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Published on: January 12, 2018
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Examining Veterans', Doulas', and VA Maternity Care Coordinators' Perceptions and Experiences With a Community-based
Kristin M Mattocks1, Valerie Marteeny2, Lorrie Walker2
1VA Central Western Massachusetts Healthcare System, Leeds, Massachusetts; University of Massachusetts Chan Medical School, Worcester, Massachusetts.
Summary
Veterans reported high satisfaction with a pilot doula care program, noting positive pregnancy experiences and empowerment. Maternity care coordinators welcomed doula partnerships, enhancing veteran support.
Area of Science:
- Maternal Health
- Public Health
- Healthcare Disparities
Background:
- Racial disparities in maternal morbidity and mortality are a significant public health issue in the U.S.
- Disparities are also observed in maternal health among veterans receiving Department of Veterans Affairs (VA) maternity care.
- Previous research suggests doula care benefits minoritized populations, with lower preterm birth and cesarean rates.
Purpose of the Study:
- To evaluate a pilot community-based doula program for veterans within the VA healthcare system.
- To assess the perceptions and experiences of veterans, doulas, and VA Maternity Care Coordinators (MCCs) involved in the program.
Main Methods:
- A pilot study was conducted at two VA medical centers.
- Qualitative data collected through recorded, transcribed interviews with 28 veterans, 7 doulas, and 2 VA MCCs.
- Content analysis techniques used to identify major themes and representative quotes.
Main Results:
- Veterans' prior negative birth experiences motivated their interest in doula support.
- Participants reported positive pregnancy experiences and increased self-advocacy with doula assistance.
- VA MCCs viewed doulas as valuable partners in veteran care.
Conclusions:
- Veterans expressed high satisfaction with the community-based doula program.
- The program was seen as a valuable addition to existing VA MCC services.
- Doula care demonstrated potential for improving maternal outcomes and support for pregnant veterans.
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