Doulas, a non-medical birth professional, provide emotional, physical and social support and guidance through different aspects of sexual and reproductive health-- including labor and delivery, the prenatal and postpartum period, and during abortion care, miscarriage, or stillbirth. Amy Chen, Senior Attorney at the National Health Law Program, sits down to talk with us about the importance and benefits of doulas, Medicaid coverage of this care, and the challenges the U.S. faces in getting closer to a more supported, equitable birthing reality.
Benefits of doula care include lower rates of low-birth-weight babies, lower rates of cesarian delivery, and higher rates of breastfeeding initiation. Doulas can also help reduce racial disparities in care, particularly for those who are Black, Indigenous, and people of color (BIPOC). One of the core goals of increasing doula care surrounds the current Black maternal health crisis in the United States; doulas can provide support and act as an advocate when a patient faces individual, structural, or institutional racism.
States, health plans, and employers have shown increasing interest in expanding and implementing access to doula care. Across the country, Medicaid covers close to half of all births. Over the past five years, 25 states and Washington D.C. have implemented Medicaid coverage of doulas, with half a dozen states in the process of implementation.
For more information, check out: https://www.cbc.ca/listen/cbc-podcasts/2058-two-blocks-from-the-white-house
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