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accessHealthNews.net
February 2025
Volume 11 | Issue No. 93
Navigating the health care system can
feel like a labyrinth, especially during criti-
cal life moments. That's where doulas step
in—not only as a lifeline during labor but
as holistic advocates throughout the en-
tire journey. Unlike traditional birth doulas,
full-spectrum doulas masterfully navigate
insurance hurdles, manage appointments,
and connect patients to life-saving re-
sources. Their work spans both perinatal
and postpartum care, making them indis-
pensable in today's complex health care
landscape. "Think of us like your maternal
guidance counselor," says Shariah Ed-
wards, a certified full-spectrum doula for
Altruism, Inc., a 501(c)(3) nonprofit. "I can't
give you medical advice, but I can give
you evidence-based information so that
you can make the best decision for you."
As health care systems grow increasing-
ly intricate, doulas play a pivotal role in
expanding access to care, particularly
for those navigating systemic barriers like
transportation challenges or limited health
literacy. Research highlights that respect-
ful, patient-centered care during preg-
nancy and childbirth—qualities doulas
prioritize—significantly impacts trust in the
health care system. Involvement in deci-
sion-making and being treated with dignity
fosters trust, while exclusion or disrespect
discourages engagement.
In addition to addressing barriers during
pregnancy, doulas fill a critical gap in
postpartum care. Too often, the weeks
and months following childbirth leave new
parents feeling unsupported. Approxi-
mately 40% of women do not attend a
postpartum follow-up visit, according to
the American College of Obstetricians and
Gynecologists (ACOG). The United States
has one of the highest maternal mortality
rates among high-income nations, with sig-
nificant disparities affecting communities
of color, according to the Commonwealth
Fund's report on maternal mortality. Dou-
las provide continued guidance and emo-
tional reassurance during this vulnerable
time, helping to reduce risks like postpar-
tum depression and anxiety.
"Change starts when we stand together, work together, and
believe in a future where equal care is the standard, not the
exception."
READ MORE
- Shariah Edwards, a certified full-spectrum
doula for Altruism, Inc., a 501(c)(3) nonprofit.