{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T04:23:18Z","timestamp":1790828598149,"version":"4.1.0"},"reference-count":40,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,1,10]],"date-time":"2023-01-10T00:00:00Z","timestamp":1673308800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We assessed whether participation in Healthy Start Brooklyn's By My Side Birth Support Program\u2014a maternal\u2010health program providing community\u2010based doula support during pregnancy, labor and delivery, and the early postpartum period\u2014was associated with improved birth outcomes. By My Side takes a strength\u2010based approach that aligns with the doula principles of respecting the client's autonomy, providing culturally appropriate care without judgment or conditions, and promoting informed decision making.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using a matched cohort design, birth certificate records for By My Side participants from 2010 through 2017 (n\u00a0=\u00a0603) were each matched to three controls who also lived in the program area (n\u00a0=\u00a01809). Controls were matched on maternal age, race\/ethnicity, education level, and trimester of prenatal\u2010care initiation, using the simple random sampling method. The sample was restricted to singleton births. The odds of preterm birth, low birthweight, and cesarean birth were estimated, using conditional logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>By My Side participants had lower odds of having a preterm birth (5.6% vs 11.9%, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.0001) or a low\u2010birthweight baby (5.8% vs 9.7%, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.0031) than controls. There was no statistically significant difference in the odds of cesarean delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Participation in the By My Side Birth Support Program was associated with lower odds of preterm birth and low birthweight for participants, who were predominantly Black and Hispanic. Investing in doula services is an important way to address birth inequities among higher risk populations such as birthing people of color and those living in poverty. It could also help shape a new vision of the maternal\u2010health system, placing the needs and well\u2010being of birthing people at the center.<\/jats:p><\/jats:sec>","DOI":"10.1111\/birt.12701","type":"journal-article","created":{"date-parts":[[2023,1,10]],"date-time":"2023-01-10T13:21:57Z","timestamp":1673356917000},"page":"138-150","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Birth equity on the front lines: Impact of a <scp>community\u2010based<\/scp> doula program in Brooklyn, <scp>NY<\/scp>"],"prefix":"10.1111","volume":"50","author":[{"given":"Mary\u2010Powel","family":"Thomas","sequence":"first","affiliation":[{"name":"Healthy Start Brooklyn, New York City Department of Health and Mental Hygiene  Brooklyn NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriela","family":"Ammann","sequence":"additional","affiliation":[{"name":"By My Side Birth Support Program New York City Department of Health and Mental Hygiene  Brooklyn NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chinelo","family":"Onyebeke","sequence":"additional","affiliation":[{"name":"Statistical Analysis and Reporting Unit New York City Department of Health and Mental Hygiene  New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanya K.","family":"Gomez","sequence":"additional","affiliation":[{"name":"Office of the First Deputy Commissioner and Chief Equity Officer, New York City Department of Health and Mental Hygiene  Queens NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Lobis","sequence":"additional","affiliation":[{"name":"Formerly with New York City Department of Health and Mental Hygiene  Brooklyn NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenhui","family":"Li","sequence":"additional","affiliation":[{"name":"Statistical Analysis and Reporting Unit New York City Department of Health and Mental Hygiene  New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Huynh","sequence":"additional","affiliation":[{"name":"Office of Vital Statistics, New York City Department of Health and Mental Hygiene  New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,1,10]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Pregnancy\u2010Associated Mortality in New York City, 2011\u20132015","year":"2020"},{"key":"e_1_2_11_3_1","volume-title":"Severe Maternal Morbidity in New York City, 2008\u20132012","year":"2016"},{"key":"e_1_2_11_4_1","volume-title":"Summary of Vital Statistics, 2017","author":"Li W","year":"2019"},{"key":"e_1_2_11_5_1","unstructured":"Pregnancy Mortality Surveillance System.https:\/\/www.cdc.gov\/reproductivehealth\/maternal\u2010mortality\/pregnancy\u2010mortality\u2010surveillance\u2010system.htm. 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