{"id":351804,"date":"2026-03-22T04:54:10","date_gmt":"2026-03-22T04:54:10","guid":{"rendered":"https:\/\/www.newsbeep.com\/il\/351804\/"},"modified":"2026-03-22T04:54:10","modified_gmt":"2026-03-22T04:54:10","slug":"doulas-can-improve-health-outcomes-for-women-and-babies-insurers-are-taking-notice","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/il\/351804\/","title":{"rendered":"Doulas can improve health outcomes for women and babies. Insurers are taking notice."},"content":{"rendered":"

Like many first-time moms, Nathalia Marin Torres was excited when she found out she was pregnant last August, but she was also a bit nervous. The 33-year-old Colombia native didn\u2019t click with her OB-GYN and felt like she needed more support navigating the health care system in the United States.<\/p>\n

\u201cWhen you\u2019re kind of far away from family and from your culture, it\u2019s a little bit overwhelming,\u201d Torres said.<\/p>\n

She was referred to Alexia Franco Pettersen, a Mexican American doula in Minneapolis. Pettersen is helping guide Torres through prenatal visits<\/a> and preparing for postpartum. She\u2019ll be there for the entirety of her labor and delivery, whenever and however long that may be, and provide support after the birth as well.<\/p>\n

\"Doulas.\"Nathalia Marin Torres, left, with doula Alexia Franco Pettersen.NBC News<\/p>\n

Torres likened it to the extra support she would get if she were back in Colombia with her family.<\/p>\n

The decision to work with a doula was made easier when she learned that Pettersen\u2019s $2,400 cost would be covered by her insurance.<\/p>\n

This year, UnitedHealthcare became the first major insurer to start adding a doula benefit to plans across the country. By next year, all of the company\u2019s employer-sponsored plans will have access to the benefit.<\/p>\n

Torres\u2019 plan is among those that got doula coverage this year.<\/p>\n

Typically, doula services have not been covered by insurance, putting them out of reach for many women, said Usha Ranji, an associate director of the women\u2019s health policy program at KFF, a nonpartisan research group. United\u2019s decision reflects a growing awareness about doulas and how they can improve pregnant women\u2019s health<\/a>, she said.<\/p>\n

Dr. Denise De Los Santos, an OB-GYN at University Hospital in San Antonio, said insurance coverage for doulas should be the norm. <\/p>\n

\u201cI think it\u2019s about time we do something to help moms,\u201d said De Los Santos, adding that anything that could help more women feel supported during pregnancy is important.<\/p>\n

Over the past 13 years, at least 26 states have begun requiring Medicaid coverage for doulas, according to the National Health Law Program\u2019s Doula Medicaid Project<\/a>. Four states \u2014 Arkansas, Colorado, Louisiana and Rhode Island \u2014 require some private plans to do the same.<\/p>\n

\u201cWe think that doula care is an important step in improving health care outcomes for women going through pregnancy and delivery and postpartum, especially for women of color,\u201d said Dr. Margaret-Mary Wilson, the chief medical officer for UnitedHealth Group, the parent company of UnitedHealthcare.<\/p>\n

\u2018A health equity intervention\u2019<\/p>\n

Doulas aren\u2019t doctors, nurses or midwives<\/a>, but can work with women during their pregnancy, birth and postpartum in the role of an advocate and coach.<\/p>\n

\u201cWhen health care systems are stretching nurses and doctors to maybe not be able to learn all the details of someone\u2019s life during a 15-minute prenatal appointment, then doulas are able to learn more about those things, provide them extra resources, amplify their voice,\u201d said Pettersen, who has been a doula for 12 years.<\/p>\n

There are multiple organizations that offer doula certifications, including DONA International and the National Black Doulas Association, but no single body oversees the profession. <\/p>\n

Doulas typically spend hours getting to know their clients, discussing how they would like to give birth and advocating for those wishes during labor and delivery. During the birth, they can help with nonmedical pain management by suggesting different positions and breathing techniques. Once women are home with their baby, some doulas can guide them through breastfeeding and even help prepare healthy meals.<\/p>\n

\"Doulas.\"Torres likened working with a doula to the extra support she would get if she were back in Colombia with her family.NBC News<\/p>\n

The U.S. continues to see high levels of maternal mortality<\/a>, and major medical organizations like the American College of Obstetricians and Gynecologists<\/a> have noted that the continuous support doulas provide can help improve outcomes for women in labor.<\/p>\n

Studies have shown doulas can decrease the rates of preterm births<\/a>, cesarean sections and postpartum depression<\/a>.<\/p>\n

\u201cThe state of maternal health in the country has reached a critical point. The number of preventable pregnancy-related deaths, pregnancy-related complications, the mental health prevalence in women who are pregnant is unacceptable,\u201d United\u2019s Wilson said.<\/p>\n

Pettersen, the doula working with Torres, said she\u2019s been in delivery rooms where doctors have dismissed patients\u2019 concerns about certain medical interventions because of language barriers. \u201cDoulas are a health equity intervention,\u201d she said.<\/p>\n

\u201cSometimes it\u2019s even having the providers understand culturally this is what the patient is wanting and getting them on board,\u201d said Pettersen, who is also fluent in Spanish.<\/p>\n

Erica Lane decided to become a doula after having a bad birth experience. \u201cI didn\u2019t want women to go through what I went through,\u201d she said. During the birth of her second daughter, she felt coerced into getting an epidural and her \u201cbirth plan was literally thrown in the trash.\u201d<\/p>\n

Lane, who is president of DONA International, said she\u2019s glad more women will potentially have access to doulas because of United\u2019s new benefit, but worries its reimbursement model \u2014 which requires people to pay upfront, and the insurer will later reimburse them \u2014 will be a barrier for some women. \u201cIt is a good start, but there\u2019s definitely room for improvement,\u201d she said.<\/p>\n","protected":false},"excerpt":{"rendered":"Like many first-time moms, Nathalia Marin Torres was excited when she found out she was pregnant last August,…\n","protected":false},"author":2,"featured_media":351805,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[163,521,85,46],"class_list":["post-351804","post","type-post","status-publish","format-standard","has-post-thumbnail","category-healthcare","tag-health","tag-healthcare","tag-il","tag-israel"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts\/351804","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/comments?post=351804"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts\/351804\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/media\/351805"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/media?parent=351804"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/categories?post=351804"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/tags?post=351804"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}