ArticleBirth (Berkeley, Calif.)2022
The role of doulas in respectful care for communities of color and Medicaid recipients.
Article in Birth (Berkeley, Calif.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.
- Doula Support During Pregnancy, Childbirth, and Postpartum: A Systematic Review and Meta-Analysis.Obstetrics and gynecology · 2026Pooled it
- Implementation Barriers to Incorporating a Community-Based Doula Program to Improve Birth Outcomes for Black Patients in an Academic Medical Center.Journal of racial and ethnic health disparities · 2026Article
- Low-risk Cesareans Across the US: A Decomposition of Individual- and County-level Factors by Race/Ethnicity.Journal of racial and ethnic health disparities · 2026Article
- Doula services for Medicaid beneficiaries in Virginia: access, utilization, and policy lessons.Health affairs scholar · 2026Article
- Race-Related Stress as a Driver of Postpartum Depression Among a Sample of Black Mothers.Behavioral sciences (Basel, Switzerland) · 2025Article
- The Influence of Mistrust, Communication, and Advocacy on Black Women's Pregnancy-Related Healthcare Decisions.Journal of racial and ethnic health disparities · 2025Article
- Learning from the Implementation of Disability-Inclusive Maternity Care: A Scoping Review.Healthcare (Basel, Switzerland) · 2025Review
- Exploring the Role of Doulas in Supporting People With Perinatal Mood and Anxiety Disorders.International journal of childbirth · 2025Article
- A Systematic Review of the Use of Doulas to Support Rural Perinatal People in the United States.Maternal and child health journal · 2025Article
- Increasing commercial coverage of doula services: perspectives from health plans and large employers in California.Health affairs scholar · 2025Article
- The role of nurses, midwives, and doulas on breastfeeding: changes during the COVID-19 pandemic.Frontiers in global women's health · 2025Article
- Article
- The Age of the Soft-Girl Era: How Public Health Scholars May Seize Opportunity of Innovatively Promoting Reproductive Health and Nutritional Health Among Black Women of Color.Health equity · 2025Article
- Exploring the Experiences of Community-Based Doulas That Serve Immigrant, Migrant, and Refugee Clients in Arkansas.Women's reproductive health (Philadelphia, Pa.) · 2025Article
- Respectful maternity care experiences of South Asian refugees in the US: a qualitative study.Frontiers in public health · 2025Article
- Opportunities to sustain matricentric models of community and person-centered care for perinatal substance use in the postFrontiers in psychiatry · 2025Review
- Article
- A novice to expert analysis of skill development in birth doulas.Frontiers in global women's health · 2025Article
- Caring for Women of Color: Community-Based Doulas' Strategies in Hospital Birth in Los Angeles.Medical anthropology · 2025Article
- Study protocol: a mixed-methods study of the implementation of doula care to address racial health equity in six state Medicaid programs.Health research policy and systems · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite the tenets of rights-based, person-centered maternity care, racialized groups, low-income people, and people who receive Medicaid insurance in the United States experience mistreatment, discrimination, and disrespectful care more often than people with higher income or who identify as white. This study aimed to explore the relationship between the presence of a doula (a person who provides continuous support during childbirth) and respectful care during birth, especially for groups made vulnerable by systemic inequality.
methodsWe used data from 1977 women interviewed in the Listening to Mothers in California survey (2018). Respondents who reported high levels of decision making, support, and communication during childbirth were classified as having "high" respectful care. To examine associations between respectful care and self-reported doula support, we conducted multivariable logistic regressions. Interactions by race/ethnicity and private or Medi-Cal (Medicaid) insurance status were assessed.
resultsOverall, we found higher odds of respectful care among women supported by a doula than those without such support (odds ratios [OR]: 1.4, 95% CI: 1.0-1.8). By race/ethnicity, the association was largest for non-Hispanic Black women (2.7 [1.1-6.7]) and Asian/Pacific Islander women (2.3 [0.9-5.6]). Doula support predicts higher odds of respectful care among women with Medi-Cal (1.8 [1.3-2.5]), but not private insurance.
conclusionsDoula support was associated with high respectful care, particularly for low-income and certain racial/ethnic groups in California. Policies supporting the expansion of doulas for low-income and marginalized groups are consistent with the right to respectful care and may address disparities in maternal experiences.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.