A Randomized Trial of the Effects of Monitrice Support During Labor: Mothers' Views Two to Four Weeks Postpartum


Address correspondence to Ellen Hodnett, Ph.D., 50 Saint George St., Toronto, Ontario, Canada MSS 1A1


Abstract: One hundred three women who were randomized to receive either routine nursing care (controls) or routine care plus one-to-one support by an experienced monitrice (experimental) were compared as to obstetric outcomes and their memories of types of support they had from nurse, monitrice, and mate. Women assigned a monitrice arrived at the hospital significantly further along in labor, and nearly twice as many had no medication during labor and delivery. Significantly fewer of these women used stirrups during delivery, and more had intact perineums. There was no difference between groups in use of forceps or cesarean sections. Length of labor was confounded by use of medications. Mothers in the experimental group remembered receiving more physical comfort measures, emotional support, and advocacy from monitrices compared to control mothers who received intrapartum care from nurses.