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The use of a birthroom: a randomized controlled trial comparing delivery with that in the labour ward
Author(s) -
CHAPMAN M. G.,
JONES M.,
SPRING J. E.,
SWIET M.,
CHAMBERLAIN G. V. P.
Publication year - 1986
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1986.tb07884.x
Subject(s) - medicine , randomized controlled trial , labour ward , bedroom , preterm labour , significant difference , obstetrics , pregnancy , surgery , gestation , history , genetics , archaeology , biology
Summary. A randomized controlled trial of two environments for delivery was conducted at Queen Charlotte's Maternity Hospital. A total of 253 parous women expecting to have a labour ward delivery were invited to participate in the trial but only 148 agreed. These women were randomly allocated to be delivered either with standard labour ward management ( n = 72) or in the birthroom—a small bedroom decorated in a homely manner, without facilities for epidural analgesia or electronic fetal monitoring ( n = 76). Eleven women in the birthroom group and 10 in the labour ward group withdrew from the trial before labour and four were transferred from the birthroom to the labour ward when in labour. A questionnaire sent in the postnatal period to the women who completed the trial was returned by 80%. In the birthroom group there was significantly (i) decreased admission‐to‐delivery interval (ii) less analgesia (iii) more freedom of movement (iv) less suturing (v) increased rooming‐in. No difference was found in the assessment of difficulty of labour nor in the method of subsequent infant feeding.