RANDOMISED TRIAL OF STRUCTURED ANTENATAL TRAINING SESSIONS TO IMPROVE THE BIRTH PROCESS

摘要: Please cite this paper as: Maimburg R, Vaeth M, Durr J, Hvidman L, Olsen J. Randomised trial of structured antenatal training sessions to improve the birth process. BJOG 2010;117:921–928. Objective  To compare process in nulliparous women enrolled a programme, ‘The Ready for Child’ with allocated routine care. Design  A randomised controlled trial. Setting  Danish university hospital. Participants  Thousand hundred and ninety-three women, recruited before week 22 + 0. Methods  Compliance protocol was monitored by questionnaires sent email, data from local cohort database. Data were analysed according ‘intention-to-treat’ principle. Intervention  Women receive 9 hours or no formalised training. Of 1193 603 intervention group 590 reference group. Main outcome measures  Cervix dilatation on arrival at maternity ward, use pain relief medical interventions during process, women’s experience. Results  who attended ‘Ready programme arrived ward active labour more often than [relative risk (RR) 1.45, 95% confidence interval (95% CI) 1.26–1.65, P < 0.01], they used less epidural analgesia (RR 0.84, CI 0.73–0.97, P < 0.01) but not overall 0.99, 0.94–1.04, P < 0.72). Medical self-reported experiences similar two groups. We found adverse effects intervention. Conclusion  Attending may help cope better Adverse are few, if any.