{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T20:23:05Z","timestamp":1793046185431,"version":"4.5.0"},"reference-count":47,"publisher":"Springer Publishing Company","issue":"3-4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Perinat Educ"],"published-print":{"date-parts":[[2025,11,1]]},"abstract":"<jats:p>Despite the widely documented benefits of doulas, institutional and clinician opposition persists. This opposition presents a barrier to doula access and integration, limiting birthing women\/people\u2019s choices and adversely impacting their experiences and health outcomes. This study explored clinicians\u2019 experiences working with doulas to identify factors that can impact interprofessional interactions. We analyzed ethnographic field notes from 7 years of participant observation in one community doula program in the Pacific Northwest (United States) and 11 semistructured interviews with clinicians (including obstetricians, midwives, and nurses). From this data, we produced practical recommendations to facilitate collaboration between medical institutions, clinicians, and doulas. Our recommendations offer an opportunity to improve working environments, support access and integration, strengthen health-care systems, and enhance patient satisfaction and outcomes.<\/jats:p>","DOI":"10.1891\/jpe-2024-0012","type":"journal-article","created":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T13:35:19Z","timestamp":1756128919000},"page":"182-193","source":"Crossref","is-referenced-by-count":2,"title":["Navigating the Perinatal Partnership: Recommendations to Facilitate Integration and Collaboration Between Institutions, Clinicians, and Doulas"],"prefix":"10.1891","volume":"34","author":[{"given":"Victoria Craig","family":"Keenan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holly","family":"Horan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marit L.","family":"Bovbjerg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Micknai","family":"Arefaine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Cheyney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"793","published-online":{"date-parts":[[2025,8,25]]},"reference":[{"key":"2025110611550979000_34.3-4.182.1","first-page":"114296","article-title":"Countervailing powers in the labor room: The doula\u2013doctor relationship in the United States","year":"2021","journal-title":"Social Science & Medicine"},{"key":"2025110611550979000_34.3-4.182.2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.2006.00041.x"},{"issue":"3","key":"2025110611550979000_34.3-4.182.3","article-title":"Perceptions and experiences of labour companionship: A qualitative evidence synthesis","year":"2019","journal-title":"Cochrane Database of Systematic Reviews"},{"issue":"3","key":"2025110611550979000_34.3-4.182.4","first-page":"195","article-title":"Diagnosing and improving functioning in interdisciplinary health care teams","year":"2012","journal-title":"Health Care Manager"},{"issue":"suppl 2","key":"2025110611550979000_34.3-4.182.5","first-page":"24","article-title":"The dislocation of medical dominance: Making space for interprofessional care","year":"2013","journal-title":"Journal of Interprofessional Care"},{"issue":"7","key":"2025110611550979000_34.3-4.182.6","article-title":"Continuous support for women during childbirth","year":"2017","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"2025110611550979000_34.3-4.182.7","doi-asserted-by":"publisher","DOI":"10.1080\/2159676x.2019.1628806"},{"key":"2025110611550979000_34.3-4.182.8","unstructured":"Chen, A . 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