Department of Obstetrics and Gynecology, Sahlgrenska University Hospital, Region Västra Götaland, Gothenburg, Sweden; Department of Obstetrics and Gynecology, Sahlgrenska Academy, University of Gothenburg, Sweden.
Department of Obstetrics and Gynecology, Sahlgrenska University Hospital, Region Västra Götaland, Gothenburg, Sweden; Institute of Health and Care Sciences, Section for Reproductive and Perinatal Health, Sahlgrenska Academy at Gothenburg University, Sweden.
Sex Reprod Healthc. 2024 Sep;41:101016. doi: 10.1016/j.srhc.2024.101016. Epub 2024 Aug 15.
Women in socially disadvantaged positions face increased risk of fear of birth, birth complications, and postpartum depression, highlighting the need for targeted interventions for this group. Doula support is associated with positive emotional and medical outcomes for mother and child. Experience of doula support for women in socially disadvantaged positions in Sweden remains unexplored.
To describe experiences of doula support within a project for women in socially disadvantaged positions in Sweden.
In-depth interviews with seven women and focus group discussions with twelve doulas in a Doula support project were conducted. Data was analysed with inductive content analysis.
Women and doulas described experiences of doula support as a significant relationship with challenges, due to unclear boundaries for the support, and the time and trust needed to establish the relationship. The support was perceived as comprehensive, far exceeding traditional doula support, with extensive assistance provided postpartum. The project was regarded as meaningful, and that it led to positive birth experiences.
Women in socially disadvantaged positions may benefit from doula support during the perinatal period. The support fosters feelings of calmness, security and empowerment, and alleviates feelings of isolation, which is crucial for a positive birth experience. Support for these women is complex due to increased social needs, leading to unclear expectations of the doula's role. Support from colleagues is deemed crucial. Future projects should establish clear frameworks and a supportive structure for doulas.
社会地位处于不利的女性面临着更高的生育恐惧、生育并发症和产后抑郁风险，这突显了需要针对这一群体进行有针对性的干预。导乐支持与母婴的积极情绪和医疗结果相关。瑞典社会地位不利的女性对导乐支持的体验仍有待探索。
描述瑞典社会地位不利的女性参与导乐支持项目的体验。
对瑞典一个社会地位不利的女性导乐支持项目中的 7 名女性进行深入访谈，并对 12 名导乐进行焦点小组讨论。采用归纳内容分析法对数据进行分析。
女性和导乐描述了导乐支持的体验，认为这是一种与挑战相关的重要关系，原因是支持的界限不明确，以及建立关系所需的时间和信任。这种支持被认为是全面的，远远超出了传统的导乐支持，提供了广泛的产后支持。该项目被认为是有意义的，并导致了积极的分娩体验。
社会地位不利的女性可能会受益于围产期的导乐支持。这种支持可以带来平静、安全感和赋权感，并减轻孤立感，这对积极的分娩体验至关重要。由于社会需求增加，这些女性的支持变得复杂，导致对导乐角色的期望不明确。同事的支持被认为是至关重要的。未来的项目应该为导乐建立明确的框架和支持结构。
