Extending the Effect of Doulas: Digital Health Platforms as an Effective Mechanism for Improving Nonbirth Outcomes [ID 2683473

Abstract

INTRODUCTION: Doulas are nonmedical trained professionals who provide physical, emotional, and educational support to birthing people throughout their pregnancy and postpartum journey including being present at labor and delivery. In this comprehensive role, doulas help patients advocate for their needs and are able to drive effect on birthing and nonbirthing outcomes. Despite their value, there are significant financial, logistical, and geographical challenges to accessing doula services. This analysis evaluated the association between virtual doula use on Maven, a virtual clinic for women’s and family health, with users’ nondelivery outcomes. METHODS: This retrospective cohort study used data from 8,989 Maven users who gave birth between January 1, 2020, and April 22, 2023. Logistic regression models estimated the association between total number of doula appointments on the digital health platform with odds of reporting that Maven helped with 1) managing anxiety and/or depression and 2) feeling strongly supported throughout pregnancy. This research was deemed exempt by WCG IRB. RESULTS: In adjusted models, attending one or two or more Maven doula appointments was significantly associated with users reporting Maven helped them manage their mental health (one appointment: odds ratio [aOR] 1.28; 95% CI, 1.05–1.56; two or more appointments: aOR 1.78; 95% CI, 1.40–2.26) and helped them feel supported throughout their pregnancy (one appointment: aOR 1.99; 95% CI, 1.74–2.28; two or more appointments: aOR 3.26; 95% CI, 2.70–3.94). CONCLUSION: Digitally accessed doulas drive effects beyond labor and delivery outcomes and break down barriers to accessible holistic care.