Female Relatives or Friends Trained as Labor Doulas: Outcomes at 6 to 8 Weeks Postpartum

Campbell, Della; Scott, Kathryn D.; Klaus, Marshall H.; Falk, Michele

doi:10.1111/j.1523-536x.2007.00174.x

Cited by 59 publications

(67 citation statements)

References 13 publications

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“…En un trabajo coordinado con la maternidad del hospital Dr. Sótero del Río, desde el año 2003, se incorporó una doula (mujer familiar o amiga) durante el trabajo de parto, elegida por la adolescente y capacitada previamente por el equipo profesional. Esta modalidad ha sido actualmente descrita como de bajo costo, alta efectividad y contribuyente a favorecer el bienestar materno infantil (18).…”

Section: Introductionunclassified

Una Experiencia De Acompañamiento Con Doula a Adolescentes en Trabajo De Parto

Kopplin

et al. 2008

Rev. chil. obstet. ginecol.

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RESUMENObjetivo: Comparar la percepción del dolor-temor durante el trabajo de parto y parto, y el grado de dificultadsatisfacción con la experiencia de parto, en un grupo de adolescentes acompañadas por doula y otro con atención habitual. Método: El grupo estudio comprendió 80 adolescentes del "Programa Emprende Mamá" que controlaron sus embarazos en centros de salud de la comuna de La Florida y con parto en el hospital Dr. Sótero del Río, acompañadas por una mujer familiar o amiga, elegida por la joven, con capacitación previa de 2 horas. El grupo control estuvo formado por 80 adolescentes no participantes del programa, que controlaron sus embarazos en los mismos centros de salud, con parto en el mismo período. Resultados: El grupo estudio refirió menor percepción de dolor durante el trabajo de parto y parto, menor temor durante el parto y lo percibió como más fácil. No se encontraron diferencias significativas en el nivel de satisfacción respecto de la experiencia total. Sin embargo, las adolescentes con doula señalaron estar satisfechas por aspectos positivos de la vivencia, mientras que el grupo control centra su satisfacción en la ausencia de expectativas negativas temidas. Conclusión: El acompañamiento por doula en el parto de la embarazada adolescente, es una intervención de bajo costo que permite mejorar cualitativamente su vivencia de parto.PALABRAS CLAVE: Doula, afectividad, apoyo emocional, embarazo adolescente SUMMARY Objective: To compare the effects of continuous doula support and standard hospital care on pain and fear perception, during labor and delivery, as well as perception of difficulty and satisfaction with the birth experience, in a sample of pregnant teenagers. Method: The study group was conformed by eighty pregnant teenagers participants in "Emprende Mamá Program" attended in the outpatient clinics of La Florida county for their prenatal care and delivery at a public hospital. They received emotional support during labor by a 2 hour trained female relative or friend, previously chosen by them. The control group was conformed by eighty non participants teenagers attended at the same outpatient clinics and delivery in the same period. Results: Teenagers with doula support reported less pain and fear during labor and delivery and perceived their birth experience as less difficult. No significant differences were reported in relation to satisfaction with birth experience. Although teenagers with doula support reported satisfaction due to positive aspects with birth experience, meanwhile the control group felt mostly satisfied due the absence of negative feared expectations. Conclusion: Labor support given by doula, is a low cost intervention which improves quality perception of birth experience in the adolescent pregnant.

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Section: Introductionunclassified

Una Experiencia De Acompañamiento Con Doula a Adolescentes en Trabajo De Parto

Kopplin

et al. 2008

Rev. chil. obstet. ginecol.

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“…In 11 trials (Breart -Belgium 1992;Breart -France 1992;Campbell 2006;Cogan 1988;Dickinson 2002;Gagnon 1997;Hemminki 1990a;Hemminki 1990b;Hodnett 1989;Hodnett 2002;McGrath 2008), hospital policy permitted women to be accompanied by their husbands/partners or other family members during labour, while in the other 11 trials, no additional support people were allowed. Epidural analgesia was not routinely available in seven trials (Breart -Greece 1992;Kashanian 2010;Klaus 1986;Madi 1999;Morhason-Bello 2009;Yuenyong 2012).…”

Section: Description Of Studiesmentioning

confidence: 99%

“…Electronic fetal heart rate monitoring was not routine in eight trials (Bruggemann 2007;Kashanian 2010;Klaus 1986;Langer 1998;Madi 1999;Morhason-Bello 2009;Yuenyong 2012). In nine trials (Campbell 2006;Dickinson 2002;Gagnon 1997;Hemminki 1990a;Hemminki 1990b;Hodnett 1989;Hodnett 2002;Kennell 1991;McGrath 2008) electronic fetal monitoring was used routinely.…”

Section: Description Of Studiesmentioning

confidence: 99%

“…In seven trials the providers were not members of the hospital staff and were not part of the woman's social network; they were women with or without special training, such as doulas or women who had given birth before (Hodnett 1989;Kennell 1991;Klaus 1986;McGrath 1999): a childbirth educator (Cogan 1988), or retired nurses (Langer 1998). In six trials they were companions of the woman's choice from her social network, with or without brief training --a female relative or friend or the woman's husband/partner (Bruggemann 2007;Campbell 2006;Madi 1999;Morhason-Bello 2009;Torres 1999;Yuenyong 2012). …”

Section: Included Studies-pleasementioning

confidence: 99%

“…Eleven trials described using a computer random number generator or referred to a random number table (Bruggemann 2007;Campbell 2006;Gagnon 1997;Hodnett 1989;Hodnett 2002;Kashanian 2010;Langer 1998;Morhason-Bello 2009;Torres 1999;Yuenyong 2012) and were assessed as low risk of bias.…”

Section: Risk Of Bias In Included Studiesmentioning

confidence: 99%

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