Medicine

Despite insurance coverage, most women still can’t access doula care

How the science connects

Maternal healthHealthcare access

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Many U.S. states now provide coverage for doula care, but beneficiaries often face significant barriers in accessing these services. Doula care, which includes pregnancy and birth education, hospital advocacy, and postpartum support with lactation and recovery, has been linked to improved breastfeeding rates and reduced maternal anxiety. Doulas typically work in conjunction with medical providers such as doctors or midwives rather than replacing clinical care.


Despite evidence of benefits and expanded insurance coverage, gaps between policy and practice prevent many families from receiving doula support during the perinatal period. Addressing access barriers could help reduce maternal health disparities and improve birth outcomes, particularly for underserved populations.


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Doula care has been associated with improved breastfeeding initiation and less maternal anxiety. Perinatal doula care includes education about pregnancy and birth, advocacy for new parents in the hospital, and help after delivery with lactation and recovery. Doulas often work alongside doctors or midwives who provide medical care.

Source: Many states cover doula care, but access is often out of reach