PDF(Pubmed)
Abstract：
BACKGROUND: Birthing people of color experience disproportionately higher rates of infant and maternal mortality during pregnancy and birth compared to their white counterparts. The utilization of doula support services may lead to improvements in the birthing experiences of birthing people of color. Yet, the research in this area is sparse. Thus, the purpose of this review is to characterize the research on doula utilization among birthing people of color, identify gaps in the field, and provide recommendations for future research.
METHODS: Utilizing PRISMA guidelines, we conducted a scoping review, searching PubMed, PsycINFO, CINAHL, and Google Scholar for peer-reviewed articles published between January 1, 2016, to July 3, 2022.
RESULTS: Twenty-five articles met inclusion criteria. We identified the three themes characterizing included studies: (1) how doulas support (HDS) their clients, (2) doula support outcomes (DSO), and (3) considerations for implementing doula support services (CIDS). Despite doulas being described as agents of empowerment, and providing social support, education, and advocacy, birthing people of color reported low utilization of doula support services and findings regarding their effectiveness in improving birthing outcomes were mixed.
CONCLUSIONS: While some studies suggest that doulas may offer important services to birthing people of color, doulas are largely under-utilized, with many birthing people reporting low knowledge of their potential roles during the pre- and post-partum periods. Moreover, few studies were designed to assess intervention effects, limiting our ability to draw firm conclusions. Birthing people of color are at elevated risk for maternal mortality. As such, interventions are needed to support this population and improve outcomes. Our review suggests that, while doulas have the potential to make important contributions to the birthing support team, they are underutilized, and intervention studies are needed to enable estimates of their true effectiveness.
METHODS: Utilizing PRISMA guidelines, we conducted a scoping review, searching PubMed, PsycINFO, CINAHL, and Google Scholar for peer-reviewed articles published between January 1, 2016, to July 3, 2022.
RESULTS: Twenty-five articles met inclusion criteria. We identified the three themes characterizing included studies: (1) how doulas support (HDS) their clients, (2) doula support outcomes (DSO), and (3) considerations for implementing doula support services (CIDS). Despite doulas being described as agents of empowerment, and providing social support, education, and advocacy, birthing people of color reported low utilization of doula support services and findings regarding their effectiveness in improving birthing outcomes were mixed.
CONCLUSIONS: While some studies suggest that doulas may offer important services to birthing people of color, doulas are largely under-utilized, with many birthing people reporting low knowledge of their potential roles during the pre- and post-partum periods. Moreover, few studies were designed to assess intervention effects, limiting our ability to draw firm conclusions. Birthing people of color are at elevated risk for maternal mortality. As such, interventions are needed to support this population and improve outcomes. Our review suggests that, while doulas have the potential to make important contributions to the birthing support team, they are underutilized, and intervention studies are needed to enable estimates of their true effectiveness.
摘要：
背景：与白人相比，有色人种的分娩者在怀孕和分娩期间的婴儿和产妇死亡率不成比例地高。使用doula支持服务可能会改善有色人种的出生体验。然而，这方面的研究很少。因此，这篇综述的目的是描述出生有色人种对导拉利用的研究，找出现场的差距，并为未来的研究提供建议。
方法：利用PRISMA指南，我们进行了范围审查，搜索PubMed,PsycINFO,CINAHL,和谷歌学者在2016年1月1日至2022年7月3日期间发表的同行评审文章。
结果：25篇文章符合纳入标准。我们确定了包含研究的三个主题：（1）doulas如何支持（HDS）他们的客户，(2)导拉支持结果(DSO)，和(3)实施导拉支持服务(CIDS)的注意事项。尽管杜拉斯被描述为赋权的代理人，并提供社会支持，教育,和宣传，有色人种出生的人报告说，doula支持服务的利用率很低，关于其改善分娩结果的有效性的发现好坏参半。
结论：虽然一些研究表明，doulas可能为生育有色人种提供重要服务，Doulas在很大程度上没有得到充分利用,许多分娩的人报告说，他们在产前和产后的潜在角色的知识很低。此外，很少有研究旨在评估干预效果，限制了我们得出坚定结论的能力。出生有色人种的产妇死亡风险较高。因此，需要采取干预措施来支持这一人群并改善结果.我们的审查表明，虽然doulas有潜力为分娩支持团队做出重要贡献，它们没有得到充分利用，需要进行干预研究，以估计其真正的有效性。
方法：利用PRISMA指南，我们进行了范围审查，搜索PubMed,PsycINFO,CINAHL,和谷歌学者在2016年1月1日至2022年7月3日期间发表的同行评审文章。
结果：25篇文章符合纳入标准。我们确定了包含研究的三个主题：（1）doulas如何支持（HDS）他们的客户，(2)导拉支持结果(DSO)，和(3)实施导拉支持服务(CIDS)的注意事项。尽管杜拉斯被描述为赋权的代理人，并提供社会支持，教育,和宣传，有色人种出生的人报告说，doula支持服务的利用率很低，关于其改善分娩结果的有效性的发现好坏参半。
结论：虽然一些研究表明，doulas可能为生育有色人种提供重要服务，Doulas在很大程度上没有得到充分利用,许多分娩的人报告说，他们在产前和产后的潜在角色的知识很低。此外，很少有研究旨在评估干预效果，限制了我们得出坚定结论的能力。出生有色人种的产妇死亡风险较高。因此，需要采取干预措施来支持这一人群并改善结果.我们的审查表明，虽然doulas有潜力为分娩支持团队做出重要贡献，它们没有得到充分利用，需要进行干预研究，以估计其真正的有效性。
