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Midwifery. 2013 Mar;29(3):190-4. doi: 10.1016/j.midw.2012.05.011. Epub 2012 Aug 15.

Women's experience with early labour management at home vs. in hospital: a randomised controlled trial.

Author information

1
UBC School of Population and Public Health, MPH Program, 2206 East Mall, Vancouver, BC, Canada V6T 1Z3. patti.janssen@ubc.ca

Abstract

OBJECTIVE:

to compare experiences with early labour assessment and support at home vs. by telephone.

DESIGN:

a randomised controlled trial of nurse home visits vs. telephone support for assessment and support of women in early labour.

SETTING:

hospitals serving obstetrical populations in metropolitan and suburban Vancouver, British Columbia, Canada.

PARTICIPANTS:

healthy nulliparous women in labour at term with uncomplicated pregnancies participating in the third and fourth year of the trial.

INTERVENTION:

women were randomised to receive early labour assessment and support at home (n=241) and or to receive assessment and support by telephone (n=182).

MEASUREMENT:

the Early Labour Experience Questionnaire (ELEQ), a 26-item self-administered questionnaire that measures women's experience with early labour care across three domains: emotional well-being, emotional distress and perceptions of nursing care.

FINDINGS:

women who received home visits rated their early labour experience more positively overall compared to women who received telephone support (103.14 ± 12.45 vs. 99.67 ± 13.11, p<.01)including perceptions of nursing care that they received (38.64 ± 2.90 vs. 36.82 ± 4.09, p<.001). However, women's affective experiences did not differ.

KEY CONCLUSIONS:

early labour nursing care provided at home is associated with a more positive experience of early labour compared to telephone support.

PMID:
22901494
DOI:
10.1016/j.midw.2012.05.011
[Indexed for MEDLINE]

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