Klaus M H, Kennell J H, Robertson S S, Sosa R
Br Med J (Clin Res Ed). 1986 Sep 6;293(6547):585-7. doi: 10.1136/bmj.293.6547.585.
Because continuous social support during labour is a component of care in many societies but inconsistent in our own, the clinical effect of support during labour on maternal and neonatal morbidity were studied. Social support was provided by female companions. Four hundred and sixty five healthy primigravidous women were enrolled using a randomised design. Compared with 249 women undergoing labour alone 168 women who had supportive female companions throughout labour had significantly fewer perinatal complications (p less than 0.001), including caesarean sections (7% v 17%, p less than 0.01) and oxytocin augmentation (2% v 13%, p less than 0.001), and fewer infants admitted to neonatal intensive care (p less than 0.10). Of the women who had an uncomplicated labour and delivery requiring no interventions, those with a companion had a significantly shorter duration of labour (7.7 hours v 15.5 hours, p less than 0.001). This study suggests that constant human support may be of great benefit to women during labour.
由于分娩期间持续的社会支持在许多社会中是护理的一个组成部分，但在我们自己的社会中并不一致，因此研究了分娩期间支持对孕产妇和新生儿发病率的临床影响。社会支持由女性同伴提供。采用随机设计招募了465名健康初产妇。与249名单独分娩的妇女相比，168名在整个分娩过程中有支持性女性同伴的妇女围产期并发症明显更少（p<0.001），包括剖宫产（7%对17%，p<0.01）和催产素增强（2%对13%，p<0.001），入住新生儿重症监护病房的婴儿也更少（p<0.10）。在分娩和分娩过程中无需干预且情况正常的妇女中，有同伴陪伴的妇女分娩时间明显更短（7.7小时对15.5小时，p<0.001）。这项研究表明，持续的人力支持可能对分娩期间的妇女有很大益处。
