Evidence map›Paper›PMID 35192726›Full record

ArticleThe Australian & New Zealand journal of obstetrics & gynaecology2022

Impact of suspending labour companionship during the COVID-19 pandemic on intrapartum care and delivery outcomes.

Khin-Shwe Eu, Carmen Diana Chung

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Article in The Australian & New Zealand journal of obstetrics & gynaecology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Khin-Shwe EuDepartment of Obstetrics and Gynaecology, Pamela Youde Nethersole Eastern Hospital, Hong Kong, Hong Kong.ORCID 0000-0002-5598-9499
Carmen Diana ChungDepartment of Obstetrics and Gynaecology, Pamela Youde Nethersole Eastern Hospital, Hong Kong, Hong Kong.ORCID 0000-0002-0706-8820

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs part of infection control measures during the COVID-19 pandemic, labour companionship was suspended intermittently at public hospitals across Hong Kong.

aimsThe aim was to assess the impact of restricting labour companionship on intrapartum care and maternal and neonatal outcomes. MATERIALS AND

methodsThis is a retrospective cohort study comparing patients admitted for vaginal delivery with and without a labour companion. Deliveries during 1 February to 20 May and 17 July to 11 September 2020 ('alone group') were compared to deliveries during the same periods one year earlier when companionship was unrestricted ('accompanied group'). Outcomes were controlled for age, parity, body mass index, birth weight, education level and induction of labour.

resultsThere were 651 and 491 deliveries in the accompanied and alone groups, respectively. Overall, physiological maternal and neonatal outcomes were not significantly different. Neonates in the alone group were more likely to have skin-to-skin contact delayed beyond 60 min after delivery (odds ratio 1.48, 95% confidence interval 1.45-1.51). None of these infants were exclusively breastfed at the time of discharge.

conclusionsThe presence of a labour companion may encourage earlier initiation of skin-to-skin contact, which has been shown to improve bonding experience. However, families that have already been affected by previous restrictions can be provided some reassurance that physiological outcomes do not appear to be significantly different. In addition, interventions that encourage companion involvement, such as breathing exercises and massages, were not hindered, as midwives took on a greater role in supporting the parturient.

Indexed as

COVID-19Labor, ObstetricDelivery, ObstetricFemaleHumansInfantInfant, NewbornPandemicsPregnancyRetrospective StudiesbreastfeedingCOVID-19deliverylabournewborn

Identifiers

PMID35192726
PMCPMC9111259

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.