Doula support among brazilian women who attended the senses of birth health education intervention - a cross sectional analysis

Detalhes bibliográficos
Autor(a) principal: Fernandes, Luisa da Matta Machado
Data de Publicação: 2022
Outros Autores: Mishkin, Kathryn E, Lansky, Sônia
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/56864
Resumo: Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brazil
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spelling Fernandes, Luisa da Matta MachadoMishkin, Kathryn ELansky, Sônia2023-02-03T17:51:17Z2023-02-03T17:51:17Z2022FERNANDES, Luisa da Matta Machado; MISHKIN, Kathryn E; LANSKY, Sônia. Doula support among brazilian women who attended the senses of birth health education intervention - a cross sectional analysis. BMC Pregnancy Childbirthv, 22, n. 1, 765, 2022. doi: 10.1186/s12884-022-05069-0.1471-2393https://www.arca.fiocruz.br/handle/icict/56864engBMCDoula support among brazilian women who attended the senses of birth health education intervention - a cross sectional analysisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, BrazilIndependent researcher. Washington, DC, USADepartment of Health. City Hall. Belo Horizonte, MG, BrazilBackground While maternal health is a priority in international goals, maternal health outcomes remain poor in many regions of the world. In Brazil, maternal mortality has decreased over the past decades, but the country’s maternal mortality ratio is higher than over half of all countries at 59 deaths per 100,000 live births. The Brazilian maternal health care model facilitates high rates of medical interventions during labor and childbirth; 56% of births are by cesarean birth. Doula support is considered a potential strategy to reduce medically unnecessary interventions during childbirth that contribute to maternal mortality. Methods The cross-sectional study analyses associations with use of doula support and normal birth among Brazilian women who participated in a health education intervention named the Senses of Birth (SoB). The SoB intervention, implemented in fve cities from 2015 to 2017, was developed to educate about normal birth and to evidence-based practices (EBP) reduce medically in childbirth. Chi-Square tests were performed to identify the relationship between doula support during childbirth and sociodemographic characteristics, childbirth information, perceived knowledge, and use of EBPs during labor. Logistic regression was performed to identify associations in adjusted analysis. Results Controlling for covariates, doula support was associated with vaginal delivery (OR 2.47, 95% CI: 1.37–4.45.) Findings also suggest that women who had doula support were more likely to use non-pharmacological pain relief methods during labor (OR 9.68, 95% CI: 2.67–34.61), deliver in a public hospital (OR 2.02, 95% CI: 1.09–3.72), and be low and mid-level income compared to women with high income. Conclusion This study’s fndings suggest that doula support is signifcantly associated with vaginal birth. The results may be useful for advocating for changes to the childbirth care model in Brazil. Incorporating EBPs, such as doula support, for all women who desire may improve maternal and child outcomesDoulaBrazilCesareanEvidence-based practiceMaternal mortalityVaginal birthNormal birthinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/56864/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALDoula support among brazilian women who attended the senses of birth health education intervention - a cross sectional analysis.pdfDoula support among brazilian women who attended the senses of birth health education intervention - a cross sectional analysis.pdfapplication/pdf731948https://www.arca.fiocruz.br/bitstream/icict/56864/2/Doula%20support%20among%20brazilian%20women%20who%20attended%20the%20senses%20of%20birth%20health%20education%20intervention%20-%20a%20cross%20sectional%20analysis.pdfcb63e4993ff146e8c39878b7890aa562MD52icict/568642023-02-03 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dc.title.en_US.fl_str_mv Doula support among brazilian women who attended the senses of birth health education intervention - a cross sectional analysis
title Doula support among brazilian women who attended the senses of birth health education intervention - a cross sectional analysis
spellingShingle Doula support among brazilian women who attended the senses of birth health education intervention - a cross sectional analysis
Fernandes, Luisa da Matta Machado
Doula
Brazil
Cesarean
Evidence-based practice
Maternal mortality
Vaginal birth
Normal birth
title_short Doula support among brazilian women who attended the senses of birth health education intervention - a cross sectional analysis
title_full Doula support among brazilian women who attended the senses of birth health education intervention - a cross sectional analysis
title_fullStr Doula support among brazilian women who attended the senses of birth health education intervention - a cross sectional analysis
title_full_unstemmed Doula support among brazilian women who attended the senses of birth health education intervention - a cross sectional analysis
title_sort Doula support among brazilian women who attended the senses of birth health education intervention - a cross sectional analysis
author Fernandes, Luisa da Matta Machado
author_facet Fernandes, Luisa da Matta Machado
Mishkin, Kathryn E
Lansky, Sônia
author_role author
author2 Mishkin, Kathryn E
Lansky, Sônia
author2_role author
author
dc.contributor.author.fl_str_mv Fernandes, Luisa da Matta Machado
Mishkin, Kathryn E
Lansky, Sônia
dc.subject.en.en_US.fl_str_mv Doula
Brazil
Cesarean
Evidence-based practice
Maternal mortality
Vaginal birth
Normal birth
topic Doula
Brazil
Cesarean
Evidence-based practice
Maternal mortality
Vaginal birth
Normal birth
description Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brazil
publishDate 2022
dc.date.issued.fl_str_mv 2022
dc.date.accessioned.fl_str_mv 2023-02-03T17:51:17Z
dc.date.available.fl_str_mv 2023-02-03T17:51:17Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv FERNANDES, Luisa da Matta Machado; MISHKIN, Kathryn E; LANSKY, Sônia. Doula support among brazilian women who attended the senses of birth health education intervention - a cross sectional analysis. BMC Pregnancy Childbirthv, 22, n. 1, 765, 2022. doi: 10.1186/s12884-022-05069-0.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/56864
dc.identifier.issn.en_US.fl_str_mv 1471-2393
identifier_str_mv FERNANDES, Luisa da Matta Machado; MISHKIN, Kathryn E; LANSKY, Sônia. Doula support among brazilian women who attended the senses of birth health education intervention - a cross sectional analysis. BMC Pregnancy Childbirthv, 22, n. 1, 765, 2022. doi: 10.1186/s12884-022-05069-0.
1471-2393
url https://www.arca.fiocruz.br/handle/icict/56864
dc.language.iso.fl_str_mv eng
language eng
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dc.publisher.none.fl_str_mv BMC
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dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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instname_str Fundação Oswaldo Cruz (FIOCRUZ)
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bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/56864/1/license.txt
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