From Q3 2023 through Q1 2024 and again from Q3 2024 to Q1 2025, 100% of clients consistently reported that their SisterWeb doula helped them feel more connected to their baby. This remarkable consistency reflects the relational strength and emotional support built into SisterWeb’s doula model. However, Q2 2024 saw a sharp drop to 77.8%. This deviation likely points to either data collection limitations (e.g., a small sample size or low response rate) or a temporary change in care continuity, such as staff transitions or client-doula mismatches. The immediate return to 100% in the following quarter suggests the issue was short-term rather than systemic.

Doulas are the most direct contributors to this outcome, with support from lead doulas, training mentors, and program coordinators. Evaluation staff ensure client voices are captured accurately through satisfaction surveys. Clients themselves are key partners—through both survey feedback and qualitative stories, they help SisterWeb understand what supports bonding and where gaps might occur. Community-based prenatal and pediatric care providers also support early bonding efforts and reinforce messaging around the importance of connection.

Consistent, relationship-centered support across the prenatal and postpartum period builds trust and connection not just with doulas—but also between clients and their babies. Practices like birth plan preparation, hands-on postpartum support, and intentional conversation about emotional bonding contribute significantly. SisterWeb’s culturally congruent model, where clients often feel seen and affirmed, also helps reduce stress and allows more space for attachment and connection. When doulas are able to maintain continuity across visits, their presence becomes a bridge for strengthening that parent-child bond.

To maintain high performance, SisterWeb should continue prioritizing consistent doula-client relationships and ensuring timely postpartum follow-up. Any dips in staffing or scheduling should be addressed proactively to prevent disruption to this bonding support. The organization could also explore adding new tools (e.g., bonding-focused materials or self-care resources) to postpartum visits. Additionally, reviewing qualitative survey responses from Q2 2024 may offer insights into what contributed to the temporary decline—and how those lessons can shape future strategies to support connection, especially during staffing transitions.