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Experiences of Community Doulas Working with Low-Income, African American Mothers

Purpose: The aim of this study was to learn from doulas the components of their services that might best serve low-income, African American (AA) women and to show the significance of doulas in helping these women have healthy, positive, birth experiences. Methods: Ten doulas were recruited from a lo... Full description

Journal Title: Health Equity Vol.3(1), pp.19-116
Main Author: Wint, Kristina
Other Authors: Elias, Thistle I , Mendez, Gabriella , Mendez, Dara D , Gary-Webb, Tiffany L
Format: Electronic Article Electronic Article
Language: English
Subjects:
Ses
ID: E-ISSN: 2473-1242 ; DOI: 10.1089/heq.2018.0045
Link: https://www.liebertpub.com/doi/abs/10.1089/heq.2018.0045
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recordid: maryannliebert_s10_1089_heq_2018_0045
title: Experiences of Community Doulas Working with Low-Income, African American Mothers
format: Article
creator:
  • Wint, Kristina
  • Elias, Thistle I
  • Mendez, Gabriella
  • Mendez, Dara D
  • Gary-Webb, Tiffany L
subjects:
  • Original Article
  • African American
  • Doulas
  • Health Equity
  • Pregnancy
  • Qualitative Research
  • Ses
ispartof: Health Equity, Vol.3(1), pp.19-116
description: Purpose: The aim of this study was to learn from doulas the components of their services that might best serve low-income, African American (AA) women and to show the significance of doulas in helping these women have healthy, positive, birth experiences. Methods: Ten doulas were recruited from a local community doula program and through word-of-mouth referrals from participants and completed in-depth interviews. Interviews were transcribed verbatim and analyzed using Atlas.ti software to identify emerging themes. Thematic saturation was achieved in interviews. Results: Several themes emerged from the interviews including: (1) The influence of similarities of race, culture, and lived experience on doula care; (2) How doulas often provide birthing persons with support and resources beyond birth; and (3) How doulas recognize the institutional biases that exist in the health care system and try to mediate their effect on birthing persons. Conclusions: These themes highlight how doulas can support birthing persons to mitigate the negative effects of social determinants of health, specifically racism and classism, and highlight potential avenues for doulas to consider when working with birthing persons who have low income and are AA.
language: eng
source:
identifier: E-ISSN: 2473-1242 ; DOI: 10.1089/heq.2018.0045
fulltext: fulltext_linktorsrc
issn:
  • 2473-1242
  • 24731242
url: Link


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titleExperiences of Community Doulas Working with Low-Income, African American Mothers
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subjectOriginal Article ; African American ; Doulas ; Health Equity ; Pregnancy ; Qualitative Research ; Ses
descriptionPurpose: The aim of this study was to learn from doulas the components of their services that might best serve low-income, African American (AA) women and to show the significance of doulas in helping these women have healthy, positive, birth experiences. Methods: Ten doulas were recruited from a local community doula program and through word-of-mouth referrals from participants and completed in-depth interviews. Interviews were transcribed verbatim and analyzed using Atlas.ti software to identify emerging themes. Thematic saturation was achieved in interviews. Results: Several themes emerged from the interviews including: (1) The influence of similarities of race, culture, and lived experience on doula care; (2) How doulas often provide birthing persons with support and resources beyond birth; and (3) How doulas recognize the institutional biases that exist in the health care system and try to mediate their effect on birthing persons. Conclusions: These themes highlight how doulas can support birthing persons to mitigate the negative effects of social determinants of health, specifically racism and classism, and highlight potential avenues for doulas to consider when working with birthing persons who have low income and are AA.
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