Horton Christan, Hall Susan
J Perinat Educ. 2020 Oct 1;29(4):188-196. doi: 10.1891/J-PE-D-19-00021.
This article is a meta-analysis of studies examining the influence of doula support on birth outcomes among African American women with disabilities. While an estimated 11% of women in their childbearing years are impacted by some type of disability, mothers with disabilities are faced with risks during pregnancy. When risks in addition to maternal disability are present, mothers may encounter extra barriers that impede receipt of effective care.
A meta-analysis of studies revealed women with disabilities are at risk for poor birth outcomes. Specifically, women of color living in poverty-stricken areas are at a greater risk for adverse birth outcomes.
As a result of adverse experiences related to birth, mothers may experience levels of traumatic stress. To advocate for better pregnancy and birth outcomes, the intervention of doula support is emphasized.
There is a widely recognized need to promote better pregnancy outcomes among African American women to address disproportionate birth outcomes. Strategies to enhance doula support among African American women with disabilities are offered. Implications include future research surrounding the development of a training program for doulas specific to disability, trauma-informed care, and maternal mental health.
本文是一项对研究的荟萃分析，这些研究探讨了导乐支持对非裔美国残疾妇女分娩结局的影响。虽然估计有11%的育龄妇女受到某种类型残疾的影响，但残疾母亲在怀孕期间面临风险。当除了母亲残疾之外还存在其他风险时，母亲可能会遇到额外的障碍，妨碍获得有效的护理。
对研究的荟萃分析表明，残疾妇女有分娩结局不佳的风险。具体而言，生活在贫困地区的有色人种妇女出现不良分娩结局的风险更高。
由于与分娩相关的不良经历，母亲可能会经历创伤应激水平。为了倡导更好的妊娠和分娩结局，强调了导乐支持的干预作用。
人们普遍认识到，需要促进非裔美国妇女获得更好的妊娠结局，以解决不成比例的分娩结局问题。本文提供了加强对非裔美国残疾妇女导乐支持的策略。其影响包括围绕为导乐制定针对残疾、创伤知情护理和孕产妇心理健康的培训计划开展未来研究。
