The objective of the study was to evaluate the intervention of intrapartum continuous support by a professional nurse with a university degree to reduce the nulliparous, term, singleton, vertex (NTSV) cesarean birth rate, in women pregnant less than 40 years in the HGZ No. 4 of the Guanajuato delegation of the Mexican Institute of Social Security, Mexico
Continuous intrapartum support is a strategy used to decrease the cesarean section rate, where multiple factors influence its effectiveness (start and duration of support, professional training of support staff, and others.). The objective of the study was to decrease the rate of deliveries by cesarean, through continuous intrapartum support during the active phase until birth, by a professional nurse with a university degree, the support was based on three basic aspects: 1) emotional support, 2) physical support and comfort measures and 3) information and counseling, for which a quasi-experimental study was conducted, with a study population of 115 women in labour (nulliparous, full-term, single product, vertex position) and under 40 years, a group control was formed (n = 55) who received routine maternal care and a study group (n = 60) who received continuous intrapartum support.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
115
Received the usual obstetric care plus continuous intrapartum support that was provided by a Bachelor of Nursing and Obstetrics who received prior training by a professional doula.
IMSS Hospital General de Zona 4
Celaya, Guanajuato, Mexico
Cesarean delivery rate
Percentage de cesarean section in the arms
Time frame: Until the occurrence of delivery (expected range from 6 hours to 12 hours)
Time of labour
Labour covered the period of time from the active phase to birth. (Hours)
Time frame: From the active phase up to delivery (expected range from 6 hours to 12 hours)
Apgar score
Is a quick test performed on a baby at 1 and 5 minutes after birth
Time frame: At 1 and 5 minutes after delivery
Obstetric analgesia
If obstetric analgesia was applied to reduce the pain of labour. (Yes/No) If obstetric analgesia was applied to reduce the pain of labour. (Yes/No)
Time frame: From the active phase up to delivery (expected range from 6 hours to 12 hours)
Induction of labour
If oxytocin was used to induce labour. (Yes/No).
Time frame: start of active phase (up to 1 hour)
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