title: Effect of Continued Support of Midwifery Students in Labour on the Childbirth and Labour Consequences: A Randomized Controlled Clinical Trial.
abstract: BACKGROUND
  Childbirth experience is a process throughout women's life and the most important consequence of labour. Support is the key factor to have a positive experience of childbirth. In order to improve and reduce the stress and anxiety levels in women during labour and cope with the childbirth pain, the emotional, physical and educational support of doulas can be used.
  
  
  OBJECTIVE
  This study was aimed to evaluate the effect of continued support of midwifery students in labour on the childbirth and labour consequences.
  
  
  METHODS
  The present study was conducted using a randomized controlled clinical trial design on 100 pregnant women referred to the maternity ward at Fatemieh Hospital, Shahroud, Iran. The participants were assigned to the supportive or non-supportive group based on allocation sequence using a randomized block design and table of computer-generated random numbers prior to beginning the study. Supportive care was provided by the trained midwifery students. Childbirth and labour consequences were analysed by chi-square test, Fisher-exact test, independent t-test, Mann-Whitney U-test using SPSS-21 software.
  
  
  RESULTS
  The results showed a significantly lower duration of the first stage of labour in the supportive group, as compared to that in the non-supportive group (p <0.001). Moreover, Apgar scores in the supportive group, compared to those in the non-supportive group, significantly increased at minutes 1 and 5 (p <0.001 and p = 0.04, respectively).
  
  
  CONCLUSIONS
  The findings of this study showed that the supportive care provided by the midwifery students shortens duration of the first stage of labour and improves the Apgar scores in the first and fifth minutes.
authors: Student, Department of Midwifery, School of Nursing and Midwifery, Shahroud University of Medical Sciences , Shahroud, Iran .
authors: Nahid
authors: N
authors: Bolbol-Haghighi
authors: PhD, Department of Midwifery, Research Center for Child and Maternity Care (RCCMC), Hamadan University of Medical Sciences , Hamadan, Iran .
authors: Seyedeh Zahra
authors: SZ
authors: Masoumi
authors: Student, Department of Midwifery, School of nursing and midwifery, Hamadan University of Medical Sciences , Hamadan, Iran .
authors: Farideh
authors: F
authors: Kazemi
keywords: Childbirth pain; Doula; Maternal and neonatal complications