Community-Based Doulas' Roles Within the Birth Support System: Young Black Mothers' Perspectives

Area of Science:

• Maternal Health
• Adolescent Health
• Sociology of Health

Background:

• Doulas are recognized for supporting pregnant individuals during childbirth.
• Limited understanding exists regarding doulas' integration within the broader birth support network for adolescents.
• This study addresses the role of doulas within the support systems of pregnant adolescents.

Purpose of the Study:

• To examine the role of doulas within the comprehensive birth support system of pregnant adolescents.
• To understand doula integration from the perspective of young mothers.
• To identify how doulas function alongside family and healthcare providers.

Main Methods:

• Qualitative study involving 100 pregnant Black adolescents and young women (aged 13-21).
• Interviews conducted post-birth to gather birth narratives and experiences of support.
• Thematic analysis used to explore the doula's role within the support system.

Main Results:

• Doulas provided tandem support, working collaboratively with family and healthcare providers.
• Doulas filled essential care gaps, particularly when family or providers were unavailable or overburdened.
• Adolescents reported comfort measures, coaching, and assistance during labor and pushing from doulas.

Conclusions:

• Doulas effectively navigate existing support systems to aid pregnant adolescents.
• Integrating doulas into the birth support system enhances adolescent well-being.
• Findings support the significant role of doulas in childbirth, especially for marginalized populations.