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[The role of a family delivery in the modern obstetrics].

UNLABELLED
The aim of the study were the comparison of a course of delivery and the baby's condition between family delivery and traditional mode of labour, and the analysis of factors influencing the choice for a particular delivery option.


MATERIAL AND METHODS
retrospective analysis of the medical records of healthy pregnant women at term hospitalised in 2001-2003 in the Department of Perinatology and Gynecology, Zabrze, Poland. Patients were divided into two groups depending on a delivery mode basis: group I (n = 520) were those attended by a family member, group II involved patients who were not (n = 1480).


RESULTS
In the analysed period of time the rate of family deliveries has risen from 14% only in 2001 till 26% in 2002 and 36% in 2003. Younger patients, particularly occupationally active primigravidae with at least secondary education were more likely to choose the family delivery. This group of patients revealed two times lower rate of caesarean section or abnormal foetal heart rate. At the same time longer the first and the second stage of labour were noted. Duration of the III stage did not differ.


CONCLUSIONS
Support by a family member during delivery could significantly elongate time spent in the delivery room as well as decrease the number of invasive procedures during and after the delivery.