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- 13 - 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.

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