THE EFFECT OF CONTINUOUS COMPANIONSHIP SUPPORT ON THE PROGRESS AND OUTCOME OF LABOUR

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THE EFFECT OF CONTINUOUS COMPANIONSHIP SUPPORT ON THE PROGRESS AND OUTCOME OF LABOUR

Abstract

OBJECTIVES: To determine the effect of continuous companionship support
on the progress and outcome of spontaneous labour in uncomplicated pregnancy.
DESIGN: Prospective randomized study
SETTING: Department of Obstetrics And Gynaecology Obafemi Awolowo
University Teaching Hospitals Complex Ile Ife
METHOD: eighty four low risk parous women with singleton pregnancy
presenting with spontaneous onset of labour at gestational age between 36 and 42
weeks and cervical dilatation between 3 and 6cm were randomly assigned to have a
supportive companion or no supportive companion (control) throughout the duration
of labour to provide physical emotional and psychological support the parturient.
Maternal demographics intrapartum interventions, labour delivery data and newborn
outcomes were compared.
MAIN OUTCOME MEASURE: Duration of the first and second stages of
labour, rate of complications and intervention in labour e.g. use of oxytocin to
augment labour, instrumental delivery, mode of delivery analgesic requirement in
labour and fetal outcomes.
RESULTS: There were no significant differences in duration of labour either
in nulliparous patients or in multipara. Rates of interventions in labour as oxytocin
augmentation, analgersic administration, infusion of plain fluids and calories were
not significantly different between the two groups. There was also no significant
difference in mode of delivery between the two groups. There were however
significantly fewer babies in the continuous supportive companionship group with
APGAR scores at one and five minutes below 7 compared with the control group.
(2.3% continuous supportive companionship group compared with 26.2% in control
group at one minute, 2.3% in continuous supportive companionship group
compared with 16.7% in control group at five minutes
CONCLUSION: Continuous companionship support did not significantly
reduce the duration of labour, rates of intrapartum interventions or mode of delivery
but was associated with better APGAR scores at birth.

THE EFFECT OF CONTINUOUS COMPANIONSHIP SUPPORT ON THE PROGRESS AND OUTCOME OF LABOUR

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