis 3.8. Comparison 3 Continuous support versus usual care - availability of epidural analgesia, Outcome 8 Breastfeeding at 1-2 months postpartum.
[Analysis 4.1]
Analysis 4.1. Comparison 4 Continuous support versus usual care - policy about routine EFM, Outcome 1 Any analgesia/anaesthesia.
[Analysis 4.2]
Analysis 4.2. Comparison 4 Continuous support versus usual care - policy about routine EFM, Outcome 2 Synthetic oxytocin during labour.
[Analysis 4.3]
Analysis 4.3. Comparison 4 Continuous support versus usual care - policy about routine EFM, Outcome 3 Spontaneous vaginal birth.
[Analysis 4.4]
Analysis 4.4. Comparison 4 Continuous support versus usual care - policy about routine EFM, Outcome 4 Caesarean birth.
[Analysis 4.5]
Analysis 4.5. Comparison 4 Continuous support versus usual care - policy about routine EFM, Outcome 5 Admission to special care nursery.
[Analysis 4.6]
Analysis 4.6. Comparison 4 Continuous support versus usual care - policy about routine EFM, Outcome 6 Postpartum depression.
[Analysis 4.7]
Analysis 4.7. Comparison 4 Continuous support versus usual care - policy about routine EFM, Outcome 7 Negative rating of/negative views about birth experience.
[Analysis 4.8]
Analysis 4.8. Comparison 4 Continuous support versus usual care - policy about routine EFM, Outcome 8 Breastfeeding at 1-2 months postpartum.
[Analysis 5.1]
Analysis 5.1. Comparison 5 Continuous support versus usual care - variations in provider characteristics, Outcome 1 Any analgesia/anaesthesia.
[Analysis 5.2]
Analysis 5.2. Comparison 5 Continuous support versus usual care - variations in provider characteristics, Outcome 2 Synthetic oxytocin during labour.
[Analysis 5.3]
Analysis 5.3. Comparison 5 Continuous support versus usual care - variations in provider characteristics, Outcome 3 Spontaneous vaginal birth.
[Analysis 5.4]
Analysis 5.4. Comparison 5 Continuous support versus usual care - variations in provider characteristics, Outcome 4 Caesarean birth.
[Analysis 5.5]
Analysis 5.5. Comparison 5 Continuous support versus usual care - variations in provider characteristics, Outcome 5 Admission to special care nursery.
[Analysis 5.6]
Analysis 5.6. Comparison 5 Continuous support versus usual care - variations in provider characteristics, Outcome 6 Postpartum depression.
[Analysis 5.7]
Analysis 5.7. Comparison 5 Continuous support versus usual care - variations in provider characteristics, Outcome 7 Negative rating of/negative feelings about birth experience.
[Analysis 5.8]
Analysis 5.8. Comparison 5 Continuous support versus usual care - variations in provider characteristics, Outcome 8 Breastfeeding at 1-2 months postpartum.