Radhika Purandare , Kajsa Ådahl , Maria Stillerman , Erica Schytt , Nataliia Tsekhmestruk , Helena Lindgren
{"title":"在瑞典,移民妇女在分娩过程中获得社区朵拉支持的经历。一项混合方法研究。","authors":"Radhika Purandare , Kajsa Ådahl , Maria Stillerman , Erica Schytt , Nataliia Tsekhmestruk , Helena Lindgren","doi":"10.1016/j.srhc.2024.101000","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>To describe migrant women’s experiences of bilingual community-based doulas (CBD) contribution to care in relation to labor and birth.</p></div><div><h3>Methods</h3><p>Mixed methods study combining quantitative data from 82 women who received CBD-support within a randomized controlled trial and qualitative data from semi-structured interviews with a sub-sample of 12 women from the same study arm. Descriptive analyses were used for quantitative data and content analysis for the manifest and latent content of the qualitative data. Quantitative findings were categorized according to qualitative findings.</p></div><div><h3>Results</h3><p>The women expressed how CBDs played an essential role in the response to their basic emotional, informational, and physical support needs, when no other female family member was available. Three main categories emerged from the analysis of interviews: <em>The doulas help women feel safe and calm – providing support before, during and after childbirth</em>; <em>The doulas’ support role fills the void left by a deeply missed family, mother or sister;</em> and <em>The doulas assist women in achieving autonomy through communication support and advocacy.</em> More than half of women reported feeling involved during labor and birth (56.8%), most valued CBD positively (such as being competent, calm, secure, considerate, respectful, encouraging, supportive) (40.8%-80.3%), that CBD had interpreted (75.6%), facilitated communication with the midwife (60,3%), comforted the woman (57.7%) and reduced anxiety (48,7%). Few reported negative CBD-characteristics (1.3–9.2%). Nevertheless, 61.7% of women felt frightened sometime during labor and birth, which made it even more important to them that the doula was there. Few women (21.8%) reported that the CBD had supported her partner but expressed so in the interviews.</p></div><div><h3>Conclusion</h3><p>Through an essential contribution in responding to migrant women’s basic emotional, informational, and physical needs, bilingual community-based doulas have the potential to improve migrant women’s experience of care during labour and birth. However, more focus on the quality of CBD-support to partners seem necessary.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"41 ","pages":"Article 101000"},"PeriodicalIF":1.4000,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000557/pdfft?md5=a38bb2db7583afb0f6c8b4b6934f7dd4&pid=1-s2.0-S1877575624000557-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Migrant women’s experiences of community-based doula support during labor and childbirth in Sweden. A mixed methods study\",\"authors\":\"Radhika Purandare , Kajsa Ådahl , Maria Stillerman , Erica Schytt , Nataliia Tsekhmestruk , Helena Lindgren\",\"doi\":\"10.1016/j.srhc.2024.101000\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>To describe migrant women’s experiences of bilingual community-based doulas (CBD) contribution to care in relation to labor and birth.</p></div><div><h3>Methods</h3><p>Mixed methods study combining quantitative data from 82 women who received CBD-support within a randomized controlled trial and qualitative data from semi-structured interviews with a sub-sample of 12 women from the same study arm. Descriptive analyses were used for quantitative data and content analysis for the manifest and latent content of the qualitative data. Quantitative findings were categorized according to qualitative findings.</p></div><div><h3>Results</h3><p>The women expressed how CBDs played an essential role in the response to their basic emotional, informational, and physical support needs, when no other female family member was available. Three main categories emerged from the analysis of interviews: <em>The doulas help women feel safe and calm – providing support before, during and after childbirth</em>; <em>The doulas’ support role fills the void left by a deeply missed family, mother or sister;</em> and <em>The doulas assist women in achieving autonomy through communication support and advocacy.</em> More than half of women reported feeling involved during labor and birth (56.8%), most valued CBD positively (such as being competent, calm, secure, considerate, respectful, encouraging, supportive) (40.8%-80.3%), that CBD had interpreted (75.6%), facilitated communication with the midwife (60,3%), comforted the woman (57.7%) and reduced anxiety (48,7%). Few reported negative CBD-characteristics (1.3–9.2%). Nevertheless, 61.7% of women felt frightened sometime during labor and birth, which made it even more important to them that the doula was there. Few women (21.8%) reported that the CBD had supported her partner but expressed so in the interviews.</p></div><div><h3>Conclusion</h3><p>Through an essential contribution in responding to migrant women’s basic emotional, informational, and physical needs, bilingual community-based doulas have the potential to improve migrant women’s experience of care during labour and birth. 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Migrant women’s experiences of community-based doula support during labor and childbirth in Sweden. A mixed methods study
Objective
To describe migrant women’s experiences of bilingual community-based doulas (CBD) contribution to care in relation to labor and birth.
Methods
Mixed methods study combining quantitative data from 82 women who received CBD-support within a randomized controlled trial and qualitative data from semi-structured interviews with a sub-sample of 12 women from the same study arm. Descriptive analyses were used for quantitative data and content analysis for the manifest and latent content of the qualitative data. Quantitative findings were categorized according to qualitative findings.
Results
The women expressed how CBDs played an essential role in the response to their basic emotional, informational, and physical support needs, when no other female family member was available. Three main categories emerged from the analysis of interviews: The doulas help women feel safe and calm – providing support before, during and after childbirth; The doulas’ support role fills the void left by a deeply missed family, mother or sister; and The doulas assist women in achieving autonomy through communication support and advocacy. More than half of women reported feeling involved during labor and birth (56.8%), most valued CBD positively (such as being competent, calm, secure, considerate, respectful, encouraging, supportive) (40.8%-80.3%), that CBD had interpreted (75.6%), facilitated communication with the midwife (60,3%), comforted the woman (57.7%) and reduced anxiety (48,7%). Few reported negative CBD-characteristics (1.3–9.2%). Nevertheless, 61.7% of women felt frightened sometime during labor and birth, which made it even more important to them that the doula was there. Few women (21.8%) reported that the CBD had supported her partner but expressed so in the interviews.
Conclusion
Through an essential contribution in responding to migrant women’s basic emotional, informational, and physical needs, bilingual community-based doulas have the potential to improve migrant women’s experience of care during labour and birth. However, more focus on the quality of CBD-support to partners seem necessary.