Women who have a midwife, doula or a supportive family member with them throughout labor are more likely to have a shorter labor, less likely to use painkillers during labor and more likely to be satisfied with their childbirth experience, compared to those who receive regular hospital care.

In addition, women who practice “kangaroo care” — skin-to-skin snuggling with their newborns — directly after birth are more successful early on at breastfeeding, compared to births where the newborns are taken away to be swaddled or washed.

Skin-to-skin contact and supportive labor care were the norm for centuries, before hospital births became the accepted practice in Western culture. However, “concerns about the consequent dehumanization of women’s birth experiences have led to calls for a return” to some of these practices, said Ellen Hodnett of the University of Toronto.

Hodnett and colleagues reviewed 16 studies of 13,391 women that compared supportive one-on-one care with routine hospital care during labor. In the studies, supportive care included a variety of elements, from encouragement and massage to relaying a woman’s wishes to the attending medical staff.

In general, the researchers found that supportive care worked best when it began in early labor and someone other than hospital staff provided it. The authors conclude, “Continuous support during labor should be the norm, rather than the exception.”

In 30 studies of 1,925 mother-infant pairs analyzed by Elizabeth Moore, M.D., and colleagues, pairs who had early skin-to-skin contact were more likely to breastfeed and to breastfeed for longer than those who did not. The review also showed that babies who had kangaroo care immediately after birth “interacted more with their mothers, stayed warmer and cried less,” said Moore.

MEDICA.de; Source: Health Behavior News Service