Trial reportPloS one2022
Community-based bilingual doula support during labour and birth to improve migrant women's intrapartum care experiences and emotional well-being-Findings from a randomised controlled trial in Stockholm, Sweden [NCT03461640].
Trial report in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03461640 (Community Based Doulas for Migrant Women in Labour and Birth in Sweden - a Randomised Controlled Trial), which is not on this map. Cited by 15 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Community Based Doulas for Migrant Women in Labour and Birth in Sweden - a Randomised Controlled Trial
Who cites it
15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- Doula Care and Health Outcomes: A Systematic Review.JAMA network open · 2026Pooled it
- Do Antenatal Interventions Improve Maternal and Perinatal Outcomes for Migrant Women Living in High-Income Countries and What Guidelines Exist for Migrant Women? A Systematic Review and Meta-Analysis.Birth (Berkeley, Calif.) · 2025Pooled it
- Interventions to Address Disparities in Perinatal Outcomes by Ethnicity: A Systematic Review.BJOG : an international journal of obstetrics and gynaecology · 2025Pooled it
- Impact of continuous labor companion- who is the best: A systematic review and meta-analysis of randomized controlled trials.PloS one · 2024Pooled it
- How Supportive Care Shapes Women's Childbirth Satisfaction: A Systematic Review.Healthcare (Basel, Switzerland) · 2026Review
- Continuous labor support by doulas and nurses and its impact on birth outcomes: a systematic review.Frontiers in health services · 2026Review
- 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
- Comparative efficacy and acceptability of psychosocial interventions for PTSD, depression, and anxiety in asylum seekers, refugees, and other migrant populations: a systematic review and network meta-analysis of randomised controlled studies.The Lancet regional health. Europe · 2025Article
- Exploring the Experiences of Community-Based Doulas That Serve Immigrant, Migrant, and Refugee Clients in Arkansas.Women's reproductive health (Philadelphia, Pa.) · 2025Article
- Public health, policy, and clinical interventions to improve perinatal care for migrant women and infants in high-income countries: a systematic review.EClinicalMedicine · 2024Article
- Women's use of Swedish health care during the postpartum period in relation to maternal country of birth-A population-based study.Acta obstetricia et gynecologica Scandinavica · 2024Article
- Unlocking the mechanisms of change in the MAMAACT intervention to reduce ethnic disparity in stillbirth and newborns' health: integration of evaluation findings.Frontiers in health services · 2024Article
- Factors Affecting Diasporic Women's Quality of Life: A Systematic Review.Journal of multidisciplinary healthcare · 2024Review
- 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
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate the effectiveness of community-based bilingual doula (CBD) support for improving the intrapartum care experiences and postnatal wellbeing of migrant women giving birth in Sweden.
designRandomised controlled trial.
settingSix antenatal care clinics and five hospitals in Stockholm, Sweden.
participants164 pregnant Somali-, Arabic-, Polish-, Russian- and Tigrinya-speaking women who could not communicate fluently in Swedish, were ≥18 years and had no contra-indications for vaginal birth.
interventionIn addition to standard labour support, women were randomised to CBD support (n = 88) or no such support during labour (n = 76). Trained CBDs met with women prior to labour, provided support by telephone after labour had started, then provided emotional, physical and communication support to women throughout labour and birth in hospital, and then met again with women after the birth. PRIMARY OUTCOMES: Women's overall ratings of the intrapartum care experiences (key question from the Migrant Friendly Maternity Care Questionnaire) and postnatal wellbeing (mean value of Edinburgh Postnatal Depression Scale) at 6-8 weeks after birth.
resultsIn total, 150 women remained to follow-up; 82 women (93.2%) randomised to receive CBD support and 68 women (89.5%) randomised to standard care (SC). Of women allocated CBD support, 60 (73.2%) received support during labour. There were no differences between the groups regarding women's intrapartum care experiences (very happy with care: CBD 80.2% (n = 65) vs SC 79.1% (n = 53); OR 1.07 CI 95% 0.48-2.40) or emotional wellbeing (EPDS mean value: CBD 4.71 (SD 4.96) vs SC 3.38 (SD 3.58); mean difference 1.33; CI 95% - 0.10-2.75).
conclusionsCommunity-based doula support during labour and birth for migrant women neither increased women's ratings of their care for labour and birth nor their emotional well-being 2 months postpartum compared with receiving standard care only. Further studies on the effectiveness of CBD powered to evaluate obstetric outcomes are needed.
trial registrationTrial registration at ClinicalTrial.gov NCT03461640 https://www.google.com/search?client=firefox-b-d&q=NCT03461640.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.