{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T17:00:26Z","timestamp":1754154026664,"version":"3.41.2"},"reference-count":12,"publisher":"Springer Publishing Company","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Perinat Educ"],"published-print":{"date-parts":[[2025,7,1]]},"abstract":"<jats:p>Racial and ethnic disparities continue to affect maternal mortality, morbidity, and birth outcomes. Historically marginalized communities currently face higher rates of cesarean surgery, preterm birth, low birth weight, and infant mortality. Increased accessibility to culturally congruent doula services can help bridge disparities in maternal mortality, morbidity, and birth outcomes. This feasibility study aimed to characterize the need for doula care among patients of two large academic hospitals to inform the creation of a hospital-based doula program. In partnership with community-based midwives and doulas, we created an institutional review board-approved, anonymous, cross-sectional survey of consenting patients from two large academic health-care centers, one of which is a large safety-net hospital. Inclusion criteria included patients between the ages of 18 and 49 years who have had previous pregnancies, are currently pregnant, are thinking about becoming pregnant, or are not currently considering pregnancy. Surveys were offered in English, Spanish, and Haitian Kreyol. A total of 176 patients participated in and completed our survey study. Patients with an annual household income between $25,000 and $50,000 (Odds Ratio = 4.87, 95% confidence interval [1.02, 23.36]) were almost five times more likely than those with an annual household income below $25,000 to express interest in doula care. Among patients who expressed interest in doula care, there was a statistically significant association between the ability to pay for doula care and race (<jats:italic>X<\/jats:italic>\n                  <jats:sup>2<\/jats:sup> [8, <jats:italic>N<\/jats:italic> = 148] = 19.25, <jats:italic>p<\/jats:italic> = .01). Results illustrated an increased need for doula care, especially among patients from low-income and historically marginalized groups. More research is needed to understand why differences among demographic groups exist in our patient population. At the same time, other health-care systems nationwide are further encouraged to evaluate doula support needs within their community.<\/jats:p>","DOI":"10.1891\/jpe-2024-0010","type":"journal-article","created":{"date-parts":[[2025,2,25]],"date-time":"2025-02-25T12:40:18Z","timestamp":1740487218000},"page":"100-107","source":"Crossref","is-referenced-by-count":0,"title":["Understanding Patient Needs and Perceptions of Doula Care in South Florida"],"prefix":"10.1891","volume":"34","author":[{"given":"Catherine","family":"Marudo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Nicotra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brandon","family":"Chou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamarah","family":"Amani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebekah","family":"Antoine","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Staci","family":"Marbin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Carolina G.","family":"Sale","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Tomlinson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Fletcher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"793","published-online":{"date-parts":[[2025,2,25]]},"reference":[{"issue":"1","key":"2025072315250808000_34.2.100.1","first-page":"e40","article-title":"Reducing prenatal exposure to toxic environmental agents: ACOG Committee Opinion, Number 832","author":"American College of Obstetricians and Gynecologists\u2019 Committee on Obstetric Practice","year":"2021","journal-title":"Obstetrics and Gynecology"},{"issue":"7","key":"2025072315250808000_34.2.100.2","article-title":"Continuous support for women during childbirth","year":"2017","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"2025072315250808000_34.2.100.3","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003074"},{"key":"2025072315250808000_34.2.100.4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.2006.00067.x"},{"key":"2025072315250808000_34.2.100.5","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-018-2537-7"},{"key":"2025072315250808000_34.2.100.6","doi-asserted-by":"publisher","DOI":"10.1002\/imhj.21400"},{"issue":"6","key":"2025072315250808000_34.2.100.7","first-page":"761","article-title":"Factors associated with differences in Canadian perinatal nurses\u2019 attitudes toward birth practices","year":"2012","journal-title":"Journal of Obstetric, Gynecologic & Neonatal Nursing"},{"issue":"4","key":"2025072315250808000_34.2.100.8","first-page":"886","article-title":"Bridging health disparities and improving reproductive outcomes with health center\u2013affiliated doula programs","year":"2023","journal-title":"Obstetrics & Gynecology"},{"key":"2025072315250808000_34.2.100.9","unstructured":"Roux, M . (2023). Expanding and diversifying the doula workforce: Challenges and opportunities of increasing insurance coverage (Issue Brief). The U.S. Department of Labor website. https:\/\/www.dol.gov\/sites\/dolgov\/files\/WB\/WB_issuebrief-doulas-v3.pdf"},{"issue":"Suppl 1","key":"2025072315250808000_34.2.100.10","first-page":"59","article-title":"Doula services within a healthy start program: Increasing access for an underserved population","year":"2017","journal-title":"Maternal and Child Health Journal"},{"key":"2025072315250808000_34.2.100.11","unstructured":"United States Census Bureau. (2024a). Miami-Dade County, Florida . United States Census Bureau, 2020 Decenial Census. https:\/\/data.census.gov\/profile\/Miami-Dade_County,_Florida?g=050XX00US12086"},{"key":"2025072315250808000_34.2.100.12","unstructured":"United States Census Bureau. (2024b). Miami-Dade County, Florida . United States Census Bureau, 2022 American Community Survey 1-Year Estimates. https:\/\/data.census.gov\/profile\/Miami-Dade_County,_Florida?g=050XX00US12086#race-and-ethnicity"}],"container-title":["The Journal of Perinatal Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1891\/JPE-2024-0010","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T22:25:26Z","timestamp":1753309526000},"score":1,"resource":{"primary":{"URL":"http:\/\/connect.springerpub.com\/lookup\/doi\/10.1891\/JPE-2024-0010"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,25]]},"references-count":12,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,7,22]]},"published-print":{"date-parts":[[2025,7,1]]}},"alternative-id":["10.1891\/JPE-2024-0010"],"URL":"https:\/\/doi.org\/10.1891\/jpe-2024-0010","relation":{},"ISSN":["1058-1243","1548-8519"],"issn-type":[{"type":"print","value":"1058-1243"},{"type":"electronic","value":"1548-8519"}],"subject":[],"published":{"date-parts":[[2025,2,25]]}}}