A hospital-based doula program and childbirth outcomes in an urban, multicultural setting.
OBJECTIVES: The objective of this study is to determine whether there are differences in birth and breastfeeding outcomes for women who received labor support through a hospital-based doula program, compared with those who did not receive doula support in labor. METHODS: We conducted a retrospective...
| Publicado en: | Maternal & Child Health Journal Vol. 12; no. 3; pp. 372 - 378 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
May2008
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105751080&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105751080 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: May2008 vid: 12 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 105751080 105751080 2009885693 10.1007/s10995-007-0245-9 NLM17610053 105751080 ppf: 372 ppct: 6 formats: fmt: @attributes: type: P tig: atl: A hospital-based doula program and childbirth outcomes in an urban, multicultural setting. aug: au: Mottl-Santiago J Walker C Ewan J Vragovic O Winder S Stubblefield P affil: Department of Obstetrics and Gynecology, Boston University School of Medicine/Boston Medical Center, 91 East Concord Street, Rm 4113, Boston, MA, 02118, USA, Julie.MottlSantiago@bmc.org. sug: subj: Breast Feeding Doulas Pregnancy Outcomes Program Evaluation Analgesia, Epidural Apgar Score Cesarean Section Chi Square Test Confidence Intervals Data Analysis Software Descriptive Statistics Female Hospitals Mantel-Haenszel Test Massachusetts Pregnancy Prospective Studies Regression Relative Risk Retrospective Design T-Tests Urban Areas Wilcoxon Rank Sum Test Human Female ab: OBJECTIVES: The objective of this study is to determine whether there are differences in birth and breastfeeding outcomes for women who received labor support through a hospital-based doula program, compared with those who did not receive doula support in labor. METHODS: We conducted a retrospective program evaluation to compare differences in birth outcomes between births at 37 weeks or greater with doula support and births at 37 weeks or greater without doula support through the first seven years of a hospital-based doula support program. Log-binomial regression models were used to compare differences in cesarean delivery rates, epidural use, operative vaginal delivery, Apgar scores, breastfeeding intent and early breastfeeding initiation after controlling for demographic and medical risk factors. The propensity score was included as an additional covariate in our regression model to minimize issues of selection bias. Analyses were conducted for the whole cohort of 11,471 women and by parity and provider service in subgroup analyses. Cochran-Mantel-Haenszel test was performed to detect differences in effects over time. RESULTS: For the whole cohort, women with doula support had significantly higher rates of breastfeeding intent and early initiation. Subgroup analysis showed that having doula support was significantly related to: (a) higher rates of breastfeeding intent and early initiation rates for all women regardless of parity or provider with the exception of multiparous women with physician providers; (b) lower rates of cesarean deliveries for primiparous women with midwife providers. CONCLUSION: A hospital-based doula support program is strongly related to improved breastfeeding outcomes in an urban, multicultural setting. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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