Qualitative study identified opportunities to improve how hospital-based doula programs can support pregnant people living in low-income communities.

Background

Doulas provide non-clinical maternal support before, during, and after childbirth. While studies have shown that doula care is associated with improved maternal and infant health outcomes, a relatively small percentage of women receive doula care. This qualitative study explored perspectives of women in a low-income region on the desired aspects of a hospital-based doula program.

Findings

The services that focus group participants identified as important in a hospital-based doula program generally mirrored services provided in community-based doula programs, such as enhanced support during the prenatal and postpartum periods and patient advocacy support, including during the birthing process. Notably, advocacy can address harmful impacts of stigmatization for groups, such as pregnant people with substance use disorder.

Program/Policy Takeaways

This study identifies takeaways for how a hospital-based doula program could consider drawing on elements of a community-based doula approach to support the needs of low-income pregnant people.