
12/09/2021
YES ๐ YES ๐ YES!! READ THAT CAPTION!!
Posted โข Doulas absolutely are hugely knowledgeable and influential regarding the complex factors that impact Black maternal health and perinatal care because we live it from a perspective that is OUT-WITH THE SYSTEM. The doula/birthing person relationship is powerful for this very reason.
When the freedom that doulas have to autonomously serve birthing people in the way birthing people identify they want to be served, is driven by systems that pull doulas into the medical industrial complex, doulas can no longer be the leaders in addressing the complex issues they are being used as a bandaid to fix.
Birthing people should have a protected right to access birth companionship of their choice (which may or may not include a doula) and if this includes a doula, the parameters must not be defined and controlled by anyone except the birthing person and the doula they choose.
Yes doula reimbursement is essential, but if the systems that aim to increase access to doulas also pay them, they also control what doulas do and who they do it for. This sets a completely different power dynamic and changes the sanctity and effectiveness of the support the doula offers birthing people.
Improving outcomes for Black birthing people requires doula autonomy and the protection of birthing people to choose their doula without restriction, including the where, why, with whom and for how much. Exploring doula access and reimbursement programs that enable birthing people to hire a doula of their choice and pay for them, rather than the creation of various systems that reimburse but by their very nature, result in limited access to doulas through a variety of requirements that restrict access and create barriers for underrepresented doulas must be explored as a matter of urgency.
The future of doulas as the โleadersโ in addressing Black maternal health within existing and proposed community, State and National programs, initiatives and legislation, hangs very much in the balance.
So letโs talk about it.