Your browser doesn't support javascript.
loading
Community-based bilingual doula support during labour and birth to improve migrant women's intrapartum care experiences and emotional well-being-Findings from a randomised controlled trial in Stockholm, Sweden [NCT03461640].
Schytt, Erica; Wahlberg, Anna; Eltayb, Amani; Tsekhmestruk, Nataliia; Small, Rhonda; Lindgren, Helena.
Affiliation
  • Schytt E; Division of Reproductive Health, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
  • Wahlberg A; Centre for Clinical Research Dalarna, Uppsala University, Falun, Sweden.
  • Eltayb A; Faculty of Health and Social Sciences, Western Norway University of Applied Sciences Norway, Bergen, Norway.
  • Tsekhmestruk N; Division of Reproductive Health, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
  • Small R; Division of Reproductive Health, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
  • Lindgren H; Division of Reproductive Health, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
PLoS One ; 17(11): e0277533, 2022.
Article in En | MEDLINE | ID: mdl-36399476
ABSTRACT

OBJECTIVES:

To evaluate the effectiveness of community-based bilingual doula (CBD) support for improving the intrapartum care experiences and postnatal wellbeing of migrant women giving birth in Sweden.

DESIGN:

Randomised controlled trial.

SETTING:

Six antenatal care clinics and five hospitals in Stockholm, Sweden.

PARTICIPANTS:

164 pregnant Somali-, Arabic-, Polish-, Russian- and Tigrinya-speaking women who could not communicate fluently in Swedish, were ≥18 years and had no contra-indications for vaginal birth. INTERVENTION In addition to standard labour support, women were randomised to CBD support (n = 88) or no such support during labour (n = 76). Trained CBDs met with women prior to labour, provided support by telephone after labour had started, then provided emotional, physical and communication support to women throughout labour and birth in hospital, and then met again with women after the birth. PRIMARY

OUTCOMES:

Women's overall ratings of the intrapartum care experiences (key question from the Migrant Friendly Maternity Care Questionnaire) and postnatal wellbeing (mean value of Edinburgh Postnatal Depression Scale) at 6-8 weeks after birth.

RESULTS:

In total, 150 women remained to follow-up; 82 women (93.2%) randomised to receive CBD support and 68 women (89.5%) randomised to standard care (SC). Of women allocated CBD support, 60 (73.2%) received support during labour. There were no differences between the groups regarding women's intrapartum care experiences (very happy with care CBD 80.2% (n = 65) vs SC 79.1% (n = 53); OR 1.07 CI 95% 0.48-2.40) or emotional wellbeing (EPDS mean value CBD 4.71 (SD 4.96) vs SC 3.38 (SD 3.58); mean difference 1.33; CI 95% - 0.10-2.75).

CONCLUSIONS:

Community-based doula support during labour and birth for migrant women neither increased women's ratings of their care for labour and birth nor their emotional well-being 2 months postpartum compared with receiving standard care only. Further studies on the effectiveness of CBD powered to evaluate obstetric outcomes are needed. TRIAL REGISTRATION Trial registration at ClinicalTrial.gov NCT03461640 https//www.google.com/search?client=firefox-b-d&q=NCT03461640.
Subject(s)

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Transients and Migrants / Doulas / Maternal Health Services Type of study: Clinical_trials / Diagnostic_studies Limits: Female / Humans / Pregnancy Country/Region as subject: Europa Language: En Journal: PLoS One Journal subject: CIENCIA / MEDICINA Year: 2022 Document type: Article Affiliation country: Suecia

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Transients and Migrants / Doulas / Maternal Health Services Type of study: Clinical_trials / Diagnostic_studies Limits: Female / Humans / Pregnancy Country/Region as subject: Europa Language: En Journal: PLoS One Journal subject: CIENCIA / MEDICINA Year: 2022 Document type: Article Affiliation country: Suecia