Abstract
Immigrant women in the United States often have poorer maternal and infant outcomes and suboptimal experiences of maternity care compared to non-immigrant women in the same setting. The purpose of this study was to explore community-based doulas' experiences of working with immigrant clients and maternal health care providers in Arkansas. A descriptive qualitative design was used. Themes emerged within three categories: 1) experiences with immigrant clients; 2) experiences with maternal health care providers; and 3) suggestions to improve support for immigrant clients. Within the first theme, three subthemes emerged: 1) language barriers; 2) transportation; and 3) access to food and housing. Within the second theme, two subthemes emerged: 1) dismissive; and 2) takes time to build rapport. Within the third theme, two subthemes emerged: 1) listen to the client and improve communication; and 2) more community-based doulas. Community-based doula programs may help address poorer health outcomes faced by immigrant women.