Schytt Erica, Wahlberg Anna, Small Rhonda, Eltayb Amani, Lindgren Helena
Division of Reproductive Health, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden; Centre for Clinical Research Dalarna - Uppsala University, Falun, Sweden; Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway.
Division of Reproductive Health, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Sex Reprod Healthc. 2021 Jun;28:100614. doi: 10.1016/j.srhc.2021.100614. Epub 2021 Mar 17.
To explore midwives' and obstetricians' views about community-based bilingual doula (CBD) support during migrant women's labour and birth and their experiences of collaborating with CBDs.
A qualitative study with semi-structured individual interviews with 7 midwives and 4 obstetricians holding clinical positions in labour care in Stockholm, Sweden, who all had experiences of working with a CBD. Data analysis followed the framework of thematic analysis.
The overarching theme was A new actor filling gaps in labour care - With appropriate boundary setting, CBDs can help improve care for migrant women. One year after the introduction of CBDs, the midwives and obstetricians had mainly positive experiences of CBDs who were considered to fill important gaps in maternity care for migrant women, being with the woman and simultaneously being part of the care team and this made providing high quality care easier. The CBDs' main contribution was to help migrant women navigate the maternity care system, to bridge language and cultural divides, and guarantee continuous labour and birth support. However, midwives and obstetricians sometimes experienced CBDs interfering with their professional assessments and decisions and the role of the CBD was somewhat unclear to them.
Community-based bilingual doula support was viewed as improving migrant women's well-being during labour and birth and as increasing the possibilities for midwives and obstetricians to provide good and safe care, however, some ambivalence remained about the CBD's role and boundaries.
探讨助产士和产科医生对于为移民妇女分娩期间提供基于社区的双语导乐（CBD）支持的看法，以及他们与CBD合作的经历。
一项定性研究，对瑞典斯德哥尔摩从事分娩护理临床工作的7名助产士和4名产科医生进行半结构化个人访谈，他们都有与CBD合作的经验。数据分析遵循主题分析框架。
总体主题是“一个填补分娩护理空白的新角色——通过适当界定边界，CBD有助于改善对移民妇女的护理”。引入CBD一年后，助产士和产科医生对CBD的主要体验是积极的，他们认为CBD填补了移民妇女孕产护理中的重要空白，陪伴产妇同时成为护理团队的一部分，这使得提供高质量护理更加容易。CBD的主要贡献是帮助移民妇女适应孕产护理系统，弥合语言和文化差异，并确保分娩过程中持续得到支持。然而，助产士和产科医生有时会觉得CBD干扰了他们的专业评估和决策，而且他们对CBD的角色也有些不清楚。
基于社区的双语导乐支持被认为改善了移民妇女分娩期间的福祉，增加了助产士和产科医生提供优质安全护理的可能性，然而，对于CBD的角色和边界仍存在一些矛盾看法。
