Let’s talk about something that doesn’t get enough attention: the maternal mortality rate for Black and Brown women in the U.S. It’s heartbreaking—and infuriating. Black women are three times more likely to die from pregnancy-related complications than white women, and Indigenous and Latina women also face higher risks. These numbers aren’t because Black and Brown women are inherently less healthy; they’re because of systemic racism, bias in healthcare, and lack of support.
But there’s a solution that’s been making a real difference: doulas. If you’ve never heard of a doula, think of them as a combination of coach, educator, volume-raiser, and support system for moms-to-be. They’re not doctors or nurses, but they play an important role in helping moms navigate pregnancy, childbirth, and postpartum. And for women of color, having a doula can literally be a lifesaver.
Why Is This Even a Problem?
The reasons for the high maternal mortality rates in Black and Brown communities are layered. There’s bias in the medical system—studies have shown that Black women’s pain and concerns are often dismissed or ignored. Add to that the stress of dealing with racism, less access to quality healthcare, and other challenges like financial struggles or lack of family support, and it’s no wonder the odds are stacked against them.
What’s worse? A lot of these deaths could be prevented if women had the right support.
Enter Doulas
Doulas are changing the game. They’re there to make sure moms feel seen, heard, and cared for every step of the way. They listen when doctors might not, they advocate when moms don’t feel empowered to, and they bring a kind of care that’s deeply personal and culturally respectful.
Here’s how doulas are helping Black and Brown moms thrive:
1. They Provide Education & Preparation
Ever feel like you’re not being listened to at the doctor’s office? Imagine that during labor. A doula helps their clients' voices to be heard and they makes sure their concerns—like pain or something that “just doesn’t feel right”—are taken seriously. For moms who are scared to push back or don’t know how to navigate the system, preparation beforehand and have a doula by your side during stressful medical encounters can make all the difference.
2. They Get It
When doulas share the same cultural background as the moms they’re supporting, there’s an instant connection. They understand the traditions, the language, the food, the values—it’s a level of care that feels familiar and safe. This connection can be so powerful for reducing stress, especially in an already stressful situation like childbirth.
3. They Help Avoid Unnecessary Interventions
Studies have shown that moms with doulas are less likely to have C-sections or preterm births. Why? Because doulas know how to help educate and prepare clients with a birth plan, help them manage pain naturally, and keep things on track.
4. They’re There After the Baby Comes
Here’s the thing: the risk doesn’t end when the baby is born. A lot of maternal deaths happen during the postpartum period. Doulas who have full spectrum training like MaternityWise doulas will stick around to help with breastfeeding, emotional support, and spotting signs of complications. Plus, having someone in your corner can ease the stress of those first few overwhelming weeks with a new baby.
5. They Know the Bigger Picture
Many doulas also connect families with resources like housing, food assistance, or mental health services. They look at the whole picture, not just the birth itself, because they know everything is connected when it comes to a mom’s health.
The Proof Is in the Results
There’s solid research showing that doula care works. Black women with doulas are four times less likely to have a low-birth-weight baby and twice as likely to avoid serious complications during delivery. Programs where doulas are being offered to Medicaid recipients, are seeing real success.
What Needs to Change
If we want more Black and Brown moms to benefit from doula care, we’ve got to make it accessible. Right now, hiring a doula can be expensive, and not all insurance covers it. Some states, like Arizona, Maryland, New York, Minnesota and Oregon, have started offering Medicaid coverage for doulas, which is a great start. But we need more policies like this nationwide to make doula care an option for everyone.
Why This Matters
This isn’t just about statistics—it’s about saving lives. It’s about making sure Black and Brown moms get the care and respect they deserve during one of the most vulnerable times in their lives.
If you’re pregnant or know someone who is, especially if they’re Black or Brown, consider looking into doula care. It’s not just support—it’s empowerment. And it could make all the difference.
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