Effectiveness of an Enhanced Community Doula Intervention in a Safety Net Setting: A Randomized Controlled Trial
Julie Mottl-Santiago e outros, 2023 · Health Equity
Enhanced community doula care during pregnancy, birth, and postpartum had no statistically significant effect on the odds of cesarean delivery in the full intention-to-treat sample.
Estimativa · cesarean birth, odds ratio
0,920 [0,590; 1,45]
odds ratio
p=0.72
- Desenho
- Experimento aleatório. Pragmatic 1:1 parallel-group randomized controlled trial
- População
- Low-risk, nulliparous pregnant people covered by public insurance at an urban safety net hospital in Boston, Massachusetts, enrolled 2015–2017
- Amostra
- 367 · birthing individuals delivering at the hospital
Onde está o número
Table 2.; Table 2, row 'Cesarean birth', column 'OR (95% CI)'
Cesarean birth | 53 (28.3) | 54 (30.0) | 0.92 (0.59–1.45)
Contexto
What changed: Birthing individuals received culturally congruent community doula visits, labor support, postpartum follow-up, and medical-legal partnership screening. Comparison: Routine safety net maternity care including standard midwifery, obstetric, and social work care. Limits: Single safety net hospital setting, lower enrollment than planned power requirements, and partial doula service access in the control group.
Caminho no grafo
- FamíliaInformação e persuasão
- TipoCapacitação e aconselhamento
- EixoSaúde
MAGI só cita evidência deste instrumento
Lugares do estudo
- United States · País · US
- Licença
- CC-BY
- Revisão
- Extraído por máquina, não revisadoExtraído por: gemini-3.8-flash, 2026-10-23