Since we started this program, we have been collecting outcome data in order to assess the impact of doula services on maternal and infant health.
Baseline data are from the Jefferson County Department of Health. Over 90% of the clients we serve are insured through Medicaid. Therefore, Jefferson County Medicaid covered births are our main comparison group.
A poster entitled Doula Care Improves Birth and Breastfeeding Outcomes in a Medicaid Population. Jefferson County, Alabama. was presented at the 2017 National Academies of Practice conference. Statistical analysis of our 2013-2014 data showed that Medicaid recipients were three times more likely to have an epidural (OR = 3; 95% CI 2.1-4.4; P<0.0001) and 1.8 times more likely to have a cesarean section (OR = 1.8; 95% CI 1.1–2.9; p=0.008), compared to BirthWell Partners’ doula supported clients. BirthWell Partners’ doula clients were also 10.5 times more likely to breastfeed their babies (OR= 10.5, 95% CI 5.4-23.2, p<0.001). See bar graph below, or view the entire poster.
This poster was again presented at the Alabama Department of Public Health Office of Women’s Health 2017 conference entitled: Closing the Gaps in Women’s Health: An Interdisciplinary Conference
To see detailed outcomes, including cesarean rate, epidural rate, average gestational age, average birth weight, preterm birth and low birth weight rates, breastfeeding rates, incidence of holding newborns skin to skin immediately after birth, and induction rates for each BirthWell Partners program year click the links below. Yearly national, state and county data are listed as well, for comparison purposes.