I Don’t Want to Die’: Fighting Maternal Mortality Among Black Women

The nonprofit, Parents as Teachers, is in a network of more than one dozen “home visiting” programs that won a large funding increase in the $1.7 trillion spending bill that Congress passed late last year.

By providing the doulas, who offer nonmedical support to mothers before, during and after delivery, the program is extending a benefit largely associated with white and affluent women to predominantly Black, low-income mothers in St. Louis who would not otherwise know about it or be able to afford it. Unlike certified nurse midwives who deliver babies, doulas offer guidance on pain or complications ahead of delivery and help clients navigate hospitals and doctors — exactly the problems that Kelly experienced. Continuous guidance from a doula has been cited as one of the most effective interventions in easing pregnancy.

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