PMID: 11903210Mar 21, 2002Paper

Maternal satisfaction with active management of labor: a randomized controlled trial

Birth
L C SadlerL M McCowan

Abstract

Active management of labor reduces the length of labor and rate of prolonged labor, but its effect on satisfaction with care, within a randomized controlled trial, has not previously been reported. The study objectives were to establish if a policy of active management of labor affected any aspect of maternal satisfaction, and to determine the independent explanatory variables for satisfaction with labor care in a low-risk nulliparous obstetric population. Nulliparous women at National Women's Hospital in Auckland, New Zealand, in spontaneous labor at term with singleton pregnancy, cephalic presentation, and without fetal distress were randomized after the onset of labor to active management (n = 320) or routine care (n = 331). Active management included early amniotomy, two-hourly vaginal assessments, and early use of high dose oxytocin for slow progress in labor. Routine care was not prespecified. Maternal satisfaction with labor care was assessed by postal questionnaire at 6 weeks postpartum. Sensitivity analyses were performed, and logistic regression models were developed to determine independent explanatory variables for satisfaction. Of the 651 women randomized in the trial, 482 (74%) returned the questionnaires. Satisfa...Continue Reading

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Citations

Mar 17, 2004·Midwifery·Sabine Blix-LindströmEva Johansson
Jul 7, 2007·Reproductive Health·Odalea M BruggemannAntonio S Carvalhinho Neto
May 19, 2005·Obstetrics and Gynecology Clinics of North America·Jason A Pates, Andrew J Satin
Aug 21, 2012·Midwifery·Patricia A Janssen, Sarah L Desmarais
May 20, 2003·Birth·Edwin R van TeijlingenAnn Fitzmaurice
Mar 3, 2009·BJOG : an International Journal of Obstetrics and Gynaecology·A DenckerH Lilja
May 21, 2008·Scandinavian Journal of Caring Sciences·Anna Stålhammar, Barbro Boström
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Feb 24, 2018·Health Care for Women International·Helen Murphy, Joanna Strong
Nov 10, 2017·Reproductive Health Matters·Tamar Kabakian-KhasholianAnayda Portela
Jul 13, 2013·The Cochrane Database of Systematic Reviews·Philippa L Costley, Christine E East
Sep 18, 2013·The Cochrane Database of Systematic Reviews·Heather C BrownJane Thomas
Nov 12, 2020·Acta Obstetricia Et Gynecologica Scandinavica·Lotta SelinAnna Dencker
Nov 17, 2021·American Journal of Perinatology·Rebecca F HammLisa D Levine

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