Introduction: The perinatal period is a dangerous time for survivors of intimate partner violence (IPV). Doulas and community health workers (CHWs) serving perinatal people and their infants provide resources and support for survivors experiencing IPV. This study aimed to explore (1) current practices of doulas and CHWs for addressing IPV among their clients, (2) barriers and facilitators to supporting survivors, and (3) needed resources. Methods: We conducted virtual semistructured interviews with doulas and CHWs. Participants were recruited through local- and statewide organizations focused on violence prevention, doula care, and perinatal support. Interview recordings were transcribed verbatim and coded using a deductive-inductive thematic analysis approach. Team members coded the transcripts separately and then met to resolve discrepancies. Results: We conducted interviews with 15 doulas and 9 CHWs. Participants reported that structural inequities shape survivors’ experiences with their perinatal care providers. Participants described how these inequities caused harm to survivors’ health, well-being, and quality of care and support for IPV. Both doulas and CHWs shared self-care practices that allow them to care for IPV survivors, including setting boundaries, mindfulness, and spirituality. Discussion: Doulas and CHWs offer essential support for perinatal survivors and their infants. This study suggests that doulas and CHWs require additional training and support to care for IPV survivors. Future research and interventions should prioritize integrating institutional supports for doulas and CHWs to prioritize their well-being.
Williams et al. (Thu,) studied this question.