Abstract
INTRODUCTION: Doulas are skilled paraprofessionals who provide supportive care to pregnant women and birthing people resulting in improved outcomes. However, conflicts persist between health care providers and doulas in hospital-based maternity care teams. Few studies have addressed this phenomenon from the doulas' perspective, particularly doulas from racial and ethnic minority backgrounds. METHODS: This qualitative study used individual semi-structured interviews to explore the experiences and perspectives of perinatal doulas caring for pregnant women from various backgrounds. Transcriptions were analyzed. RESULTS: Seven doulas participated, five of whom self-identified as Black or African American. Three themes were identified: Barriers to Including Doulas in Team-Based Care, Facilitators to Improving Interdisciplinary Collaboration, and Educational Needs and Support. Doulas emphasized the need for mentorship and support for novices transitioning to hospital settings, particularly when caring for high-risk patients. CONCLUSIONS: Doulas are integral in advocating for pregnant women from diverse backgrounds and helping them to navigate complex health care systems. Given the inequities affecting Black and African American maternity patients, incorporating racial minority doulas in team-based care is critical. Career development and mentorship can help novice doulas integrate smoothly into hospital environments.