The use of doulas, trained professionals who provide nonmedical support during childbirth, has been found to benefit pregnant individuals insured by Medicaid. A study published in the American Journal of Public Health showed that those who used a doula in addition to a medical team had a lower risk of cesarian section or preterm birth compared to those who did not. Doulas offer physical, emotional, and informational support during childbirth, helping clients with positions, massages, breathing techniques, and encouragement.
Researchers used Medicaid data from nine U.S. states to compare the health outcomes of individuals who used doulas with those who did not. They found that doula users had a 47 percent lower risk of having a C-section and a 29 percent lower risk of preterm birth. In addition, doula users were 46 percent more likely to attend a postpartum checkup, which is crucial for monitoring maternal health in the weeks following birth. The study included over 1 million records of women with pregnancy outcomes and matched individuals based on various characteristics.
The study highlighted the potential benefits of doula care in reducing C-sections and preterm births and promoting postpartum checkup attendance. Although the research was extensive, some limitations were noted, such as the inability to match individuals based on the timing of doula services during pregnancy. Questions remain about the impact of reimbursement rates on the use of doula services and the potential for better outcomes with increased access to doula care through Medicaid coverage.
The expansion of Medicaid coverage for doula services in various states reflects a growing recognition of the importance of supportive care during childbirth. Studies have shown the positive impact of doula support on maternal health outcomes, emphasizing the need for accessible and affordable options for all pregnant individuals. While doulas cannot address all aspects of maternal health, their role in advocating for and supporting individuals during childbirth can contribute to better decision-making and outcomes for families.
Improving access to doula care through Medicaid coverage and increasing reimbursement rates can provide more individuals with the support they need during pregnancy and childbirth. By allowing doulas to better assist clients in navigating the healthcare system and making informed choices, there is the potential to reduce health disparities and improve outcomes for pregnant individuals. The use of doulas as part of comprehensive maternity care can help address the high maternal mortality rates in the United States and promote better maternal health for all individuals.
