Impact of Doulas on Healthy Birth Outcomes
Impact of Doulas on Healthy Birth Outcomes
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DOI：
10.1891/1058-1243.22.1.49
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发表时间：
2013-12-01
影响因子：
0.6
通讯作者：
Dobson, Christina
中科院分区：
文献类型：
--
作者：
Gruber, Kenneth;Cupito, Susan;Dobson, Christina
出生结果的两组社会处境不利的母亲在不良的出生结果的风险，一个接受产前援助，从认证的导乐和其他代表的分娩母亲谁选择不与导乐工作的样本，进行了比较。所有的母亲都参加了产前健康和分娩教育计划。与导乐匹配的准妈妈有更好的分娩结果。Doula协助的母亲有低出生体重（LBW）婴儿的可能性降低了四倍，发生涉及自己或婴儿的出生并发症的可能性降低了两倍，并且开始母乳喂养的可能性明显增加。在整个怀孕期间与导乐的沟通和鼓励可能会增加母亲对自己影响怀孕结果的能力的自我效能。
Birth outcomes of two groups of socially disadvantaged mothers at risk for adverse birth outcomes, one receiving prebirth assistance from a certified doula and the other representing a sample of birthing mothers who elected to not work with a doula, were compared. All of the mothers were participants in a prenatal health and childbirth education program. Expectant mothers matched with a doula had better birth outcomes. Doula-assisted mothers were four times less likely to have a low birth weight (LBW) baby, two times less likely to experience a birth complication involving themselves or their baby, and significantly more likely to initiate breastfeeding. Communication with and encouragement from a doula throughout the pregnancy may have increased the mother's self-efficacy regarding her ability to impact her own pregnancy outcomes.