Made available in DSpace on 2016-03-22T17:27:39Z (GMT). No. of bitstreams: 1 cAMILLA.pdf: 182088 bytes, checksum: 7d4a56422ea83fe44f3803e70f90a6f0 (MD5) Previous issue date: 2006-05-19 / Object: To evaluate the efficacy of a young and lack of experience doula, men and women, on the reduction providing support during labor to young and first time mother. Until now, the majority of studies refer as a doula to a professional and experienced trained woman. Their aims are examined whether a doula altered obstetrical and neonatal outcomes. Methods: 605 primiparous at term which 368 had doula during labor and 237 usual care. The study data were obtained in 1995-1996 at the maternity of São Francisco de Paula´s hospital in Pelotas, RS. We used a questionnaire tested before containing social and demographic information and specific information about the pregnancy and the labor. Results: The duration of the labor for women who had doula was shorter then in the control group (4.8 hours; d.p=4.6 hours versus 6.0 hours; d.p=5.3 hours / p<0.000). In the group of female doula the duration of the labor was 3.6 hours (d.p=3.2 hours) on the other hand, in the male group was 4.5 hours (d.p=4.3 hours). Type of birth, use of forceps, oxytocin administration, smoking during pregnancy, Apgar, newborn´s weight, prenatal care, maternal education and family income didn´t show any significant association with the doula. Conclusions: For this population and setting, labor support from young and lack of experience doula, mainly the female companion, was significantly associated with a shorter labor in primigravidous women. / Objetivos: Avaliar o efeito de doulas inexperientes e jovens, de ambos os sexos, na redução de tempo de trabalho de parto em primíparas jovens. Na literatura, até o presente, as doulas têm sido mulheres maduras e experientes, avaliando-se os efeitos de suas presenças no suporte intra-parto, considerando vários desfechos médicos e psicossociais. Método: Através de ensaio clínico controlado, 605 primíparas foram estudadas, das quais 368 foram acompanhadas por doulas (176 do sexo feminino e 192 do sexo masculino, jovens, inexperientes, estudantes de Medicina e Psicologia), no trabalho de parto. Um grupo de 237 primíparas sem intervenção foi utilizado como controle. A coleta de dados foi realizada nos anos de 1995-1996, na Maternidade do Hospital São Francisco de Paula da Universidade Católica de Pelotas, RS. Mediante um questionário padronizado e testado em estudo piloto, a duração do trabalho de parto foi tomada como desfecho e avaliaram-se dados sócio-demográficos e informações específicas sobre a gestação e o parto. Resultados: A duração média do trabalho de parto para todas as pacientes foi de 4,8 hs (d.p.=4,6 hs). No grupo de doulas femininos foi de 3,6 horas (d.p.=3,2 hs), no grupo de doulas masculinos foi de 4,5 horas (d.p.=4,3 hs) e no grupo controle teve duração média de 6,0 horas (d.p.=5,3 hs) (p<0,000). As variáveis tipo de parto, uso de fórceps, indução, baixo peso ao nascer, pré-natal, escolaridade da mãe, Apgar, fumo durante a gravidez e renda familiar não mostraram associação significativa com o tipo de acompanhante. Conclusão: A presença de doulas jovens e inexperientes, principalmente do sexo feminino, esteve associada a uma menor duração de trabalho de parto em primíparas jovens.

This thesis research zeroes in on the role of doulas regarding prevention of obstetric violence by summarizing existing literature and providing first-hand insights from qualitative semi-structured interviews with three Austrian doulas, answering the question: What role do doulas play in the prevention of obstetric violence in Austria? The research and data analysis are based on the Birth Territory Theory with an intersectional perspective and the thesis aims at providing information on obstetric violence and the role that doulas play in its prevention. Currently this topic is hardly researched in Austria, even though globally one third of parturients experience violence while giving birth. The findings show that obstetric violence is present during childbirth in many forms in Austria on a regular basis and that intersectional dimensions such as education or age play a role in it. The role of doulas in theprevention of obstetric violence is diverse and includes inter alia raising awareness,being a witness, being a mediator between midwives and parturients, proposing options, and offering emotional support. Nevertheless, in Austria doulas are not allowed to intervene during birth and cannot eliminate obstetric violence by themselves. / Die vorliegende Masterarbeit setzt sich mit der Rolle von Doulas in der Prävention von Gewalt bei Geburten in Österreich auseinander. Durch drei qualitative Interviews mit österreichischen Doulas und einem Literature Review wurde folgende Forschungsfrage beantwortet: Welche Rolle spielen Doulas in der Prävention von Gewalt unter der Geburt in Österreich? Basierend auf der Birth Territory Theory und mit einem intersektionalen Blickwinkel zielt diese Masterarbeit darauf ab, Informationen über Gewalt unter der Geburt in Österreich bereitzustellen und die Rolle von Doulas in diesem Kontext zu beleuchten. Obwohl global rund ein Drittel aller Gebärenden Gewalt unter der Geburt erlebt, gibt es keine Daten und Statistiken zu der Lage in Österreich. Die Ergebnisse dieser Forschung zeigen, dass Gewalt in Kreißsälen in Österreich regelmäßig in verschiedenen Formen verzeichnet wird und dass dabei intersektionale Dimensionen wie Alter oder Bildungsstand der Gebärenden eine Rolle spielen. Die Forschungsergebnisse decken sich mit vergleichbaren Studien aus anderen Ländern und bieten erste Einblicke zu diesem Thema in Österreich.Doulas dürfen als nicht-medizinische Geburtsbegleiterinnen in Österreich weder in das Geburtsgeschehen eingreifen noch beraten, verfügen jedoch über zahlreiche Optionen, einen Beitrag zur Gewaltprävention zu leisten. Ihre Rolle beinhaltet die derZeugin, sie kann Mediatorin zwischen Hebamme und Gebärender sein und sie kann zusätzlich Optionen aufzeigen, emotionale Unterstützung anbieten und zurBewusstseinsbildung beitragen. Gewalt unter der Geburt kann trotz dieser Präventionsmaßnahmen durch Doulas jedoch nicht vollständig verhindert werden.

No description available.