Wednesday, July 18, 2007

In case you didn't know: appropriate continuous support during labor, and immediate skin-to-skin postpartum have the best outcomes.

The Cochrane meta-analyses have done it again. Kudos for two new publications.
A summary may be found at

Also, thanks to Virginia Thorley for alerting me to these two new and very useful papers.

1)Moore ER, Anderson GC, Bergman N. Early skin-to-skin contact for mothers and their healthy newborn infants. The Cochrane Database of Systematic Reviews 2007, Issue 3.
This review confirms the importance of early skin-to-skin just in time for World Breastfeeding Week, which is dedicated this year to early initation of breastfeeding. In fact, I was just chatting with Nils here at the LLLI Physician's Seminar- which, by the way, it excellent as always - who continues his inspiring work in this area.

2) Hodnett ED, et al. Continuous support for women during childbirth. The Cochrane Database of Systematic Reviews 2007, Issue 3.
This important study confirms what Marshall Klaus has been telling us for years: 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.

For those of you who may not be familiar with the Cochrane Reviews: The Cochrane Collaboration is an international nonprofit, independent organization that produces and disseminates systematic reviews of health care interventions and promotes the search for evidence in the form of clinical trials and other studies of interventions. Visit for more information.

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