03/24/2026
According to the March of Dimes 2025 US report card:
"In 2024, nearly 380,000 babies were born preterm—1 in 10 births—placing the US among the highest rates in developed nations. Progress is not reaching the families who need it most."
"For the fourth consecutive year, the United States earned a D+ grade for preterm birth, marking the longest stretch of the lowest grade in Report Card history."
Less than 8 US states earned A and B reports. The US is failing our most vulnerable women and children.
We cannot emphasize enough that doulas are bandaids on the massive wound that is US health care. We aid in improving outcomes for each of our clients but we are not the solution, neither is the responsibility ours.
Nonetheless, a 2024 study found doula support was associated with a 29% lower risk of preterm birth. Why?
It's likely multifaceted but doula care is often associated with:
✨️ Education about risk factors, red flag symptoms, and ways to reduce risks around a variety of pregnancy complications
✨️ Encouragement to attend all prenatal care appointments
✨️ Continuity of support and encouragement of advocacy - if something feels off, you deserve appropriate care!
✨️ Reminding parents of their rights during pregnancy and labor
Not all cases of preterm labor can be prevented and we don't always know why a preterm labor occurs. However, there are things we can do, when families have access to proper medical care, to reduce the risk of preterm labor. Some ways to reduce risk include:
✨️ Adequate prenatal care
✨️ Continuity of care with midwives
✨️ Continuity of care with an OB
✨️ Addressing any signs of and treating UTIs
✨️ Adequate support, including nutrition support, for parents with hyperemesis gravidarum
✨️ Educating parents and providing screening for risk of cervical insufficiency and treating it
✨️ Establishing care in the first trimester
✨️ Proper support for managing gestational diabetes
✨️ Monitoring blood pressure and signs of preeclampsia
If your response to this is, "but doesn't everyone already have access to those things?" unfortunately, no. Many disparities in care exist.