Doula support is an evidence-based policy that promotes more equitable, safer, less expensive births, and improves perinatal outcomes in the short- and long-term. Doula support is also correlated with improved infant-parent bonding and less postpartum depression and anxiety throughout the perinatal period.

The Alliance supports the efforts of the Doula Association of Vermont to secure policy changes that will enable Vermont families covered by Medicaid to access the support of a Community Doula, who can provide care and advocacy during the perinatal period that meets the self-determined needs of the birthing person. 

Lead Organization: Vermont Doula Access Coalition

Data and Talking Points

• In Vermont, in 2021, there were 2,2021 Medicaid births, about 38% of total births in the state.
• Currently all but four states are somewhere in process of proposing or implementing Medicaid coverage for birth doulas
• Doulas offer non-clinical, non-medical, human-to-human support. Doula care is emotional support.
• Studies show that doula care leads to a 30% reduced risk of labor induction, a 28% reduced risk of cesarean section, and a 14% reduced risk of a newborn admission to the NICU.
• About 40% of all births in Vermont are covered under Medicaid.