How Doulas and Birthworkers Can Improve Maternal and Newborn Outcomes in the U.S.
Maternal and newborn health in the United States is a critical concern. Despite being one of the most developed countries in the world, the U.S. has one of the highest maternal mortality rates among high-income nations, with over 1,000 women dying each year from pregnancy-related complications. Newborn mortality is also a significant concern, with notable disparities between states and communities.
This raises an important question: What can be done to improve outcomes for mothers and babies? One answer lies in the support of doulas and birthworkers.
The Role of Doulas and Birthworkers
Doulas and birthworkers are trained professionals who provide emotional, physical, and informational support to birthing parents before, during, and after pregnancy. Unlike medical staff, they focus exclusively on the family’s needs, helping them navigate pregnancy, labor, birth, and postpartum care with confidence and clarity.
How They Make a Difference
1. Continuous, Personalized Support
Research shows that continuous labor support from a doula can reduce cesarean rates, shorten labor, and decrease the need for pain medication. Beyond labor, doulas provide emotional support during pregnancy and postpartum, reducing stress and promoting healthier outcomes for both mother and baby.
2. Education and Advocacy
Doulas empower families with knowledge about birth options, interventions, and newborn care. They also serve as advocates in hospitals, ensuring that the mother’s voice is heard and respected—a crucial factor in preventing complications and medical errors.
3. Reducing Maternal Complications
By monitoring for warning signs, encouraging timely prenatal care, and supporting healthy behaviors, doulas can help prevent complications such as postpartum hemorrhage or preeclampsia. Their presence and support often lead to safer, more positive birth experiences.
4. Addressing Health Disparities
Maternal mortality disproportionately affects Black, Indigenous, and low-income women in the U.S. Community-based doulas often serve these populations, providing culturally competent care and bridging gaps in access to quality healthcare.
5. Supporting Newborn Health
Doulas provide breastfeeding support, safe sleep education, and early guidance on newborn care, reducing risks for infants and promoting long-term health.
6. Postpartum Care and Mental Health
The weeks after birth are critical. Doulas assist with recovery, emotional well-being, and newborn care, helping prevent postpartum depression and supporting the family’s transition into parenthood.
The Big Picture
When doulas and birthworkers are part of the care team, mothers and babies experience better outcomes, fewer interventions, and more positive birth experiences. They play a vital role in bridging gaps in the healthcare system, particularly for communities that face higher risks of complications and mortality.
By investing in birth support and education, we can take meaningful steps toward reducing maternal and newborn mortality in the U.S..
Takeaway
Every mother deserves compassionate, knowledgeable support during one of the most important journeys of her life. Doulas and birthworkers don’t just provide comfort—they save lives.
