How Doula Support Can Help Improve Black Maternal Health Outcomes

We are proud to partner with UnitedHealthcare for this post.

Black maternal health remains a critical issue, calling for greater awareness, advocacy and action around a reality many Black mothers are living every day. Here in Houston, where families are beautifully diverse and deeply connected, this conversation matters now more than ever.

couple holding newbornThe Reality Behind the Statistics

The hard truth is that Black women in the United States experience maternal deaths at two to three times the rate of white women. They are also twice as likely to experience maternal mental health conditions, yet only half as likely to receive care.

Even more concerning is the fact that maternal mortality has continued to rise in recent years, increasing significantly between 2014–2019 and again from 2019–2023. At the same time, infant mortality has also seen an uptick. These aren’t just numbers; they represent real families navigating pregnancy, birth, and postpartum in systems that often fall short of meeting their needs.

For moms reading this, it can feel overwhelming. And while significant gaps remain, there are signs of progress and a growing focus on solutions designed to better support Black mothers and babies.

A Shift Toward More Support

In recent years, maternal health has gained increased attention from healthcare systems, policymakers, and community organizations looking to close longstanding gaps in care. One approach drawing growing interest is expanded access to doula support.

UnitedHealthcare is expanding access to doulas so that more people can get personalized maternity support through eligible employer-sponsored health plans.

A doula is a trained professional who provides emotional, physical, and informational support during pregnancy, labor, and postpartum. They can serve as a steady presence, offering guidance, reassurance, and continuity of care across a journey that can otherwise feel fragmented. For many moms, that additional layer of support can make a meaningful difference.

Why Doulas Matter for Black Moms

doula working with momResearch shows that doula support can help support better birth outcomes, including lower rates of cesarean sections, fewer complications, and improved mental health after delivery.

But beyond the clinical benefits, doulas offer something just as important: advocacy and trust.

For Black mothers, who are more likely to face implicit bias in healthcare settings, having a doula can help ensure their voices are heard and their concerns are taken seriously. It can help create a more empowering birth experience where moms feel seen, respected, and supported. That’s why expanded doula coverage isn’t just a “nice to have.” It is frequently described as one promising step toward health equity.

What This Means for Houston Moms

Here in Houston, we’re fortunate to have access to a growing network of maternal health resources, but gaps still exist. Conversations sparked by Black Maternal Health Week help shine a light on those gaps while encouraging solutions that truly meet families where they are.

For moms navigating pregnancy right now, this growing shift toward more holistic and inclusive care can help mean:

  • More options for support during pregnancy and birth
  • Greater awareness and openness around maternal mental health
  • Stronger advocacy for equitable treatment in healthcare settings
  • Increased recognition that every mom’s experience matters

Moving Forward Together

At its heart, Black Maternal Health Week is about listening to stories, concerns, and to the lived experiences of Black women and all moms giving birth.

It’s also about action.

By expanding access to doulas and investing in equity-focused care, organizations including UnitedHealthcare are part of a broader effort to address well-documented gaps in maternal care. At the same time, meaningful change continues to take shape through community-based conversations, local support networks, and shared awareness.

So whether you’re expecting, supporting a friend, or simply raising kids here in Houston, this week is an opportunity to learn, reflect, and advocate.

Because every mom deserves to feel safe, supported, and heard.


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Elizabeth Baker
Elizabeth was raised in Houston and met her husband Ryan shortly after graduating from Texas A&M with a journalism degree. A few years later, Grayson {Sept 2010}, turned Elizabeth’s world upside down, not only with his sparkling blue eyes and killer smile, but with his profound disabilities and diagnosis of Mitochondrial Disease. After two years of navigating the world of special needs parenting, Elizabeth and Ryan were blessed with Charlotte {Jan 2013} and Nolan {Sept 2015}, perfectly completing their party of five. Elizabeth and her crew live in Katy, and when she can steal a few moments for herself, she can be found out for Mexican food and margaritas with girlfriends, binge-listening to podcasts and audiobooks, or trying once again {unsuccessfully} to organize her closet. In addition to her role as Managing Editor of HMB, Elizabeth writes about faith, politics and special needs parenting for publications like Scary Mommy and HuffPost.You can connect with Elizabeth on Facebook,Twitter, Instagram, or ElizabethKBaker.com

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