Female relatives or friends trained as labor doulas: Outcomes at 6 to 8 weeks postpartum
Female relatives or friends trained as labor doulas: Outcomes at 6 to 8 weeks postpartum
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DOI：
10.1111/j.1523-536x.2007.00174.x
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发表时间：
2007-09-01
影响因子：
2.5
通讯作者：
Falk, Michele
中科院分区：
文献类型：
--
作者：
Campbell, Della;Scott, Kathryn D.;Falk, Michele
背景资料：在15项随机对照试验中收集的12，000多名妇女的数据提供了有力的证据，证明导乐支持对分娩的医疗结果具有有益影响。本文的目的是研究导乐支持和母亲的婴儿，自我和其他人的支持在产后6至8周的看法之间的关联。助产士是一个受过最低限度训练的女性近亲或朋友。研究方法：600名低风险、未经产的妇女参加了最初的临床试验，并随机接受导乐支持（n = 300）或标准治疗（n = 300）。这位准妈妈和她的助产士参加了两个2小时的课程，内容是为劳动妇女提供非医疗的、持续的支持。对于次要研究，这里介绍的，研究参与者（N = 494）通过电话采访使用42项问卷。结果如下：总体而言，当Doula支持的母亲（n = 229）与接受标准护理的母亲（n = 265）进行比较时，她们更有可能报告对分娩的积极产前期望以及对婴儿的积极看法，来自他人的支持和自我价值。Doula支持的母亲也最有可能进行母乳喂养，并且对他们在医院接受的护理非常满意。结论：由准妈妈选择的受过最低限度训练的女性朋友或亲戚提供的分娩支持可以提高未经产妇及其婴儿的产后福祉，并且是专业导乐的低成本替代方案。
Background: Data collected on more than 12,000 women in 15 randomized controlled trials provide robust evidence of the beneficial effects of doula support on medical outcomes to childbirth. The objective of this paper was to examine the association between doula support and maternal perceptions of the infant, self, and support from others at 6 to 8 weeks postpartum. The doula was a minimally trained close female relative or friend. Methods: Six hundred low-risk, nulliparous women were enrolled in the original clinical trial and randomized to doula support (n = 300) or standard care (n = 300). The mother-to-be and her doula attended two 2-hour classes about providing nonmedical, continuous support to laboring women. For the secondary study, presented here, research participants (N = 494) were interviewed by telephone using a 42-item questionnaire. Results: Overall, when doula-supported mothers (n = 229) were compared with mothers who received standard care (n = 265), they were more likely to report positive prenatal expectations about childbirth and positive perceptions of their infants, support from others, and self-worth. Doula-supported mothers were also most likely to have breastfed and to have been very satisfied with the care they received at the hospital. Conclusions: Labor support by a minimally trained female friend or relative, selected by the mother-to-be, enhances the postpartum well-being of nulliparous mothers and their infants, and is a low-cost alternative to professional doulas.