The doula community may be growing, but it is still struggling with mainstream understanding and acceptance.
A new report from Choices in Childbirth adds to a body of evidence that doula care should be included in health plans and made available to all women, particularly women of color, who face disproportionate rates of maternal and infant mortality in the United States.
A doula with knowledge of the institutionalized oppressions that make it difficult to find support for many reproductive health decisions is able to provide care regardless of the decision an individual makes while pregnant.
Doulas have increased in number and popularity in recent years. But as a whole, what are we working toward? The goal of having a doula for every birth may not be feasible. It also may not bring about the radical change we seek.