(ABSTRACT) A Birth Doula's Role to Increasing Breastfeeding Rates and Support with Women of Color

Background: The maternal mortality rate in the U.S. is on the rise. Women of Color (WOC) are at a higher risk for pregnancy-related death compared to non-Hispanic whites. Using Birth Doulas as part of the Integrated care system of Registered Dietetic Nutritionists (RDN) and International Board Certified Lactation Consultants (IBCLC) is a new educational model being developed. However, less than 5% of RDN’s and IBCLC’s are WOC. Therefore, the purpose of this pilot study ways to assess the doula’s involvement in promotion of breastfeeding (BF) with their clients and to assess the extent of BF support doulas provided from the client’s perspective. Methods: 40-question Qualtrics survey sent to 25 doulas via email (IRB# 18- 0082). The doulas forwarded a separated 26-question survey to their clients. Results: Response rate for the doula survey was 48% (n=12), 67% WOC, had at least a college degree and an annual income above $35,000. Conclusions: The evidence from the survey suggests WOC would benefit from doulas who underwent an integrated pathway of prenatal nutrition and lactation education.