Analysis on the Doula’s Influence in Childbirth Care at a Maternity

Authors

  • Ricardo de Sousa Soares PhD Student in Health Decision Models, Federal University of Paraíba. Professor at Department of Health Promotion, Federal University of Paraíba.
  • Aysla Albuquerque Medical student. Federal University of Paraíba.
  • Ulisses Umbelino Anjos PhD in Statistics. Department of Statistics, Federal University of Paraíba.
  • Rodrigo Pinheiro Toledo Vianna PhD in Public Heath. Department of Nutrition, Federal University of Paraíba.
  • Luciano Bezerra Gomes PhD in Clinical Medicine. Department of Health Promotion, Federal University of Paraíba.
  • Waglania de Mendonça Faustino Freitas PhD in Public Heath. Department of Nursing, Federal University of Paraíba.
  • Juliana Sousa Soares Araújo Master in Health Decision Models. Department of Health Promotion, Federal University of Paraíba.
  • Juliana Sampaio PhD in Public Health. Department of Health Promotion, Federal University of Paraíba.
  • Dandara Barbosa Palhano Master in Health anda Decision Models. Federal University of Paraíba
  • Adernanda de Rocco Guimarães Sanitarian. João Pessoa. Paraíba. Brazil.
  • Alexandre José Melo Neto Family's doctor. Department of Health Promotion, Federal University of Paraíba.
  • Luiza Soares Guerra Medical student. Federal University of Paraíba. João Pessoa, Paraíba. Brazil.

DOI:

https://doi.org/10.3823/2140

Keywords:

Humanizing Delivery; Parturition; Labor, Obstetric; Doula., Humanizing Delivery, Parturition, Doula

Abstract

Background

Childbirth and labor, in the past decades, have been suffering modifications towards the increasing necessity of humanization at labor and childbirth practices. The doulas have been presenting a important role in women’s support with good results in some countries. This article intends to analyze the implementation of a voluntary doula’s program at a large maternity in Brazil’s public health system. 

Methods

A quantitative, cross-sectional study was realized between June, 2015, and March, 2016. The presence or absence of the doula’s support was considered along side the labor type, pain medications use, oxytocin use and skin-to-skin contact between mother and child. It was also analyzed women’s satisfaction and the correlation with the doula’s support. Pearson's chi-squared test and a 0,05 statistical significance was used.

Findings 

A statistic association between the doula’s support and a decrease in cesarean sections number was found. Considering women with vaginal deliveries, a statistic association between the presence of the doulas and a increase in skin-to-skin contact and women satisfaction was reported. No significant correlation between the doulas and the use of pain medications, oxytocin use and episiotomy was found. 

Conclusions

The results tend to related the presence of the doulas with some good practices indicators, matching researches in other countries. Regardless of the cross-sectional study limitations, the presence of the voluntary doula’s program is perceived as satisfactory.

References

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Published

2016-10-22

Issue

Section

Global Health & Health Policy

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