Birth can be dismal for Black women. What this hospital is doing to stop that

Doulas are becoming a more widely used resource among pregnant people, particularly Black women who historically face racial inequities during pregnancy and childbirth. Groups like The Doula Network and the Southern Birth Justice Network are working to expand doula services by training and connecting pregnant women with certified doulas. Doula care is more holistic and studies show that women using doulas have about a 65% reduction in their odds of developing postpartum depression or anxiety when a doula is present during labor and delivery.

The Iowa Black Doula Collective trains doulas to help educate and advocate for Black women during pregnancy and childbirth. Research shows women who work with doulas are less likely to have low birth-weight babies and experience birth complications. Since forming in 2020, the Collective has raised over $200,000 and trained 64 Black doulas.

Birth in Color, in partnership with Birth Equity Action & Research to Transform Health (BEARTH) Village, is working to address the Black maternal mortality crisis. The community-based organizations use research and cultural wisdom to dismantle inequities Black women face during birth. The groups provide free doula care to provide care and advocate for women in healthcare settings. There are currently 80 available doulas who help about 350 women give birth each year.

Black parents are at greater risk of experiencing serious complications during pregnancy and childbirth, which is why preserving Black birth care, like doulas, is so important to preventing unnecessary deaths and medical interventions. The doula community is growing and there’s currently a push among local doulas and providers to grow the network of doulas of color to increase the accessibility of relevant and representative birth care.

The Nurse-Family Partnership pairs low-income, first-time parents with a personal nurse from pregnancy through their child's second birthday. The Partnership serves 56,000 families each year, and works to help improve pregnancy outcomes for both parents and their babies through early education, access to care and helping to empower parents to get the care they need.

The Baby-Friendly Hospital Initiative provides a 10-step approach to hospital-based breastfeeding support in an effort to increase breastfeeding rates and reduce the racial disparities Black women often face during breastfeeding initiation. Breastfeeding has been shown to have a significant impact on a baby and mother’s health outcomes and the breastfeeding medicine clinic is available to anyone who is interested, including Medicaid patients who wouldn’t be able to afford the services otherwise.

With its focus on research and the launch of the Safer Baby Bundle, Australia is ahead of the curve in preventing stillbirths. The Safer Baby Bundle includes evidence-based practices to prevent stillbirths including helping pregnant patients quit smoking, regularly monitoring fetal growth and movement and encouraging safe pregnancy practices like sleeping on one’s side. Since the launch of these strategies, the country sees about six stillbirths a day, whereas the U.S. experiences about 60 stillbirths each day.

In an effort to reduce maternal mortality for Native mothers, Hummingbird Indigenous Family Services provides free physical, emotional, educational and spiritual support to Indigenous mothers and their families throughout the entire pregnancy and birth process. Hummingbird Indigenous Family Services emerged in 2019 and since then its team of five Indigenous doulas has provided culturally-relevant care to more than 150 pregnant Native women with a maternal and infant mortality rate of zero.

The Advanced Illness Care Program was founded within local Black churches and offers free, individualized support for people with advanced illnesses and their caregivers, helping them navigate various life and health issues and plan for end-of-life care. Since starting in 2015, the AICP has helped more than 1,600 patients, the majority of which are Black, and 55% of them have gone on to complete advance directives for end-of-life care.

The Abiye Project registered over 20,000 pregnant women using a community-based model to ensure they receive proper healthcare. The program connected women with trained health rangers who served as liaisons with traditional birth attendants (TBAs). When TBAs’ resistance stalled the program, the government introduced financial incentives, paying them for each patient referral, leading to more hospital births and a reduced child and maternal mortality rate.