Doula tukee synnyttäjää

Doulatutkimuksia

Tälle sivulle tulen keräämään lähteitä, missä käsitellään doulatoimintaa ja douliin liittyviä tutkimuksia.

Continuous support for women during childbirth

Authors’ conclusions:

Continuous support during labour may improve outcomes for women and infants, including increased spontaneous vaginal birth, shorter duration of labour, and decreased caesarean birth, instrumental vaginal birth, use of any analgesia, use of regional analgesia, low five-minute Apgar score and negative feelings about childbirth experiences. We found no evidence of harms of continuous labour support. Subgroup analyses should be interpreted with caution, and considered as exploratory and hypothesis-generating, but evidence suggests continuous support with certain provider characteristics, in settings where epidural analgesia was not routinely available, in settings where women were not permitted to have companions of their choosing in labour, and in middle-income country settings, may have a favourable impact on outcomes such as caesarean birth. Future research on continuous support during labour could focus on longer-term outcomes (breastfeeding, mother-infant interactions, postpartum depression, self-esteem, difficulty mothering) and include more woman-centred outcomes in low-income settings.

Continuous Labor Support for Every Woman ( WHONN, An official position statement of the Association of Women’s Health, Obstetric and Neonatal Nurses)

”AWHONN recognizes that childbirth education and doula services contribute to the woman’s preparation for and support during childbirth and supports consideration of these services as a covered benefit in public and private health insurance plans.”

A Randomized Controlled Trial of Continuous Labor Support for Middle‐Class Couples: Effect on Cesarean Delivery Rates

Results: The doula group had a significantly lower cesarean delivery rate than the control group (13.4% vs 25.0%, p = 0.002), and fewer women in the doula group received epidural analgesia (64.7% vs 76.0%, p = 0.008). Among women with induced labor, those supported by a doula had a lower rate of cesarean delivery than those in the control group (12.5% vs 58.8%, p = 0.007). On questionnaires the day after delivery, 100 percent of couples with doula support rated their experience with the doula positively.

Conclusions: For middle‐class women laboring with the support of their male partner, the continuous presence of a doula during labor significantly decreased the likelihood of cesarean delivery and reduced the need for epidural analgesia. Women and their male partners were unequivocal in their positive opinions about laboring with the support of a doula. (BIRTH 35:2 June 2008)

WHO Tavoite 3. Taata terveellinen elämä ja hyvinvointi kaiken ikäisille

Tavoite 3. Taata terveellinen elämä ja hyvinvointi kaiken ikäisille ja synnytys

Naiskeskeisen hoidon kriittisiä komponentteja ovat:

  • vältetään turhia lääketieteellisiä toimenpiteitä
  • kannustetaan synnyttäjiä liikkumaan vapaasti synnytyksen aikana
  • annetaan synnyttäjien itse valita asentonsa synnytyksen aikana
  • synnyttäjät saavat valita tukihenkilönsä
  • turvataan yksityisyys ja luottamuksellisuus
  • tarjotaan riittävästi tietoa kivunlievityksestä

Laadukas hoito tulisi sisältää laadukasta kliinistä hoitoa, mutta myös synnyttäjän kokemuksen huomioimista.

Dr Princess Nothemba Simelela

Lisätietoa tästä aiheesta tässä blogikirjoituksessa: WHO nostaa esiin synnytystenhoidon kokonaisvaltaisuuden

Marjaana Siivola

Serfitioitu doula (vuodesta 2013) DONA International
Serfitioitu doulakouluttaja (vuodesta 2016) DONA International
Marjaana doulapalvelut

Doula Marjaana Siivola

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