Semadeni Catie, Liddell Jessica L, Carlson Tess A
School of Public and Community Health Sciences, University of Montana, Missoula, Montana, USA.
School of Social Work, University of Montana, Missoula, Montana, USA.
Soc Work Ment Health. 2025;23(5):506-526. doi: 10.1080/15332985.2025.2459096. Epub 2025 Jan 31.
While research increasingly explores the role doulas can play in addressing perinatal health disparities, doula training itself remains unexplored. This paper examines the crucial role of doula training in enhancing birthing care accessibility and quality, particularly in addressing mental health disparities and fostering positive birth experiences. Through qualitative analysis, challenges such as cost, time constraints, and training accessibility issues are identified. Key recommendations include removing financial and logistical barriers, incorporating supplemental training for perinatal mood and anxiety disorders (PMADs), and fostering cultural sensitivity to meet diverse community needs, including rural and Indigenous populations.
虽然研究越来越多地探讨了导乐在解决围产期健康差异方面可以发挥的作用，但导乐培训本身仍未得到充分研究。本文探讨了导乐培训在提高分娩护理可及性和质量方面的关键作用，特别是在解决心理健康差异和促进积极分娩体验方面。通过定性分析，确定了成本、时间限制和培训可及性等挑战。主要建议包括消除财务和后勤障碍，纳入针对围产期情绪和焦虑障碍（PMADs）的补充培训，以及培养文化敏感性以满足包括农村和原住民群体在内的不同社区的需求。
