The Doula’s Role in Reducing Postpartum Depression

Doulas show promise for PPD prevention. Barriers exist for marginalized and underresourced populations of patients in accessing doula care, yet these are the populations who report maternal mental health disorders disproportionately compared with nonmarginalized women. We recommend focusing on the protective value of doulas in preventing PPD, overcoming barriers for patient access to doulas, and standardized mental health education for doulas. Integrating doula support into maternity care requires alignment with the health care team to ensure continuity and effectiveness. Nurses are critical in this partnership through assessment and collaborative care coordination.