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Current Women`s Health Reviews

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ISSN (Print): 1573-4048
ISSN (Online): 1875-6581

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Clinical Trial

Adolescent’s Experiences of Doula Companion during Childbirth: A Randomized Controlled Clinical Trial

Author(s): Leila Abdoli-Najmi, Niloufar Sattarzadeh-Jahdi, Roghaiyeh Nourizadeh*, Golnaz Molaei and Mahnaz Mohaddes

Volume 19, Issue 3, 2023

Published on: 04 August, 2022

Article ID: e200522205052 Pages: 7

DOI: 10.2174/1573404818666220520093652

Price: $65

Abstract

Background: Adolescent pregnancy is considered a global health problem, and adolescent mothers need to receive comprehensive support during labor and delivery.

Objective: The present study aimed to evaluate the effect of doula companions on the childbirth experience of adolescent mothers.

Methods: This trial study was conducted on 54 primigravid women under the age of 19 years referred to the Taleghani educational-treatment center affiliated with Tabriz University of Medical Sciences, Iran, from April to September, 2020. Participants were randomly assigned to the intervention (doula accompaniment) and control groups through block randomization using Random Allocation Software with block sizes of 4 and 6. The data were collected using the demographic and obstetric characteristics, Support and Control in Birth Questionnaire, Labor Agentry Scale, and the information in the labor progress record. The data were analyzed using SPSS 24. Independent t-test and ANCOVA were used.

Results: The mean score of support and control in birth was 121 ± 14.55 in the intervention group and 96.44 ± 15.8 in the control group (p <0.001). After intervention and adjusting the effect of support and control in birth, no significant difference in childbirth experience was observed between the two groups (AMD: 1.40, 95% CI: -2.25 to 5.07, p = 0.44).

Conclusion: Considering the effectiveness of the doula companion in improving the support and control in the birth of adolescent mothers, it is suggested to consider the doula support during labor and childbirth as one of the interventions to improve the quality of maternal health care among adolescents.

Keywords: Adolescent, pregnancy, childbirth experience, doula, support, CS.

