Cesarean Section Complications
Conditions
Keywords
cesarean section, Continuous intrapartum support, nulliparous
Brief summary
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
Detailed description
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.
Interventions
PROCEDUREContinuous Intrapartum Support
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.
Sponsors
Fondo de Investigación en Salud (FIS), México
IMSS Hospital General de Zona 4, Celaya, Guanajauto, Mexico
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
The control group was composed of women with labour, who attended the General Hospital of Zone 4 of the Guanajuato Delegation of the IMSS in the period of October-December 2016. The study group was composed of women with labour who presented at the same hospital to receive obstetric care in the period of October - December 2018.
Eligibility
Sex/Gender
FEMALE
Age
14 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Women pregnant * Nulliparous * Term pregnancy * Singleton pregnancy * Vertex position
Exclusion criteria
* Patients with maternal, fetal, or mixed cesarean indications were excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cesarean delivery rate | Until the occurrence of delivery (expected range from 6 hours to 12 hours) | Percentage de cesarean section in the arms |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time of labour | From the active phase up to delivery (expected range from 6 hours to 12 hours) | Labour covered the period of time from the active phase to birth. (Hours) |
| Apgar score | At 1 and 5 minutes after delivery | Is a quick test performed on a baby at 1 and 5 minutes after birth |
| Obstetric analgesia | From the active phase up to delivery (expected range from 6 hours to 12 hours) | 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) |
| Induction of labour | start of active phase (up to 1 hour) | If oxytocin was used to induce labour. (Yes/No). |
Countries
Mexico
Outcome results
None listed