sposue/partner present during labor and delivery

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Hi i am a nursing student and i am writing a evidence based practice paper regarding the different outcomes (such as reducing stress) that can occur whether a spouse/partner/doula is present during the Labor and delivery and how it can effect the outcome of the infant? and i was wondering what you guys thought about this topic. Do you guys actually see a difference? does it reduce stress?

5 hours ago, jennylee321 said:

No you can't use the doula research because the outcomes such as less intervention and better breastfeeding outcomes have been proven specifically for doulas but not spouse/partner.

it would be interesting to see those studies. lot's go into observational studies and they're far less reliable than RCT's. Sample size, observational bias, control group....lot's of stuff make 'proving' something like 'outcome' in something like this pretty difficult if not impossible. You might be able to demonstrate a benefit, or lack of harm, but you'll never prove definitively one is better than another.

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On 3/29/2019 at 9:11 AM, offlabel said:

Someone with a doula self selects into a very specific and motivated group. They can be in a subset that is affluent, well educated and physically fit, but most of all, motivated to have very specific outcomes. I wonder if you looked at that socioeconomic subset, with and without a doula, and see what comes of it.

I changed my ebp question and included doula, spouse, partner- anyone that can decrease the complications in the labor and delivery.

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1 hour ago, kevinm23 said:

I changed my ebp question and included doula, spouse, partner- anyone that can decrease the complications in the labor and delivery.

Now you'd better define 'complications'.

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Specializes in L&D, Antepartum, Adult Critical Care.

Finding evidenced based research specifically with spouses/partners may be difficult to find. Which means there is an opportunity to conduct research, a survey of a small sample which of course would be subjective, based on their feelings after the fact.
But from my own subjective experience, it makes a difference. A woman needs to know that she is supported during labor. Love, caring all those things that make a person feel safe, warm and fuzzy have a huge effect on a person's physiological, mental and emotional state.
Best wishes.

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