J Perinat Educ. 2018 Oct;27(4):193-197. doi: 10.1891/1058-1243.27.4.193.
This contribution reproduces a fact sheet about the current Cochrane systematic review, , summarizing 27 randomized controlled trials of nearly 16,000 women. Having continuous labor support versus none was associated with no harms and impressive benefits, especially when provided by someone in a doula role. Overall, women with continuous support were more likely to have spontaneous vaginal births and shorter labors and less likely to have negative birth experiences, labor pain medication, epidural/spinal analgesia, instrumental vaginal births, cesarean births and low 5-minute Apgar scores. Subgroup analysis found most benefits and greatest effects sizes when continuous support was provided by someone in a doula role versus a member of the hospital staff or the woman's social network.
本文章复制了一份关于当前Cochrane系统评价的情况说明书，该评价总结了近16000名女性参与的27项随机对照试验。有持续的分娩支持与没有相比，并无危害且益处显著，尤其是由导乐提供支持时。总体而言，获得持续支持的女性更有可能顺产、分娩时间更短，且不太可能有负面的分娩体验、使用分娩止痛药物、接受硬膜外/脊髓镇痛、进行器械助产分娩、剖宫产以及出生后5分钟阿氏评分较低。亚组分析发现，由导乐提供持续支持与由医院工作人员或女性社交网络成员提供相比，益处最多且效应量最大。
