ArticlePregnancy (Hoboken, N.J.)2025
Facilitating Postpartum Care with a Doula and Certified Nurse Midwife in the Neonatal Intensive Care Unit: A Qualitative Analysis of Maternal Experiences.
Article in Pregnancy (Hoboken, N.J.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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
1 citing paper in PubMed.
- Length of gestation and postpartum visit attendance.Pregnancy (Hoboken, N.J.) · 2026Article
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Authors and funding
8 authors.
Funding
Abstract
Introduction: Mothers of infants in the Neonatal Intensive Care Unit (NICU) are at higher risk of postpartum complications than mothers of well infants. The Postpartum Care in the NICU (PeliCaN) study was an unblinded, randomized controlled trial of doula-supported, certified nurse midwife-delivered postpartum care for NICU mothers that reduced time to postpartum care for intervention participants. To establish acceptability and identify the most valuable core components of this care model, we conducted a qualitative study to understand the following: 1) the perspective and experience of NICU mothers in the intervention and control groups; 2) their receipt of and associated facilitators and barriers to postpartum care; and 3) the relative contributions of the doula and certified nurse midwife in accessing postpartum care. Methods: Semi-structured interviews were completed with 20 participants (10 intervention and 10 control) who were NICU mothers of infants born <34 weeks' gestation, admitted to the NICU, and <2 weeks old. We utilized template analysis, a form of thematic analysis, and an inductive approach to examine, interpret, and identify themes in the data. Results: We identified seven primary themes capturing the positive influence and care facilitated by the doula and certified nurse midwife. Four themes were specific to the doula: care coordination; prioritization of NICU mothers' own postpartum care; resource coordination; and guidance by the doula. Three themes were specific to the certified nurse midwife: efficient, timely care at the bedside; removing travel and scheduling barriers; and personalized care from the midwife. Conclusions: We identified a variety of ways in which embedding a doula and certified nurse midwife in the NICU to support postpartum care contributed to timely access to postpartum care and improved the postpartum experience for these high-risk obstetric patients. The synergy of doula-facilitated care, resource coordination, emotional support, and guidance with personalized certified nurse midwife-delivered essential bedside care that minimized logistical barriers was well received and appreciated by intervention participants. These maternal perspectives support embedding postpartum care in NICUs via policies and integrated healthcare delivery models.
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