Date of Award
Spring 5-2026
Language
English
Document Type
Honors Thesis
Degree Name
Bachelor of Arts
Department
Anthropology
Advisor/Committee Chair
Elise Andaya
Abstract
This thesis explores the potential integration of doulas into the obstetric medical team, defining birth as a cultural and social experience as well as a physiological process. Drawing on anthropological literature and historical accounts, I examine the shift from social, woman-centered childbirth practices to the medicalized model that occurs in modern American obstetrics. While this transformation has improved maternal and infant mortality rates, it has also caused a loss of continuous emotional and social support for laboring mothers, as well as a shift in autonomy from the birthing person to medical professionals. To investigate how doulas may help bridge this divide, I conducted four interviews with experienced doulas practicing in different regions of the United States. These interviews provide insight into the roles doulas play in supporting mothers, facilitating communication with medical staff, and advocating for patient autonomy. The findings reveal a shared understanding among doulas that birth extends beyond a physiological process, emphasizing the importance of emotional support and continuity of care. I also observed differences in their approaches to advocacy and collaboration with medical professionals, demonstrating the diversity within doula practice. This research also touches on the persistent structural inequalities in obstetric care and highlights the role doulas can play in mitigating these disparities. While all participants supported greater collaboration between doulas and medical teams, they emphasized that preserving the relationship between the doula and the mother is essential. Ultimately, this thesis argues that integrating doulas into the broader framework of obstetric care, while maintaining their independence and continuity of care, has the potential to enhance the birthing experience, improve outcomes, and provide a well-rounded approach to maternity care that values both medical expertise and social support.
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Shaw, Alyssa, "Integrating Doulas into the Medical Team" (2026). Anthropology. 48.
https://scholarsarchive.library.albany.edu/honorscollege_anthro/48