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Doula Services and Birth Outcomes: A Scoping Review
MCN. the American Journal of Maternal Child Nursing
|February 26, 2024
Summary
Doula support during childbirth can enhance maternal experiences and outcomes. However, limited access and cost barriers hinder availability, particularly for marginalized populations, necessitating further implementation and evaluation.
Area of Science:
- Maternal Health
- Childbirth Support
- Public Health
Background:
- Doulas provide valuable support and guidance during childbirth.
- Access to doula services is often limited by cost and availability.
- Inequitable access disproportionately affects marginalized communities.
Purpose of the Study:
- To synthesize existing literature on doula services.
- To examine maternal experiences and outcomes associated with doula use.
- To identify gaps in research and implementation.
Main Methods:
- Conducted a scoping review of peer-reviewed studies.
- Included studies from the United States published between 2010-2022.
- Searched databases like PubMed, Google Scholar, and PsycInfo.
Main Results:
- Nineteen articles were included in the review.
- Findings encompass psychosocial aspects, birth experiences, complications, breastfeeding, and emotional health.
- Qualitative and quantitative data highlight positive impacts of doula support.
Conclusions:
- Doula support appears to improve maternal experiences and birth outcomes.
- Increased access to doula services is crucial for underserved populations.
- Further research and implementation strategies are needed to ensure equitable access.
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