Lecture Notes: The Role of Doulas and Midwifery in Birth Practices
Introduction
The role of doulas and midwives in supporting expectant mothers, especially among marginalized groups, is crucial.
Eboné Bradley, a licensed doula in Dallas, has supported hundreds of birthing mothers over a decade.
The United States has the highest maternal mortality rate among wealthy nations, with Black mothers being disproportionately affected.
Challenges in Maternal Healthcare
Fear in Expectant Mothers: Fear is a dominant emotion among expectant mothers, particularly Black women.
Disempowerment: Pregnant women often feel disempowered in healthcare decision-making.
Systemic Issues: Racism, sexism, and lack of investment in marginalized groups contribute to poor birth outcomes.
Importance of Doulas and Midwives
Role of a Doula: Described as a birth planner, helping women through education, emotional support, and resource connection.
Collaborative Care: Doulas often work with midwives who are medically trained to deliver babies and provide comprehensive care.
Midwifery Care: Focuses on caring for the whole woman, considering mental, emotional, and physical health.
Studies and Statistics
2013 Study: Socially disadvantaged mothers using doulas are two times less likely to experience birth complications.
2018 Study: States with robust midwifery services report better maternal care and outcomes.
C-Section Rates: In 2020, about one-third of U.S. deliveries were C-sections, with varying recovery experiences.
Case Study: Justina Arrington
Background: Mother of two, expecting her third; previously had traumatic birth experiences with C-sections.
Decision for Home Birth: Opted for a VBAC at home despite risks, aiming for a natural birth with a supportive team.
Outcome: Successfully gave birth to her third child, Taylan, naturally at home, crediting doula and midwifery support.
Challenges and Barriers
Financial Barriers: Midwifery and doula services can be costly, often not fully covered by insurance. Only a few states offer Medicaid reimbursement for doulas.
Access to Care: Advocates emphasize the need for accessible and affordable birthing options for all women.
Cultural and Emotional Support
Affirmations and Support: Emotional preparation and support, such as affirmation boards, play a crucial role in empowering mothers during birth.
Outcome and Impact: Positive birth experiences attributed to professional support lead to healthy outcomes for mothers and babies.
Conclusion
The involvement of doulas and midwives can lead to healthier birth outcomes and greater empowerment for mothers.
Continuing efforts to improve access to these services and addressing systemic issues in maternal healthcare are essential.