An economic model of the benefits of professional doula labor support in Wisconsin births.
@article{Chapple2013AnEM, title={An economic model of the benefits of professional doula labor support in Wisconsin births.}, author={Will Chapple and Amy L. Gilliland and Dongmei Li and Emily J. Shier and Emily Wright}, journal={WMJ : official publication of the State Medical Society of Wisconsin}, year={2013}, volume={112 2}, pages={ 58-64 } }
INTRODUCTION
The purpose of this study is to estimate the immediate cost savings per delivery with in-hospital professional doula labor support in Wisconsin. This is the first study that calculates the estimated cost savings of professional doula labor support specific to Wisconsin.
METHODS
This analysis used results presented in and derived from the Cochrane Review of continuous labor support to estimate procedure reduction and cost savings in Wisconsin using birth statistics from 2010. The…
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References
SHOWING 1-10 OF 13 REFERENCES
A randomized controlled trial of continuous labor support for middle-class couples: effect on cesarean delivery rates.
- MedicineBirth
- 2008
For middle-class women laboring with the support of their male partner, the continuous presence of a doula during labor significantly decreased the likelihood of cesarean delivery and reduced the need for epidural analgesia.
A comparison of intermittent and continuous support during labor: a meta-analysis.
- Medicine, PsychologyAmerican journal of obstetrics and gynecology
- 1999
Continuous support for women during childbirth.
- MedicineThe Cochrane database of systematic reviews
- 2013
Continuous support during labour has clinically meaningful benefits for women and infants and no known harm and subgroup analyses suggested that continuous support was most effective when the provider was neither part of the hospital staff nor the woman's social network, and in settings in which epidural analgesia was not routinely available.
Epidural and spinal anesthesia use during labor: 27-state reporting area, 2008.
- MedicineNational vital statistics reports : from the Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System
- 2011
The characteristics of women giving birth and the circumstances of births in which epidural or spinal anesthesia is used to relieve the pain of labor for vaginal deliveries are described to describe the characteristics of the mother and of labor among vaginal deliveries in the 27-state reporting area.
Obstetrical intervention rates and maternal and neonatal outcomes of women with gestational hypertension.
- MedicineAmerican journal of obstetrics and gynecology
- 2001
Women with gestational hypertension had obstetrical intervention rates much higher than control subjects and similar to those with preeclampsia and chronic hypertension.
Continuous emotional support during labor in a US hospital. A randomized controlled trial.
- MedicineJAMA
- 1991
The continuous presence of a supportive companion (doula) during labor and delivery in two studies in Guatemala shortened labor and reduced the need for cesarean section and other interventions. In a…
Effects of social support during parturition on maternal and infant morbidity.
- MedicineBritish medical journal
- 1986
It is suggested that constant human support may be of great benefit to women during labour and that women who have supportive female companions throughout labour have significantly fewer perinatal complications.
Diet-controlled gestational diabetes mellitus does not influence the success rates for vaginal birth after cesarean delivery.
- MedicineAmerican journal of obstetrics and gynecology
- 2004
National Diabetes Data Group vs Carpenter-Coustan criteria to diagnose gestational diabetes.
- MedicineAmerican journal of obstetrics and gynecology
- 2011