| Summary: | 博士 === 國立臺北護理健康大學 === 護理研究所 === 100 === The objective of this research aims at the level of needs and influential factors to doulas from the pregnant women and effect of doula policy. Adopting a survey of purposive sampling from obstetric outpatients at two medical centers by delivering needs of doulas and Edinburgh Postnatal Depression Scale to those pregnant women with neither past medical history nor gestational complications. There were totally 340 pregnant women recruited for the survey. 65.3% hold the conviction that doulas are needed in order to support the needs of new born care skills, self-care techniques, physical support, psychological support, information giving, facilitating communications and peers’ support subsequently. Results concluded through the regressive analysis indicate that the level of depression during the pregnancy and labor confidence is significantly related to the need of doula. Every one-point increase in the depression score was associated with a 0.121-point (p=0.023) increase in the perceived need for a doula.Comparing those who with no confidence and those with apparent confidence, the gap in the need of doula may be as wide as 3.332 (p=0.028) in average. It proves that for those who are seriously depressed in pregnancy and no confidence in labor would certainly have a higher level of need for doula. Experiment case has significant difference in higher NSD rate(87.9% vs 55.7% chi-square=23.3 p<0.001) and lower c/s rate(9.5% vs 39.7% chi-square=22.4 p<0.001).
This study can be a suitable reference for establishing the doula system in Taiwan so that to promote the health care quality for labor women and to institute more completed mother-infant friendly system.
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