Evaluation of a Student‐Nurse Doula Program: An Analysis of Doula Interventions and Their Impact on Labor Analgesia and Cesarean Birth

Paterno, Mary T.; Zandt, Shirley E. Van; Murphy, Jeanne; Jordan, Elizabeth

doi:10.1111/j.1542-2011.2011.00091.x

Cited by 22 publications

(23 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Many definitions of the doula role also encompass informational support and advocacy . Informational support may be described as explaining, answering questions, or giving ‘information about what's happening during labour’ as well as bringing the doula into the process of preparing for informed choice by discussing ‘options, risks and benefits of the different approaches available in maternity care’ . The definition of advocacy is more contested.…”

Section: What Is a Doula?mentioning

confidence: 99%

Defining the doula's role: fostering relational autonomy

Meadow

2014

Health Expectations

View full text Add to dashboard Cite

Background Training organizations as well as academic and popular literature provide ambiguous or ethically contentious characterizations of the role of the birth doula, a non-clinical role assisting women in pregnancy and birth with information and physical and emotional support. Doulas have been criticized for attempting to impose their own agendas on their clients and for interfering with the relationship between women and their medical caregivers.

show abstract

Section: What Is a Doula?mentioning

confidence: 99%

Defining the doula's role: fostering relational autonomy

Meadow

2014

Health Expectations

View full text Add to dashboard Cite

show abstract

“…), a cohort study (Paterno et al . ) or a cross‐sectional survey (Steel et al . ), or as part of a mixed‐methodology study design (Bertsch et al .…”

Section: Resultsmentioning

confidence: 99%

Trained or professional doulas in the support and care of pregnant and birthing women: a critical integrative review

Steel

Frawley

Adams

et al. 2014

Health Soc Care Community

View full text Add to dashboard Cite

The professionalisation of doula care and research interest in this area of maternity care/support have both grown internationally in recent years highlighting important broader issues around the access, continuity and delivery of maternity care services. However, no work to date has provided a critical appraisal of the international literature on this topic. In response, this paper presents the first critical review of international empirical literature examining professional doula care for pregnant and birthing women. A database search of AMED, CINAHL, Maternity and Infant Care, and MEDLINE using the search term, “doula” was undertaken. A total of 48 papers published between 1980 and March 2013 involving trained or professional doulas were extracted. Four descriptive categories were identified from the review: ‘workforce and professional issues in doula care’; ‘trained or professional doula's role and skill’; ‘physical outcomes of trained or professional doula care’; and ‘social outcomes of trained or professional doula care’. Of the studies evaluating outcomes of doula care, there were a number with design and methodology weaknesses. The review highlights a number of gaps in the research literature including a lack of research examining doula workforce issues; focus upon the experience and perspective of significant stakeholders such as expectant fathers with regard to trained or professional doula care; clinical trials measuring both subjective experiences and physical outcomes of trained or professional doula support; synergy between the design of clinical trials research examining trained or professional doula care and the clinical reality of professional doula practice. It is imperative that key aspects of trained doula care be subject to further rigorous, empirical investigation to help establish an evidence base to guide policy and practice relating to this area of support and care for pregnant and birthing women.

show abstract

“…Reports existent corrobo- rate the ideia that the doulas, by providing women physical and emotional comfort and orientations concerning the childbirth, increase tranquility and decrease anxiety levels. [6] The doulas support have been associated with reduction in cesarean and unnecessary intervention numbers [3,4], and it is also related with increase of women satisfaction and decrease in financial costs. [4] A larger frequency of skin-to-skin contact and a better perception about the women's satisfaction towards labor, were factors significantly related with the presence of the doula at normal vaginal childbirth.…”

Section: Discussionmentioning

confidence: 99%

“…[2] Scientific evidences have been pointing the contributions of the doulas at the decrease in unnecessary biomedical intervention at the prepartum and postpartum and, in result, the decrease in the numbers of cesarian sections. [3,4,5] With such contribution, there is a increase in the insertion of the doulas at the childbirth scenario, in the vaginal birth centers as well as in the high-risk and basicrisk maternities.…”

Section: Introductionmentioning

confidence: 99%