Shlafer Rebecca J, Hellerstedt Wendy L, Secor-Turner Molly, Gerrity Erica, Baker Rae
Division of General Pediatrics & Adolescent Health, University of Minnesota, Minneapolis, Minnesota.
Division of Epidemiology & Community Health, University of Minnesota, Minneapolis, Minnesota.
Public Health Nurs. 2015 Jul-Aug;32(4):316-26. doi: 10.1111/phn.12137. Epub 2014 Jul 1.
To document the logistical feasibility of a doula program for pregnant incarcerated women and to assess doulas' perceptions of their achievements.
Six doulas provided written case notes ("birth stories") about their experiences with 18 pregnant women in one Midwestern state prison.
The birth stories were analyzed by two coders to identify major themes related to doulas' perceptions about providing support to incarcerated women. Analyses involved coder consensus about major themes and doula affirmation of findings.
All doulas reported that they met key objectives for a successful relationship with each of their clients. Key themes were their ability to empower clients, establish a trusting relationship, normalize the delivery, and support women as they were separated from their newborns.
The intervention was logistically feasible, suggesting that doulas can adapt their practice for incarcerated women. Doulas may need specific training to prepare themselves for institutional restrictions that may conflict with the traditional roles of doula care. It may be important for doulas to understand the level of personal and professional resources they may have to expend to support incarcerated women if they are separated from their infants soon after delivery.
记录为被监禁孕妇提供导乐服务项目的后勤可行性，并评估导乐对自身成就的看法。
六位导乐提供了关于她们在中西部某州立监狱与18名孕妇相处经历的书面案例记录（“分娩故事”）。
两位编码员对分娩故事进行分析，以确定与导乐对为被监禁女性提供支持的看法相关的主要主题。分析包括编码员对主要主题的共识以及导乐对研究结果的确认。
所有导乐都报告称，她们实现了与每位客户建立成功关系的关键目标。关键主题包括她们赋予客户权力的能力、建立信任关系、使分娩正常化以及在女性与新生儿分离时给予支持。
该干预措施在后勤方面是可行的，这表明导乐可以针对被监禁女性调整其服务。导乐可能需要接受特定培训，以应对可能与传统导乐护理角色相冲突的机构限制。如果分娩后不久女性就与婴儿分离，导乐了解自己为支持被监禁女性可能需要投入的个人和专业资源水平可能很重要。
