Our mission is to reduce maternal health inequities by advancing community-oriented, peer-to-peer support throughout pregnancy, birth, and postpartum. We want to make sure this support is not only accessible and affordable, but also reflects the linguistic and cultural diversity of the country.
Our model is centered around systems thinking and intersectional justice. We are confronting the systemic and institutional drivers of health inequities through research, policy, and advocacy work and working with healthcare institutions and service providers to create new paradigms around maternal care that include confronting institutional bias and reinforcing a language of consent in the delivery room.
While tackling disparities of care is our priority, we also view it as the bare minimum birthing people deserve. We want to make sure everyone can say they had a positive birth experience because they were empowered to advocate for their needs and make informed decisions for themselves and their family.
Migrant women in western European countries have double the risk of dying during or after pregnancy compared with host women, with a higher risk of dying from direct rather than indirect causes, which suggests a possible link with obstetric care. There is a 60% higher rate of maternal mortality among women of “non-western” origin in Europe. There are also disparities in the type of experience birthing people have in the delivery room, which can have long-term consequences on both mental and physical health. In Germany, perceived discrimination is related to a higher risk of preterm birth among Turkish immigrant women.
Disparities of care in world-class medical facilities are unacceptable systemic and institutional failures. Not only do we need to deconstruct those systems, but we also want to mitigate their harmful impact immediately.
The care provided by community-based birth workers can help alleviate some of the risk factors that contribute to poor maternal & child health outcomes: doula-supported birthing people are four times less likely to have a low birth weight baby, two times less likely to experience a birth complication involving themselves or their baby, and even experience near-universal breastfeeding initiation.