COOL-study: Continuous support during Labor (WC2014-057)


Starting date: 15/11/2014


Literature describes positive effects of continuous support during labour on the appreciation and satisfaction of women, a shorter average time of the expulsion period, less assisted deliveries (forceps and vacuum-assisted vaginal births) and caesarean sections and less use of drug pain treatments.

The Royal Dutch Organization of Midwives (KNOV) conducted a pilot study on continuous support among 125 women in labour. Five midwife-led practices provided their clients continuous support during labour. The results of this pilot showed a decrease in referrals from first to second line care (34% versus 41%) (LVR, 2010).

To draw significant conclusions on the pilot study results, a larger study was set up,  named the COOL-study. COOL stands for continuous support during labour. The COOL-study is a study conducted by the Midwifery Science department, AVAG/EMGO+, VUmc commissioned by the KNOV.

The purpose of this study is to research the effect on referrals after applying continuous support during labour. Furthermore, this study examines woman’s satisfaction with their labour and childbirth and their experiences in continuity of care. 

This study is a prospective cohort conducted in midwifery-led practices in The Netherlands. Women with a physiological pregnancy, who start their labour under supervision of the midwife, will be included in this study.

The study term will be approximately 10 months.