Effectiveness of the doula program in Northern Taiwan

Chen, Chia-Chi; Lee, Jia-Fu

doi:10.4103/tcmj.tcmj_127_19

Cited by 3 publications

(2 citation statements)

References 31 publications

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“…Maternal satisfaction includes all dimensions of care including: physical environment, cleanliness, availability of resources, interpersonal behavior, privacy, promptness, cognitive care, perceived provider competency, and emotional supports [ 49 ]. Similar to the present study, in some studies, the presence of doula as a lay companion increases maternal satisfaction with the experience of childbirth [ 14 , 28 , 50 , 51 ]. Providing continuous doula program to pregnant women produces highest level of satisfaction [ 43 ].…”

Section: Discussionsupporting

confidence: 88%

Comparison of maternal outcomes in caring by Doula, trained lay companion and routine midwifery care

Shahbazi Sighaldeh,

Azadpour,

Vakilian

et al. 2023

BMC Pregnancy Childbirth

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Introduction The aim of this study was to compare maternal and neonatal outcomes in the care provided by Doula, trained lay companion, and routine midwifery care in the labor and obstetric units. In this study, only results related to maternal outcomes were presented. Method This is a quasi-experimental study, which was conducted on 150 women with low-risk pregnancies who had been selected for vaginal birth at private clinics and public hospitals of Arak, Iran. Participants were divided into three groups, two intervention groups, doula and trained lay companion, and one control group, midwife’s routine care. The intervention groups, in addition to receiving routine care from the labor and maternity units, also received support and training by doula or a trained lay companion, but 50 the control group received only routine midwifery care. In the control group and the trained companion, the samples were taken from 10 clinics of different parts of the city by random sampling method using the SIB center system. Then, among selected numbers, we randomly selected samples for each group. But in Doula group, because of limited number of samples, convenience sampling was used and all women enrolled in doula care were included in the study until the number reached 50. In each group, outcomes such as the duration of active phase and second stage of labor, as well as the severity of pain, anxiety and maternal satisfaction with birth were measured and compared with other groups. Data were collected by a researcher-made checklist, the Spielberger’s State-Trait Anxiety Inventory (STAI), the Pain Visual Assessment Scale (VAS), and the Hollins Martin’s Birth Satisfaction Scale-Revised (BSS-R). Data were analyzed by SPSS-22 statistical software using Kruskal Wallis, Chi-Square, ANOVA and Fisher’s exact tests. Findings Based on the results, the mean duration of active phase between three groups was 234.68 ± 118.74, 256.66 ± 108.75 and 279 ± 94.37 min, respectively (p = 0.022). Also, the mean duration of second stage in three groups was 10 ± 5.61, 10.35 ± 5.1 and 22.30 ± 75.57 min, respectively (p < 0.001). The difference between mean pain scores in the first, second, third, fourth and fifth hours was not statistically significant. The average difference in anxiety score in the two stages of labor was higher in the lay companion group, and this difference was statistically significant (p < 0.001); however, the level of satisfaction in doula group was higher compared to the lay companion and control groups (p < 0.00 1). Conclusion According to present study, doula care has a greater effect on reducing the duration of labor than other care models. Based on the study, there was no statistically significant difference between the three groups in terms of variables such as the severity of labor pain. However, the level of anxiety of pregnant mothers in the group supported by lay companion was lower than the other two groups, which indicates the positive effect of mothers’ training on increasing maternal comfort and satisfaction. It is suggested that further research investigate the severity of labor pain in groups supported by different care models and also we recommend the use of lay companion’ support during childbearing of mothers who could not afford doula. Trail registration This article has been registered in Iran’s Clinical Trial Center with the code: IRCT20230620058548N1. 2023/08/29.

