000			02326nam a22001817a 4500
005			20250214135509.0
008			250214b ph ||||| |||| 00| 0 eng d
022			_a0361-929X
040			_cOCT
100			_aSchubert Mary
240			_aThe american journal of maternal/child nursing _hSeptember - October 2024
245			_aIntegrating community based doulas into the maternity health care system in an urban hospital / _cMary Schubert, Cynthia Logsdon, Clara Sears, Edward Miller, Ahmed Abdulmohsen Alobaydullah, Kristine Lain
300			_aVol. 49 (5) pages 261-267 _bIllustrations: _c27 cm
500			_aBackground: Maternal morbidity and mortality in the United States are higher than peer countries. These adverse events disproportionally affect Black women. Local problem: Rates of maternal morbidity and mortality among Black childbearing women in West Louisville, Kentucky are higher than rates in Kentucky and the United States. Methods: We conducted a quality improvement project to evaluate the effectiveness of adding doulas to the health care teams at the Norton downtown hospital to address health disparities and other challenges identified by Black childbearing women related to communication and health care system barriers. Intervention: Three culturally congruent doulas were hired and integrated into the health care teams in one large health care organization. Results: Participants in the doula program had lower no-show rates for postpartum visits compared with non-participants. No-show rates for prenatal visits were the same for both groups. Rates of diagnosed preeclampsia, hypertension, and chronic hypertension were similar among doula program participants and those who did not participate. Narrative data indicated that program participants and health professionals were generally pleased with the doula program and there was positive feedback from the community. Conclusions: Integrating culturally congruent doulas into the health care system maximized their impact to address health and other challenges experienced by Black childbearing women
650			_aBlood pressure, doula, health equity, hospitals, patient care team, pregnancy, quality improvement.
700			_aLogsdon Cynthia, Sears Clara, Miller Edward, Alobaydullah Ahmed Abdulmohsen, Lain Kristine
942			_2ddc _cCR _n0
999			_c10217 _d10217