Everson Courtney L, Cheyney Melissa, Bovbjerg Marit L
J Perinat Educ. 2018 Jun;27(3):135-147. doi: 10.1891/1058-1243.27.3.135.
This is the largest study to-date to report on outcomes of care for a national sample of doula-supported adolescent births ( = 1,892, birth years 2000 to 2013). Descriptive statistics were calculated for maternal demographics, risk profiles, labor/birth interventions and occurrences, and birth outcomes. In this national sample, childbearing adolescents and their neonates experienced improved health outcomes and lower rates of intervention relative to national statistics for adolescent deliveries in the United States. Key findings are consistent with previous studies on the effects of doula care for marginalized and medically underserved communities. Results strengthen the case for doulas as a perinatal care strategy for improving maternal and infant health outcomes and decreasing inequities among childbearing adolescents.
这是迄今为止规模最大的一项研究,报告了全国范围内由导乐支持的青少年分娩样本(n = 1,892,出生年份为2000年至2013年)的护理结果。计算了产妇人口统计学、风险概况、分娩/生产干预措施及发生率和分娩结局的描述性统计数据。在这个全国性样本中,与美国青少年分娩的全国统计数据相比,生育期青少年及其新生儿的健康结局得到改善,干预率降低。主要研究结果与之前关于导乐护理对边缘化和医疗服务不足社区影响的研究一致。这些结果进一步证明了导乐作为一种围产期护理策略,对于改善母婴健康结局和减少生育期青少年之间的不平等现象具有重要意义。