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Doulas

Community-based doulas are nonmedical, unlicensed, trained professionals who provide emotional, physical, and informational support to birthing people during pregnancy and up to one year postpartum. Community-based doulas differ from lay and other birth doulas because they are specifically trained to provide culturally sensitive care and focus on those who are more likely to experience discrimination in traditional healthcare settings.

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Strong causal evidence of community-based doula programs has demonstrated that doula support increases attendance at medical appointments and education classes, encourages responsive parenting behaviors, and enhances child health and developmental outcomes such as breastfeeding initiation rates and safe sleep practices.

This webinar followed our virtual 2023 National Prenatal-to-3 Research to Policy Summit. At the Summit, we explained why we added community-based doulas to our Roadmap—this webinar took a deeper dive into the issue.

Rigorous research indicates that community-based doula services are an effective strategy to improve healthy birth outcomes. This checklist covers the policy levers that states may use to increase access to doulas.

Related Resources

Doula Supporting a Couple

State Approaches to Supporting the Community-Based Doula Workforce

Community-based doulas provide non-clinical emotional, physical, and informational support to expectant parents, starting during pregnancy and continuing throughout the postpartum period.
Washington State Capitol Legislative Building

The Prenatal-to-3 Policy Landscape in 2026

This blog post outlines the state policy changes in effect since the release of our 2025 Roadmap, providing timely and up-to-date context for consideration as policy discussions continue in 2026.
Missouri State Capitol building in Jefferson City, Missouri

2025 Prenatal-to-3 Legislative Roundup

With most legislatures adjourned for the year, we recap the 2025 action on state policies to support children and families. So far this year, lawmakers throughout the country debated—and many passed—legislation that aligns with four key components of the prenatal-to-3 system of care.

State Policy Progress on Community-Based Doulas in 2025

Community-based doulas are trained social service professionals who provide non-clinical emotional, physical, and informational support to expectant parents, starting during pregnancy and continuing throughout the postpartum period. When integrated into a larger system of supports

2025 National Prenatal-to-3 Research to Policy Summit

Did you miss the Summit? Click here to access the full recording.

State policy progress on community-based doulas in 2024

Community-based doulas are trained social service professionals who provide non-clinical emotional, physical, and informational support to expectant parents, starting during pregnancy and continuing throughout the postpartum period. Community-based doulas are one of 12 evidence-based policies