Graphical Abstract

[1]
Darroch JE, Woog V, Bankole A, Ashford LS, Points K. Adding It Up: Costs and benefits of meeting the contraceptive needs of adolescents New York Guttmacher Institute. 2016.
[2]
Kiani MA, Ghazanfarpour M, Saeidi M. Adolescent pregnancy: A health challenge. Int J Pediatr 2019; 7(7): 9749-52.
[3]
World Bank Adolescent fertility rate. 2018. Available from: http:s://data.worldbank.org/indicator/SP.ADO.TFRT
[4]
Laursen M, Hedegaard M, Johansen C. Fear of childbirth: Predictors and temporal changes among nulliparous women in the Danish National Birth Cohort. BJOG 2008; 115(3): 354-60.
[http://dx.doi.org/10.1111/j.1471-0528.2007.01583.x] [PMID: 18190372]
[5]
Smarandache A, Kim TH, Bohr Y, Tamim H. Predictors of a negative labour and birth experience based on a national survey of Canadian women. BMC Pregnancy Childbirth 2016; 16(1): 114.
[http://dx.doi.org/10.1186/s12884-016-0903-2] [PMID: 27193995]
[6]
Bruggemann OM, Parpinelli MA, Osis MJ, Cecatti JG, Neto ASC. Support to woman by a companion of her choice during childbirth: A randomized controlled trial. Reprod Health 2007; 4(1): 5.
[http://dx.doi.org/10.1186/1742-4755-4-5] [PMID: 17612408]
[7]
Letourneau NL, Stewart MJ, Barnfather AK. Adolescent mothers: Support needs, resources, and support-education interventions. J Adolesc Health 2004; 35(6): 509-25.
[http://dx.doi.org/10.1016/S1054-139X(04)00069-2] [PMID: 15581532]
[8]
World Health Organization Adolescent pregnancy. 2014. Available from: http:://www.who.int/mediacentre/factsheets/fs364/en/
[9]
Bahri N, Vafaee-Najar A, Ebrahimipour H, Askari F, Bashiri Kh. Quality of labor support during labor. Patient Saf Qual Improve J 2014; 2(1): 58-64.
[10]
Coley SL, Nichols TR. Understanding factors that influence adolescent mothers’ doula use: A qualitative study. J Perinat Educ 2016; 25(1): 46-55.
[http://dx.doi.org/10.1891/1058-1243.25.1.46] [PMID: 26848250]
[11]
Everson CL, Cheyney M, Bovbjerg ML. Outcomes of care for 1,892 Doula-supported adolescent births in the United States: The DONA international data project, 2000 to 2013. J Perinat Educ 2018; 27(3): 135-47.
[http://dx.doi.org/10.1891/1058-1243.27.3.135] [PMID: 30364259]
[12]
Thomas MP, Ammann G, Brazier E, Noyes P, Maybank A. Doula services within a healthy start program: Increasing access for an underserved population. Matern Child Health J 2017; 21(1) (Suppl. 1): 59-64.
[http://dx.doi.org/10.1007/s10995-017-2402-0] [PMID: 29198051]
[13]
Kozhimannil KB, Hardeman RR, Attanasio LB, Blauer-Peterson C, O’Brien M. Doula care, birth outcomes, and costs among Medicaid beneficiaries. Am J Public Health 2013; 103(4): e113-21.
[http://dx.doi.org/10.2105/AJPH.2012.301201] [PMID: 23409910]
[14]
Rezaei R, Beheshti Z, Sharif Nia H, Saatsaz S. Comparing the effects of standard maternity care and continuous support by doula midwife and female relatives during labor. J Mazandaran Univ Med Sci 2020; 30(184): 94-105.
[15]
Madady SM, Mohammadalizadeh-Charandabi S, Shafaei FS, Mirghafourvand M. Comparing the effects of hot shower and intravenous injection of hyoscine on the pain intensity and duration of active phase of labour in nulliparous women. J Clin Diagn Res 2018; 12(8): QC07-11.
[http://dx.doi.org/10.7860/JCDR/2018/35508.11950]
[16]
Hodnett ED, Simmons-Tropea DA. The labour agentry scale: Psychometric properties of an instrument measuring control during childbirth. Res Nurs Health 1987; 10(5): 301-10.
[http://dx.doi.org/10.1002/nur.4770100503] [PMID: 3671777]
[17]
Kalhor M, Aj N, Alipour M, Eghdampoor F. Comparison of pregnancy and delivery outcomes in teenage mothers and primiparas referring to Kowsar Teaching Hospital in Qazvin in 2012-2013. Razi J Med Sci 2015; 21(129): 27-38.
[18]
Ford E, Ayers S, Wright DB. Measurement of maternal perceptions of Support and Control In Birth (SCIB). J Womens Health 2009; 18(2): 245-52.
[http://dx.doi.org/10.1089/jwh.2008.0882] [PMID: 19183096]
[19]
Iranian national program on safe motherhood, integrated care on mother's health, outside hospital services guide. 2010.
[20]
Arat G. Doulas’ perceptions on single mothers’ risk and protective factors, and aspirations relative to child-birth. Qual Rep 2013; 18: 4.
[21]
Gentry QM, Nolte KM, Gonzalez A, Pearson M, Ivey S. “Going beyond the call of doula”: A grounded theory analysis of the diverse roles community-based doulas play in the lives of pregnant and parenting adolescent mothers. J Perinat Educ 2010; 19(4): 24-40.
[http://dx.doi.org/10.1624/105812410X530910] [PMID: 21886419]
[22]
Darwin Z, Green J, McLeish J, Willmot H, Spiby H. Evaluation of trained volunteer doula services for disadvantaged women in five areas in England: Women’s experiences. Health Soc Care Community 2017; 25(2): 466-77.
[http://dx.doi.org/10.1111/hsc.12331] [PMID: 26918879]
[23]
Campbell D, Scott KD, Klaus MH, Falk M. Female relatives or friends trained as labor doulas: Outcomes at 6 to 8 weeks postpartum. Birth 2007; 34(3): 220-7.
[http://dx.doi.org/10.1111/j.1523-536X.2007.00174.x] [PMID: 17718872]
[24]
Kashanian M, Javadi F, Haghighi MM. Effect of continuous support during labor on duration of labor and rate of cesarean delivery. Int J Gynaecol Obstet 2010; 109(3): 198-200.
[http://dx.doi.org/10.1016/j.ijgo.2009.11.028] [PMID: 20152972]
[25]
Hodnett ED, Gates S, Hofmeyr GJ, Sakala C, Weston J. Continuous support for women during childbirth. Cochrane Database Syst Rev 2011; 16(2)CD003766
[PMID: 21328263]
[26]
Breedlove G. Perceptions of social support from pregnant and parenting teens using community-based doulas. J Perinat Educ 2005; 14(3): 15-22.
[http://dx.doi.org/10.1624/105812405X44691] [PMID: 17273438]
[27]
Khresheh R. Support in the first stage of labour from a female relative: The first step in improving the quality of maternity services. Midwifery 2010; 26(6): e21-4.
[http://dx.doi.org/10.1016/j.midw.2008.11.003] [PMID: 19128863]

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