Comparison of maternal and neonatal outcomes in caring by Doula, trained lay companion and routine midwifery care : A Quasi-Experimental Study

Comparison of maternal and neonatal outcomes in caring by Doula, trained lay companion and routine midwifery care

A quasi-experimental study with an control group and two interventional group, Randomized and not being blinded, Phase3 on150 pregnants

In the control group and the trained companion, the samples were taken from 10 clinics of different parts of the Arak city by random sampling method using the SIB center system. Then, among selected numbers, we randomly selected samples for each group. But in Doula group, because of limited number of samples, convenience sampling was used and all women enrolled in doula care were included in the study until the number reached 50

The criteria for entering: Low-risk pregnant women aged 18 to 40 years, Gestational age of 38 to 42 weeks, Spontaneous onset of labor pains, And Healthy, Live, Single fetus with display of head and normal cervical delivery conditions.The criteria for not enterain:Any physical and Mental disease

For the samples of the trained companion group, Two training sessions were given in the presence of mothers and their selected companion on the course of labor and techniques to reduce labor pain, skin-to-skin contact and breastfeeding. People in the care group were selected by doulas from private midwifery centers that were available. In these centers, a doula is considered for all mothers and during labor, mothers are trained according to their routine.The samples of the control group were taken care by the usual routine of medical training centers.

The duration of the active phase and second stage of labor, Satisfaction with childbirth, Anxiety during labor, Pain intensity, Time to start and duration of skin-to-skin contact,Time to start and duration of breastfeeding, Apgar first and fifth minutes of birth

In the accompanying group trained to select samples, we entered the SIB system in 10 selected health centers in Arak city and extracted the list of pregnant mothers who met the criteria for entering the study, and then the mothers were asked to enter the study and those who agreed were randomly selected. became A simple random sampling method was used to select the mothers of these centers. We had a list of all the mothers of this center (from 1 to 389), then using Excel, a number was randomly generated for each mother, and the required 50 samples (from number 1 to 50) were taken. The group of doulas were selected from midwife counseling centers and compassionate midwives using available sampling method. 62 mothers who registered for doula from July 2017 to June 2018 were selected from Taleghani, Sina and Imam Khomeini (RA) hospitals. A simple random sampling method was used to select the mothers of this group as well as the companion group. After presenting a list of all the mothers of this center (from 1 to 62), we randomly generated a number for each mother using Excel. This study was initially designed as a randomized trial, but when we reached the sampling stage, we realized that due to the small number of centers and the small number of mothers who want to receive support from midwives, it is not possible to randomly allocate the samples in groups. Differently, the study was conducted in a semi-experimental manner, so that only random sampling was done. But the allocation of samples to groups was not done randomly. The samples of the control group were mothers who referred to Taleghani Hospital for prenatal care. From September 1397 to Mehr 1397, like the Dola group and the companion group, we used simple random sampling to select the mothers of the control group, based on which a list of all the mothers of this hospital who met our criteria (from 1 to 95) was presented, then we A number was randomly generated for each mother using Excel and 50 samples (numbers 1 to 50) were taken from 95 mothers.

because of confidentiality the participants characteristics wont be shared.