Antenatal education for self-diagnosis of the onset of active labour at term
- PMID: 10796218
- PMCID: PMC6483815
- DOI: 10.1002/14651858.CD000935
Antenatal education for self-diagnosis of the onset of active labour at term
Abstract
Background: A specific program designed to teach women to recognise active labour may be beneficial through potentially decreasing the incidence of early admission to hospital, increasing women's confidence and decreasing their anxiety.
Objectives: The objective of this review was to assess the effects of teaching pregnant women specific criteria for self-diagnosis of active labour onset in term pregnancy.
Search strategy: We searched the Cochrane Pregnancy and Childbirth Group trials register and the Cochrane Controlled Trials Register.
Selection criteria: Randomised trials comparing a structured antenatal education intervention for the identification of symptoms for self-diagnosis of active labour with usual care.
Data collection and analysis: Trial quality was assessed.
Main results: One study involving 245 women was included. Method of randomisation was unclear and 15% of the sample was lost to follow-up in this trial. A specific antenatal education program was associated with a reduction in the mean number of visits to the labour suite before the onset of labour (weighted mean difference -0. 29, 95% confidence interval -0.47 to -0.11). It is unclear whether this resulted in fewer women being sent home because they were not in labour.
Reviewer's conclusions: There is not enough evidence to evaluate the use of a specific set of criteria for self-diagnosis of active labour.
Conflict of interest statement
None known.
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References
References to studies included in this review
Bonovich 1990 {published data only}
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- Bonovich L. Recognizing the onset of labour. Journal of Obstetric, Gynecologic and Neonatal Nursing 1990;19(2):141‐5. - PubMed
References to studies awaiting assessment
Delaram 2009 {published data only}
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- Delaram M. The effects of consultation with mother in third trimester of pregnancy on pregnancy outcomes. Iranian Registry of Clinical Trials (http://www.irct.ir/) (accessed 6 December 2010) 2009.
Lumluk 2011 {published data only}
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- Lumluk T, Kovavisarach E. Effect of antenatal education for better self‐correct diagnosis of true labor: a randomized control study. Journal of the Medical Association of Thailand 2011;94(7):772‐4. - PubMed
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