Detailed Description The doula-led intervention developed during the first phase of this project will be pilot tested for feasibility. Following the recruitment procedures described in the recruitment and retention plan, approximately 75 participants will be enrolled into the study. Twenty-five of the participants will receive regular doula care and 25 of the participants will receive care from a doula trained in the PMAD doula training throughout their pregnancy, childbirth, and postpartum time period, following the intervention procedures developed in Aim 2 of this study. Twenty-five women will not receive care from a doula and will receive perinatal care as usual. Women in all groups will take surveys via REDCap during their enrollment in the intervention, at 1 month postpartum, 3 months, and 6 months postpartum (at the conclusion of the intervention). All participants who receive the PMAD doula intervention will complete checklists after each session with their doula, to assess fidelity to the intervention. Participant communication with their doula via patient notebook will also be assessed for fidelity to the intervention.
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The Childbirth Self-Efficacy Inventory (CBSEI)
Timeframe: At study enrollment
Change in the Childbirth Self-Efficacy Inventory (CBSEI) at 1 month postpartum
Timeframe: 1-month postpartum
Change in the Childbirth Self-Efficacy Inventory (CBSEI) at 3 months postpartum
Timeframe: At 3-months
Change in the Childbirth Self-Efficacy Inventory (CBSEI) at 6 months postpartum
Timeframe: At 6-months postpartum.
The General Self-Efficacy Scale (SGSE)
Timeframe: At study enrollment
Change in the General Self-Efficacy Scale (SGSE) at 1-month postpartum
Timeframe: 1-month postpartum
Change in the General Self-Efficacy Scale (SGSE) at 3-months postpartum
Timeframe: At 3-months postpartum
Change in the General Self-Efficacy Scale (SGSE) at 6-months postpartum
Timeframe: At 6-months postpartum.
Edinburgh Depression Scale
Timeframe: At study enrollment
Change in the Edinburgh Depression Scale at 1-month postpartum
Timeframe: At 1-month postpartum
Change in the Edinburgh Depression Scale at 3-months postpartum
Timeframe: At 3-months postpartum.
Change in Edinburgh Depression Scale at 6-months postpartum
Timeframe: At 6-months postpartum.
Patient Health Questionnaire (PHQ)-9
Timeframe: At study enrollment
Change in Patient Health Questionnaire at 1-month postpartum (PHQ)-9
Timeframe: At 1-month postpartum
Change in Patient Health Questionnaire at 3-months postpartum (PHQ)-9
Timeframe: At 3-months postpartum.
Change in Patient Health Questionnaire at 6-months postpartum (PHQ)-9
Timeframe: At 6-months postpartum.
Generalized Anxiety Disorder (GAD)-7
Timeframe: At study enrollment
Change in Generalized Anxiety Disorder (GAD)-7 at 1-month postpartum
Timeframe: At 1-month postpartum
Change in Generalized Anxiety Disorder (GAD)-7 at 3-months postpartum
Timeframe: At 3-months postpartum.
Change in Generalized Anxiety Disorder (GAD)-7 at 6 months postpartum
Timeframe: At 6-months postpartum.
Multi-Dimensional Scale of Perceived Social Support (MSPSS)
Timeframe: At study enrollment
Change in Multi-Dimensional Scale of Perceived Social Support (MSPSS) at 1-month postpartum
Timeframe: At 1-month postpartum
Change in Multi-Dimensional Scale of Perceived Social Support (MSPSS) at 3-months postpartum
Timeframe: At 3-months postpartum.
Change in Multi-Dimensional Scale of Perceived Social Support (MSPSS) at 6-months postpartum
Timeframe: At 6-months postpartum.
Social Support Questionnaire (SSQ)- Short Form
Timeframe: At study enrollment
Change in Social Support Questionnaire (SSQ)- Short Form at 1-month postpartum
Timeframe: At 1-month postpartum
Change in Social Support Questionnaire (SSQ)- Short Form at 3-months postpartum
Timeframe: At 3-months postpartum.
Change in Social Support Questionnaire (SSQ)- Short Form at 6-months postpartum
Timeframe: At 6-months postpartum.
Birth Companion Support Questionnaire
Timeframe: 1-month postpartum
Change in Birth Companion Support Questionnaire at 3-months postpartum
Timeframe: At 3-months
Change in Birth Companion Support Questionnaire at 6-months postpartum
Timeframe: At 6-months postpartum
The Perceived Wellness Scale
Timeframe: At study enrollment
Change in the Perceived Wellness Scale at 1-month postpartum
Timeframe: 1-month postpartum
Change in the Perceived Wellness Scale at 3-months postpartum
Timeframe: 3-months postpartum
Change in the Perceived Wellness Scale at 6-months postpartum
Timeframe: At 6-months postpartum.
City Birth Trauma Scale City Birth Trauma Scale
Timeframe: At 1-month postpartum
Change in the City Birth Trauma Scale at 3-months postpartum City Birth Trauma Scale
Timeframe: At 3-months postpartum
Change in the City Birth Trauma Scale at 6-months postpartum City Birth Trauma Scale
Timeframe: At 6-months postpartum