Hotelling Barbara, Amis Debby, Green Jeanne, Sakala Carol
C arol S akala is Director of Programs at the Maternity Center Association (MCA) and leads MCA's long-term, national Maternity Wise™ program to promote evidence-based maternity care. Sakala is also co-author of the newly reconstructed Cochrane Review on continuous labor support.
J Perinat Educ. 2004 Spring;13(2):16-22. doi: 10.1624/105812404X109492.
In this position paper-one of six care practice papers published by Lamaze International and reprinted here with permission-the benefit of continuous labor support is discussed and presented as an evidence-based practice that helps promote, protect, and support normal birth. The paper is written for childbearing women and their families. Women with continuous support are less likely to have a cesarean, an instrument delivery, and regional anesthesia. They are also less likely to report dissatisfaction with or negatively rate their childbirth experience. The value of the doula for both the laboring woman and her labor partner is discussed. The accompanying commentary-written by a leading proponent of maternity care practices-supports evidence that promotes continuous labor support. Lamaze International encourages women to plan for a supportive birth environment that includes continuous support.
在这篇立场文件中——这是国际拉玛泽分娩法组织发表的六篇护理实践论文之一,经许可在此转载——探讨了持续分娩支持的益处,并将其作为一种有助于促进、保护和支持自然分娩的循证实践呈现出来。本文是为孕产妇及其家庭而写。获得持续支持的女性进行剖宫产、器械助产和接受区域麻醉的可能性较小。她们对分娩经历表示不满或给予负面评价的可能性也较小。文中讨论了导乐对产妇及其分娩伴侣的价值。随附的评论——由一位孕产妇护理实践的主要支持者撰写——为促进持续分娩支持的证据提供了支持。国际拉玛泽分娩法组织鼓励女性规划一个包括持续支持在内的支持性分娩环境。