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Implementation of a Community Doula-Hospital Partnership to Improve Access to Linguistically and Racially Concordant Doula Care for Black Birthing People.

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    Obstetric clinicians showed strong support and readiness for a new doula-hospital partnership program. This initiative aims to improve maternal care and address racial disparities.

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    Area of Science:

    • Maternal Health
    • Health Services Research
    • Health Equity

    Background:

    • Racial disparities in maternal morbidity and mortality persist, particularly affecting Black women.
    • Doula support is increasingly recognized as a valuable component of maternal care.
    • Hospital-based doula programs can help bridge gaps in care and address systemic inequities.

    Purpose of the Study:

    • To evaluate obstetric clinicians' and leaders' baseline knowledge, attitudes, and experiences with doulas.
    • To assess their readiness for implementing a novel doula-hospital partnership program.
    • To inform the successful integration of doulas into obstetric care settings.

    Main Methods:

    • A survey was administered to obstetric clinicians and leaders (N=48) at an academic medical center.
    • The survey utilized the Organizational Readiness for Implementing Change (ORIC) scale and original questions.
    • Descriptive, bivariate, and content analyses were performed on the collected data.

    Main Results:

    • All surveyed clinicians (n=45) providing intrapartum care were familiar with doula roles.
    • While some negative experiences were reported (47.3%), positive experiences with doulas were more common (76.3%).
    • Participants demonstrated a positive attitude toward doulas and high readiness for change, with strong scores on ORIC subscales for commitment and efficacy.

    Conclusions:

    • Findings indicate substantial support and readiness among obstetric clinicians and leaders to implement the doula-hospital partnership program.
    • The program is well-positioned for successful implementation, potentially improving maternal care outcomes.
    • This study provides a foundation for similar initiatives aimed at reducing maternal health disparities through doula integration.