{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T17:28:59Z","timestamp":1786469339413,"version":"build-2736575974"},"reference-count":35,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Racially and linguistically concordant doula care has reduced disparities in maternal morbidity and mortality rates for Black birthing people. This mixed\u2010methods pilot implementation study assessed the feasibility of implementing and maintaining a novel partnership between a community doula organization led by 2 Black doulas and an urban academic tertiary care hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The Reach, Effectiveness, Adoption, Implementation, and Maintenance framework was used to design and evaluate implementation. Black birthing people were recruited from the hospital's midwifery and general obstetrician\u2010gynecology practices. Partnership members selected the implementation strategies. Implementation outcomes were assessed through periodic clinician surveys of midwives, labor and delivery nurses, and physicians and through doula monthly check\u2010ins, postbirth debriefs, and patient visit logs. Descriptive and comparative quantitative analyses were conducted for surveys and doula logs. Rapid qualitative analyses were conducted for open\u2010ended survey responses, doula check\u2010ins, and debriefs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 51 of 55 patients enrolled in the study received doula services. Midwives expressed higher levels of acceptability and appropriateness of doula care on clinician surveys compared with labor and delivery nurses and physicians. Feasibility was high, but some clinicians demonstrated a lack of understanding of the doulas\u2019 role in labor and birth. Fidelity for prenatal and postnatal visits was high (98% and 96.1%, respectively). A doula was physically present at 41 births and virtually present at 6 (N = 51). Reasons for not being present during the remaining 4 births included communication issues, precipitous births, and births at a facility other than the study site.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This study demonstrates that implementation of a formal community doula\u2010academic hospital partnership was largely feasible. Interprofessional education has the potential to improve physicians\u2019 and labor and delivery nurses\u2019 lower ratings of the appropriateness and acceptability of doula care compared with midwives\u2019 ratings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jmwh.70110","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T12:05:14Z","timestamp":1775736314000},"page":"600-609","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Implementation of a Community Doula\u2010Hospital Partnership to Improve Access to Linguistically and Racially Concordant Doula Care for Black Birthing People"],"prefix":"10.1111","volume":"71","author":[{"given":"Sarah L.","family":"Goff","sequence":"first","affiliation":[{"name":"Department of Health Promotion and Policy UMass Amherst School of Public Health and Health Sciences, University of Massachusetts Amherst  Amherst Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neena","family":"Qasba","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology UConn School of Medicine, University of Connecticut Farmington Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Autumn","family":"Versace","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Baystate Medical Center  Springfield Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carly","family":"Detterman","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Baystate Medical Center  Springfield Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liza","family":"Winston","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Baystate Medical Center  Springfield Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Gebhardt","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Baystate Medical Center  Springfield Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanita","family":"Council","sequence":"additional","affiliation":[{"name":"Springfield Family Doulas  Springfield Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laconia","family":"Fennell","sequence":"additional","affiliation":[{"name":"Springfield Family Doulas  Springfield Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Attanasio","sequence":"additional","affiliation":[{"name":"Department of Health Promotion and Policy UMass Amherst School of Public Health and Health Sciences, University of Massachusetts Amherst  Amherst Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,9]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Maternal mortality rates in the United States 2021.Centers for Disease Control and Preventionwebsite. 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Updated April 16 2024. Accessed May 13 2025.https:\/\/nashp.org\/state\u2010tracker\/state\u2010medicaid\u2010approaches\u2010to\u2010doula\u2010service\u2010benefits\/"},{"key":"e_1_2_8_16_1","unstructured":"MudumalaA GiffordK RanjiU HintonE.Challenges and strategies in expanding non\u2010traditional pregnancy\u2010related services: findings from a survey of state Medicaid programs.KFF. May 3 2024. Accessed May 13 2025.https:\/\/www.kff.org\/medicaid\/issue\u2010brief\/challenges\u2010and\u2010strategies\u2010in\u2010expanding\u2010non\u2010traditional\u2010pregnancy\u2010related\u2010services\u2010findings\u2010from\u2010a\u2010survey\u2010of\u2010state\u2010medicaid\u2010programs\/"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.5888\/pcd15.170271"},{"key":"e_1_2_8_18_1","unstructured":"What is RE\u2010AIM?RE\u2010AIMwebsite. 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