The initiative will focus on reaching birthing families in 33 neighborhoods 'with the greatest social needs,' according to the NYC announcement.
In 2020, Black women died of maternal causes at nearly three times the rate of white women, up from around 2.5 times higher than in 2019, according to CDC data.
Black women also died in 2020 at higher rates than Hispanic women, who had a rate of 18.2 deaths per 100,000 births in 2020 -- a more than 40% increase from the previous year.
Dr. Jacquelyn McMillian-Bohler, a certified nurse-midwife and assistant professor in Duke University's school of nursing, describes doulas as bridging the communication gap between health care providers and Black female patients. "Our health literacy is poor across the board, and then when you add racism on top of that, it just creates another layer," she"That's what we're doing with the doula, we're trying to attack that health literacy piece that really affects outcomes."
Dr. Ashanda Saint Jean, a board-certified OBGYN and chair of OBGYN for the Health Alliance Hospitals and Westchester Center Medical Health Network in New York, explained that doulas are a source of non-medical support for pregnant women before, during and after childbirth.
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