Doula Support for Young Mothers: A Randomized Trial

NCT01925664 | Completed

• 1 other identifier: R40 MC 00203
• Study Type: interventional
• Target: 248
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this study was to evaluate the impact of a doula home visiting intervention on young, low-income mothers' birth outcomes, breastfeeding, postpartum depressive symptoms, and parenting, and on their children's development.

Conditions

Parenting; Breastfeeding; Depression, Postpartum

Keywords

Doulas; Parenting; Breastfeeding; Pregnancy in Adolescence

Outcome Measures

Primary Outcomes (2)

• Breastfeeding Initiation

  Three days postpartum

• Positive parenting behavior (Parent Child Observation Guide)

  Videotaped interactions between mothers and infants coded by masked observers

  4 months postpartum

Secondary Outcomes (11)

• Breastfeeding duration

  4- and 12 months postpartum

• Positive parenting behaviors (Parent Child Observation Guide)

  12- and 24 months postpartum

• Use of labor anesthesia

  Start of labor through childbirth

• Labour Agentry Scale

  1 day postpartum

• Adult Adolescent Parenting Inventory (AAPI)

  4 months postpartum

Study Arms (2)

Doula

EXPERIMENTAL

Mothers received doula home visiting services in addition to normal prenatal and obstetric clinical care and had access to social work case management.

Behavioral: Doula

Usual Care

NO INTERVENTION

Mothers received normal prenatal and obstetric clinical care and had access to social work case management.

Interventions

Doula BEHAVIORAL

This intervention included doulas providing weekly home visits during the last trimester of pregnancy and up to three months postpartum. Home visits focused on prenatal health, preparation for childbirth, breastfeeding education, and developing a relationship with the baby. Doulas also were present in the hospital during labor, delivery, and postpartum providing emotional support, non-medical comfort measures, and breastfeeding counseling.

Doula

Eligibility Criteria

• Age: 14 Years - 21 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• pregnant and less than 34 weeks gestation
• planning to deliver at study hospital
• between ages 14 and 21

You may not qualify if:

• planning to move out of community after giving birth
• planning to give up custody of infant
• prior c-section delivery

Sponsors & Collaborators

• University of Chicago: lead
• HRSA/Maternal and Child Health Bureau: collaborator

Study Sites (1)

University of Chicago

Chicago, Illinois, 60637, United States

Location

Related Publications (1)

• Edwards RC, Thullen MJ, Korfmacher J, Lantos JD, Henson LG, Hans SL. Breastfeeding and complementary food: randomized trial of community doula home visiting. Pediatrics. 2013 Nov;132 Suppl 2:S160-6. doi: 10.1542/peds.2013-1021P.

  PMID: 24187119 DERIVED

MeSH Terms

Conditions

Breast Feeding; Depression, Postpartum

Interventions

Doulas

Condition Hierarchy (Ancestors)

Feeding Behavior; Behavior; Puerperal Disorders; Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Depressive Disorder; Mood Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Health Personnel; Health Care Facilities Workforce and Services

Study Officials

• Sydney L Hans, PhD

  University of Chicago

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 14, 2013
• First Posted: August 20, 2013
• Study Start: January 1, 2001
• Primary Completion: August 1, 2006
• Study Completion: August 1, 2006
• Last Updated: September 5, 2013

Record last verified: 2013-09

Locations

US (1)