Continuous Intrapartum Support to Reduce Primary Cesarean

IMSS Hospital General de Zona 4, Celaya, Guanajauto, Mexico

Status: Completed

Conditions: Cesarean Section Complications

Treatments: Procedure: Continuous Intrapartum Support

Study type: Interventional

Funder types: Other

Identifiers

NCT04086277

LMCT-02

Details and patient eligibility

About

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

Full 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.

Enrollment: 115 patients

Sex: Female

Ages: 14 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Women pregnant
• Nulliparous
• Term pregnancy
• Singleton pregnancy
• Vertex position

Exclusion criteria

• Patients with maternal, fetal, or mixed cesarean indications were excluded.

Trial design

Primary purpose: Supportive Care

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

115 participants in 2 patient groups

Women in labor with continuous intrapartum support

Experimental group

Description:

Continuous intrapartum support was based on three basic aspects: 1) emotional support, 2) physical support and comfort measures and 3) information and advice.

Treatment:

Procedure: Continuous Intrapartum Support

Women in labor without continuous intrapartum support.

No Intervention group

Description:

The no intervention group received the usual obstetric care, without continuous intrapartum support.