Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
In Reply: Drs Kennell and Klaus used our definition
of compliance to infer that all women in the experimental group received intermittent
support. On the contrary, the nurses aimed to provide 100% continuous labor
support. We selected 80% minimum time as our standard for compliance, in recognition
of the nurses' needs for meals and personal hygiene breaks at times when another
nurse trained in labor support might be unavailable, and in anticipation of
rare instances of emergencies with other patients. Because nearly all women
had husbands and/or other family members with them, we doubt that any women
were ever left completely alone.
Hodnett E. Pulse Pressure and Risk of Cardiovascular Disease. JAMA. 2003;289(2):175-176. doi:10.1001/jama.289.2.175-a