ArticleBMC pregnancy and childbirth2020
Community-based bilingual doulas for migrant women in labour and birth - findings from a Swedish register-based cohort study.
Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 30 citations in OpenAlex.
- Trial
- Antenatal care midwives caring for pregnant migrant women with cultural doula support emphasize the importance of having an open mind to cultural differences - a Swedish interview study.BMC pregnancy and childbirth · 2026Article
- Overreliance on cultural doulas: the paradox of entrusting the communication and care of high-risk migrant women to cultural doulas.BMC pregnancy and childbirth · 2025Article
- 'I was 'only' seen as a birthing woman:' the pregnancy, birth and postpartum experiences of women with refugee backgrounds in Norway.BMC pregnancy and childbirth · 2025Article
- Midwives' perceptions of communication at antenatal care using a bilingual digital dialog support tool- a qualitative study.BMC pregnancy and childbirth · 2025Article
- Impact of multicultural doula support on pregnant migrant women's healthcare service utilisation in Norway: a multi-centre case-control study.BMJ public health · 2025Article
- Multicultural doula support and obstetric and neonatal outcomes: a multi-centre comparative study in Norway.BMC pregnancy and childbirth · 2024Article
- Public health, policy, and clinical interventions to improve perinatal care for migrant women and infants in high-income countries: a systematic review.EClinicalMedicine · 2024Article
- Cultural brokering in pregnancy care: A critical review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023Review
- Quality of maternal and newborn care around the time of childbirth for migrant versus nonmigrant women during the COVID-19 pandemic: Results of the IMAgiNE EURO study in 11 countries of the WHO European region.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2022Article
- Midwives' communication with non-Swedish-speaking women giving birth: A survey from a multicultural setting in Sweden.European journal of midwifery · 2022Article
- Association between Maternal Origin, Pre-Pregnancy Body Mass Index and Caesarean Section: A Nation-Wide Registry Study.International journal of environmental research and public health · 2021Article
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Authors and funding
3 authors at 3 institutions in 3 countries.
Funding
Abstract
backgroundCommunity-based bilingual doula (CBD) services have been established to respond to migrant women's needs and reduce barriers to high quality maternity care. The aim of this study was to compare birth outcomes for migrant women who received CBD support in labour with birth outcomes for (1) migrant women who experienced usual care without CBD support, and (2) Swedish-born women giving birth during the same time period and at the same hospitals.
methodsRegister study based on data retrieved from a local CBD register in Gothenburg, the Swedish Medical Birth Register and Statistics Sweden. Birth outcomes for migrant women with CBD support were compared with those of migrant women without CBD support and with Swedish-born women. Associations were investigated using multivariable logistic regression, reported as odds ratios (aORs) with 95% confidence intervals (CI), adjusted for birth year, maternal age, marital status, hypertension, diabetes, BMI, disposable income and education.
resultsMigrant women with CBD support (n = 880) were more likely to have risk factors for adverse pregnancy outcomes than migrant women not receiving CBD support (n = 16,789) and the Swedish-born women (n = 129,706). In migrant women, CBD support was associated with less use of pain relief in nulliparous women (epidural aOR 0.64, CI 0.50-0.81; bath aOR 0.64, CI 0.42-0.98), and in parous women with increased odds of induction of labour (aOR 1.38, CI 1.08-1.76) and longer hospital stay after birth (aOR 1.19, CI 1.03-1.37). CBD support was not associated with non-instrumental births, perineal injury or low Apgar score. Compared with Swedish-born women, migrant women with CBD used less pain relief (nulliparous women: epidural aOR 0.50, CI 0.39-0.64; nitrous oxide aOR 0.71, CI 0.54-0.92; bath aOR 0.55, CI 0.36-0.85; parous women: nitrous oxide aOR 0.68, CI 0.54-0.84) and nulliparous women with CBD support had increased odds of emergency caesarean section (aOR 1.43, CI 1.05-1.94) and longer hospital stay after birth (aOR 1.31, CI 1.04-1.64).
conclusionsCBD support appears to have potential to reduce analgesia use in migrant women with vulnerability to adverse outcomes. Further studies of effects of CBD support on mode of birth and other obstetric outcomes and women's experiences and well-being are needed.
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