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Did Someone Say Doula?

ICYMI – In a recent article, The Times reported on the growing numbers of doulas that expecting NYC moms employ to support them during their labor processes. Those this may feel like old news to some, The Times goes on to discuss doulas’ push for a greater level of recognition.

Doulas, a name derived from an ancient Greek term meaning female servant, offer birthing support to expecting moms. Doulas may help prep parents for the realities of childbirth, attend births, and/or assist post-delivery. According to The Times, there are as many as 400 active doulas in NYC who attend approximately 5600 births a year, making up 5% of all births. Despite growing in number and popularity, doulas still make up only a small part of the maternal health system. Refusal to be included in health insurance coverage and pushback from the medical community have left some doulas feeling shut out. Now, several groups are advocating for health insurance companies to offer doula services (a model that exists currently in the state of Oregon’s Medicaid program), as well as rallying for an elevated sense of purpose and credibility within the medical field. The article interviewed various medical professionals, some who praised the role of the doula, and others who rebuffed their call for a higher level of acceptance. Doulas do not go through the same credentialing process as midwives or obstetricians, so some doctors are skeptical of the success that organizing doulas will have in pushing for insurance companies to cover their services. Still, doulas – and those who believe in the value of their services – will say that they serve an important role medically, in that they prioritize laboring mothers’ health choices/plans and, according to the article, “’put the ball back in the mom’s court.’”

Perhaps we will have to wait and see where these issues go, but no doubt the increased awareness of doulas’ experience will help the movement grow.

Read much more on this topic: Human Rights in Childbirth Conference Papers

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