Association of a self-efficacy theory-driven doula program combined with stage-focused nursing with delivery outcomes: a retrospective study - Report - MDSpire

Association of a self-efficacy theory-driven doula program combined with stage-focused nursing with delivery outcomes: a retrospective study

  • By

  • Hongyan Xiao

  • Lijuan Li

  • June 11, 2026

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Clinical Report: Impact of a Doula Program on Delivery Outcomes

Overview

This study evaluated a doula program based on self-efficacy theory and its impact on delivery outcomes. Results indicated significant improvements in labor duration, pain scores, neonatal Apgar scores, and psychological wellbeing among parturients receiving the doula program compared to those receiving standard nursing care.

Background

The psychological factors influencing childbirth, such as fear and anxiety, can adversely affect delivery outcomes. Optimizing support for vaginal delivery is crucial, as it is associated with better neonatal outcomes and is recommended by health organizations. This study explores the effectiveness of a doula program in addressing these psychological determinants during labor.

Data Highlights

{'Labor Pain Score (VAS)': 'Provide specific numerical values for both groups.'}

Key Findings

  • The doula program significantly reduced total labor duration compared to standard nursing care.
  • Parturients in the study group reported lower labor pain scores.
  • Neonatal Apgar scores were significantly higher in the doula program group.
  • Improved psychological outcomes were observed in the study group, including lower fear of childbirth and higher resilience.
  • The observational nature of the study limits causal inferences.

Clinical Implications

Integrating a self-efficacy theory-based doula program with stage-focused nursing may enhance delivery outcomes and psychological wellbeing for parturients. Healthcare providers should consider incorporating such programs to support vaginal delivery and address psychological factors during labor.

Conclusion

The findings suggest that a doula program grounded in self-efficacy theory can positively influence delivery outcomes. Further research through prospective randomized controlled trials is necessary to confirm these associations.

Related Resources & Content

  1. JAMA Network Open, 2024 -- Video-Based Peer Support and Exclusive Breastfeeding and Maternal Self-Efficacy: A Randomized Clinical Trial
  2. Associated Press Health, 2024 -- Michigan tops doula goal in push to improve maternal and infant health
  3. American Journal of Epidemiology, 2024 -- Examining Racial and Ethnic Disparities in Severe Maternal and Neonatal Morbidity Among Low-Risk Nulliparous Patients: The Role of Labor and Delivery Unit Practices
  4. Approaches to Limit Intervention During Labor and Birth | ACOG, 2025
  5. Associated Press Health — Maine indigenous organization trained 30 new doulas
  6. Intrapartum Doula Support and Cesarean Delivery Rates: A Systematic Review and Meta-analysis
  7. Evaluating the impact of the second-stage and pushing duration on maternal and neonatal outcomes: a systematic review and meta-analysis
  8. Approaches to Limit Intervention During Labor and Birth | ACOG

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