ArticleBirth (Berkeley, Calif.)2026
Barriers and Bridges: Black Doulas' Experiences in Healthcare Setting.
Article in Birth (Berkeley, Calif.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed.
- Barriers and Bridges: Black Doulas' Experiences in Healthcare Setting.Birth (Berkeley, Calif.) · 2026Article
- Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundBlack birthing people experience disproportionately high rates of adverse maternal and infant health outcomes. Doula support is associated with improved birth outcomes and can help reduce racial disparities, yet culturally congruent doulas face hurdles practicing in the healthcare setting. This quality improvement project aimed to understand the experiences of Black doulas in Nebraska to enhance integration into healthcare systems.
methodsThree group-based interviews were conducted as part of a quality improvement project in August 2023 with six Black doulas practicing in Nebraska. Participants were recruited through community organizations and snowball sampling. Semi-structured interviews explored doula practices, barriers, motivations, and sources of support. Transcripts were analyzed using thematic analysis.
resultsThree main themes emerged: (1) Barriers inhibiting Black doulas in the healthcare setting, (2) Facilitators of a doula-friendly clinical environment, and (3) Coping strategies. Doulas described facing resistance, stereotypes, and a lack of understanding about their role from some healthcare staff, contrasted with client advocacy. Self-care strategies and peer support networks were critical for sustainable practice.
conclusionDespite systemic barriers, Black doulas play a vital role in supporting Black families and addressing inequities. Recommendations include implementing doula-friendly policies, addressing bias, fostering an inclusive environment in healthcare facilities, and enhancing the integration of culturally concordant doula support to improve outcomes for Black birthing people.
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