Black doulas fight 'staggering' maternal mortality crisis

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.

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.

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.

In an effort to combat high rates of maternal mortality and healthcare disparities among pregnant Black women, MLK Community Hospital offers combined care from certified nurse midwives and obstetricians to ensure a safe, healthy birth. Midwifery offers more sensitive and individualized care and is also linked to fewer C-sections and preterm births. At MLK Community Hospital, 14% of its first-time, low-risk births involved a C-section, compared to 23% of such births across the state.

The Women-Inspired Neighborhood (WIN) Network: Detroit works to improve Black infant health outcomes by providing support services like group prenatal care, targeted home visits, and breastfeeding programs. By using the CenteringPregancy model, over 600 women have gone through the program and there have been zero preventable infant deaths. Win also helps direct women toward resources like stable housing and higher education.

Accredited social health activists (ASHA) travel throughout Indian villages to combat medical misinformation — specifically among pregnant people — and make public healthcare more accessible. ASHAs connects with over 60% of the women in the villages she serves via WhatsApp, sharing educational videos to avoid the harmful effects of misinformation. As a result, ASHAs have had a massive impact on maternal mortality rates. In 2006, the maternal mortality rate was 254 deaths per 100,000 live births, but in 2020 it dropped to 96 per 100,000 births.

In 2025, Bauchi State launched the Impact Project to address Nigeria's maternal health crisis by deploying 100 Skilled Birth Attendants across 20 Local Government Areas, alongside free delivery kits and regular salary payments to increase access to professional childbirth care.

The Mamacare Foundation has trained over 860 traditional birth attendants (TBAs) in hygiene, safe delivery practices, danger-sign recognition, and timely referral systems over the past decade to improve maternal care in the region. The program pairs each TBA with a supervising midwife, creating a collaborative bridge between traditional and modern maternal care. The training has increased referrals from TBAs to clinics by 40%, and district hospitals report fewer emergency cases arriving in critical condition since the Foundation has formed.

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.