Continuous Intrapartum Support to Reduce Primary Cesarean
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 115
- 试验地点
- 2
- 主要终点
- Cesarean delivery rate
研究概览
简要总结
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
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 14 Years 至 40 Years（Child, Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Women pregnant
- •Nulliparous
- •Term pregnancy
- •Singleton pregnancy
- •Vertex position
排除标准
- •Patients with maternal, fetal, or mixed cesarean indications were excluded.
结局指标
主要结局
Cesarean delivery rate
时间窗: Until the occurrence of delivery (expected range from 6 hours to 12 hours)
Percentage de cesarean section in the arms
次要结局
- Induction of labour(start of active phase (up to 1 hour))
- Apgar score(At 1 and 5 minutes after delivery)
- Time of labour(From the active phase up to delivery (expected range from 6 hours to 12 hours))
- Obstetric analgesia(From the active phase up to delivery (expected range from 6 hours to 12 hours))
研究者
Luz Maria Cardona Torres
Subjefe de Educación e Investigación en Salud
IMSS Hospital General de Zona 4, Celaya, Guanajauto, Mexico