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- W4292806072 abstract "The continuous presence of a supportive companion (<i>doula</i>) during labor and delivery in two studies in Guatemala shortened labor and reduced the need for cesarean section and other interventions. In a US hospital with modern obstetric practices, 412 healthy nulliparous women in labor were randomly assigned to a supported group (n = 212) that received the continuous support of a<i>doula</i>or an observed group (n = 200) that was monitored by an inconspicuous observer. Two hundred four women were assigned to a control group after delivery. Continuous labor support significantly reduced the rate of cesarean section deliveries (supported group, 8%; observed group, 13%; and control group, 18%) and forceps deliveries. Epidural anesthesia for spontaneous vaginal deliveries varied across the three groups (supported group, 7.8%; observed group, 22.6%; and control group, 55.3%). Oxytocin use, duration of labor, prolonged infant hospitalization, and maternal fever followed a similar pattern. The beneficial effects of labor support underscore the need for a review of current obstetric practices. (<i>JAMA</i>. 1991;265:2197-2201)" @default.
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- W4292806072 date "1991-05-01" @default.
- W4292806072 modified "2023-10-14" @default.
- W4292806072 title "Continuous Emotional Support During Labor in a US Hospital" @default.
- W4292806072 doi "https://doi.org/10.1001/jama.1991.03460170051032" @default.
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