ArticleBMJ public health2025
Impact of multicultural doula support on pregnant migrant women's healthcare service utilisation in Norway: a multi-centre case-control study.
Article in BMJ public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
- Erratum issued
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Newly arrived migrant women face barriers to accessing childbirth-related care, delaying necessary treatment and negatively affecting birth outcomes. Multicultural doula (MCD) support may help women overcome these barriers. This study aimed to evaluate the impact of MCD support on the use of hospital healthcare services during pregnancy and postpartum. Methods: This case-control study included 339 MCD-supported women and 339 controls (women who did not receive MCD support) from all nine Norwegian hospitals implementing the MCD programme (2018-2023). Cases met MCD programme's inclusion criteria, whereas controls met similar criteria but did not receive MCD support. Data from hospital records were analysed using binary logistic regression with crude and adjusted associations reported. Adjustments included parity, age, education, employment, maternal region of birth, reason for migration, delivery site in Norway, acute consultations, labour induction, preterm birth, mode of delivery, estimated blood loss ≥1000 mL and admission for newborn to intensive care. Results: Women in the MCD case and control groups were similar in age, marital status, parity and interpreter needs (95% vs 96%). Compared with controls, MCD-supported women more often had limited education (63% vs 42%, p<0.01) or were asylum seekers (82% vs 66%, p<0.01). They were more likely to consult for reduced foetal movement (adjusted OR (aOR) 1.86, 95% CI 1.22 to 2.84), other pregnancy-related concerns (aOR 1.46, CI 1.05 to 2.03), telephone before admission (aOR 3.21, 95% CI 2.26 to 4.58), had fewer unplanned out-of-hospital births (OR 0.06, CI 0.01 to 0.43) and reduced ambulance use (aOR 0.32, CI 0.18 to 0.58) and had fewer postpartum stays ≥4 days (aOR 0.58, CI 0.39 to 0.87), with a greater proportion discharged within 2 days after delivery (aOR 1.87, CI 1.26-2.78). Conclusion: MCD support was associated with increased antenatal hospital consultations and timely labour admission among migrant women in vulnerable circumstances. This assistance may improve the childbirth experience and positively influence migrant maternal health, birth outcomes and children's well-being.
Indexed as
Identifiers
What OpenQuestion holds
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.