TY - JOUR
T1 - Nursing Support during Latent Phase Labor
T2 - A Scoping Review
AU - Breman, Rachel Blankstein
AU - Neerland, Carrie
N1 - Publisher Copyright:
© 2020 Lippincott Williams and Wilkins. All rights reserved.
PY - 2020/7
Y1 - 2020/7
N2 - Purpose:The purpose of this scoping review was to synthesize the literature on nursing support during the latent phase of the first stage of labor. In 2014, the definition of the beginning of active labor changed from 4 centimeters (cm) to 6 cm cervical dilation. More women may have an induction of labor based on results of recent research showing no causal increase in risk of cesarean birth with elective induction of labor for low-risk nulliparous women. Therefore, in-hospital latent phase labor may be longer, increasing the need for nursing support.Design:Scoping review of the literature from 2009 to present.Methods:We conducted the review using key words in PubMed, CINAHL, and Scopus. Search terms included different combinations of "latent or early labor," "birth," "support," "nursing support," "obstetrics," and "onset of labor." Peer-reviewed research and quality improvement articles from 2009 to present were included if they had specific implications for nursing care during the latent phase of labor. Articles were excluded if they were not specific to nursing, focused exclusively on tool development, or were from the perspective of pregnant women or providers only.Results:Ten articles were included. Results were synthesized into six categories; support of physiologic labor and birth, the nurse's own personal view of labor, birth environment, techniques and tools, decision-making, and importance of latent labor discussion during the prenatal period.Clinical Implications:Support for physiologic labor and birth is an important consideration for use of nonpharmacological methods during latent labor. The nurse's own personal view on labor support can influence the support that laboring women receive. Nurses may need additional education on labor support methods.
AB - Purpose:The purpose of this scoping review was to synthesize the literature on nursing support during the latent phase of the first stage of labor. In 2014, the definition of the beginning of active labor changed from 4 centimeters (cm) to 6 cm cervical dilation. More women may have an induction of labor based on results of recent research showing no causal increase in risk of cesarean birth with elective induction of labor for low-risk nulliparous women. Therefore, in-hospital latent phase labor may be longer, increasing the need for nursing support.Design:Scoping review of the literature from 2009 to present.Methods:We conducted the review using key words in PubMed, CINAHL, and Scopus. Search terms included different combinations of "latent or early labor," "birth," "support," "nursing support," "obstetrics," and "onset of labor." Peer-reviewed research and quality improvement articles from 2009 to present were included if they had specific implications for nursing care during the latent phase of labor. Articles were excluded if they were not specific to nursing, focused exclusively on tool development, or were from the perspective of pregnant women or providers only.Results:Ten articles were included. Results were synthesized into six categories; support of physiologic labor and birth, the nurse's own personal view of labor, birth environment, techniques and tools, decision-making, and importance of latent labor discussion during the prenatal period.Clinical Implications:Support for physiologic labor and birth is an important consideration for use of nonpharmacological methods during latent labor. The nurse's own personal view on labor support can influence the support that laboring women receive. Nurses may need additional education on labor support methods.
KW - Birth
KW - First labor stage
KW - Nursing care
UR - http://www.scopus.com/inward/record.url?scp=85087468450&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85087468450&partnerID=8YFLogxK
U2 - 10.1097/NMC.0000000000000626
DO - 10.1097/NMC.0000000000000626
M3 - Review article
C2 - 32271202
AN - SCOPUS:85087468450
SN - 0361-929X
VL - 45
SP - 197
EP - 207
JO - MCN The American Journal of Maternal/Child Nursing
JF - MCN The American Journal of Maternal/Child Nursing
IS - 4
ER -