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Section: Discussionsupporting

confidence: 88%

Comparison of maternal outcomes in caring by Doula, trained lay companion and routine midwifery care

Shahbazi Sighaldeh,

Azadpour,

Vakilian

et al. 2023

BMC Pregnancy Childbirth

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“…Providing continued support for the expectant mother and correct and appropriate information during labor and delivery result in the mother's comfort and tranquility and help her to identify the source of pain correctly and consider childbirth as a positive life event [6]. Several studies showed that mothers supported by doulas were happier and more satisfied with their childbirth experience [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Explaining the Childbirth Experience with the Support of a Doula in an Iranian Setting: A Qualitative Study

Fard

Moghadam

rad

2023

JHNM

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ntroduction: An expectant mother’s experience of normal vaginal delivery significantly impacts her health. One of the determinants of a positive experience is to enjoy constant support during labor. Objective: This study was conducted to understand the mother’s childbirth experience with the support of a doula during labor and delivery. Materials and Methods: This research was a qualitative study with a content analysis approach. A total of 16 pregnant women that gave birth with the assistance of doulas in a hospital in Zanjan City, Iran, were included in this qualitative study with a content analysis approach. Purposive sampling was used to select the participants in 2019. The study data were collected through in-depth, semi-structured interviews with mothers, then transcribed and coded. All interviews were conducted in one session, so 16 interviews were obtained. Data analysis was done using the method proposed by Graneheim and Lundman. Results: The participants were 18-35 years old (27.5±6.7 years). Three women had a primary school education, 7 had a high school diploma, and 6 had a university education. Four women were employed, and the rest were homemakers. After data analysis, 4 main categories and 8 subcategories were extracted. Main categories and subcategories include comprehensive support (physical support, mental support), assisting in materializing the motherhood dream (inducing calm in the mother, being released from pain and suffering), internal reinforcement (self-esteem, pain acceptance), and mother-centered care (doula as a different supportive, bidirectional relationship). Conclusion: Pregnant mothers’ satisfaction with delivery is affected by their experience. According to the results, all mothers were satisfied with doula support during delivery. The doula’s presence made childbirth a positive and satisfactory experience. The doula guided mothers from fear, pain, and ignorance to happiness and satisfaction. It is necessary to familiarize expectant mothers with the doula and the services they provide and facilitate their presence in labor and delivery rooms.

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Effects of Doula Care on Mother and Infant Health Outcomes in Al-Ahsa Region, Saudi Arabia: A Retrospective Cohort Study

Al-Zahir,

AlGadeeb,

AlGadeeb

et al. 2024

Cureus

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IntroductionContinued supportive care during childbirth may be the key to preventing unfavorable outcomes for both mother and child. It is important to assess and comprehend the sources of assistance available during pregnancy in order to enhance the birthing process and promote favorable outcomes. ObjectivesThe current study aimed to assess the impact of ongoing doula support on mother and infant health outcomes compared to standard care. MethodsA retrospective cohort study using both medical records and direct interviews based on information in the data collection form was carried out in the Eastern Province of Saudi Arabia, Al-Ahsa Region. The data that were collected included demographic information, obstetric history, delivery data, and postpartum outcome. ResultsA total of 50 pregnant women receiving doula care and 100 pregnant women receiving standard care were included. Regarding the mode of delivery, 43 (86%) of the doula group had vaginal deliveries compared to 73 (73%) of the standard care group, while CSs were needed for seven (14%) and 27 (27%), respectively (P = 0.78). Only seven (14%) neonates in the doula group required neonatal intensive care unit admission, versus 22 (22%) in the standard care group (P = 0.246). Additionally, initial breastfeeding within the golden hour occurred in 27 (54%) of the doula group compared to 16 (16%) of the standard care group, while exclusive breastfeeding was reported in 32 (64%) of the doula group compared to 26 (26%) of the standard care group (P < 0.001). ConclusionThe current study showed more advantageous delivery and postpartum outcomes among doula care women and their infants compared to standard care, mainly for increasing the rate of initiated breastfeeding within the golden hour, exclusive breastfeeding, and reducing postpartum depression.

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Effectiveness of the doula program in Northern Taiwan

Cited by 3 publications

References 31 publications

Comparison of maternal outcomes in caring by Doula, trained lay companion and routine midwifery care

Comparison of maternal outcomes in caring by Doula, trained lay companion and routine midwifery care

Explaining the Childbirth Experience with the Support of a Doula in an Iranian Setting: A Qualitative Study

Effects of Doula Care on Mother and Infant Health Outcomes in Al-Ahsa Region, Saudi Arabia: A Retrospective Cohort Study

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