The Effect of Continuous Support during Labor on Labor Progress in Primigravida Women

Document Type : Original Article


1 Assistant professor, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Lecturer, Department of Midwifery, Islamic Azad University Quchan Branch, Quchan, Iran.

3 Associate Professor, Department of Obstetrics and Gynecology, Ovulation Dysfunction Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.


Introduction: Labor dystocia is the most common indication for primary cesarean section. The psycho-emotional, physical and physiological factors are involved in labor progress. This study was performed to evaluate the effect of continuous support during labor on labor progress in primigravida women.
Methods: This randomized clinical trial was conducted in 2007-2008 on 80 primigravida women in Omolbanin hospital of Mashhad, Iran. Subjects were divided randomly into two groups of supportive care and routine care. Information related to labor and delivery was recorded by researcher in examination and observation forms for both groups. Data were analyzed by SPSS software version 14 and t-student test, Mann-Whitney, chi-square and Fisher exact testes. P value less than 0.05 was considered significant.
Results: The rate of cesarean delivery was not different in supportive care and routine care groups (%2.5 in supportive care group and % 2.5 in usual care group; p=0.562). But the differences between two groups were statistically significant in terms of duration of active phase at the first stage of labor (p=0.018), need for oxytocin augmentation in labor (p=0.033) and use of intrapartum analgesia (p=0.042).
Conclusion: The midwife’s continuous support reduces intrapartum intervention.


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