Iowa mothers-to-be will now be eligible for their health insurance programs to cover doula services.
Until now, doulas—trained professionals who help create a safer and more emotionally stable environment during the birthing process—have mostly been an out-of-pocket expense. Research published by the National Library of Medicine showed the presence of a doula during pregnancy and childbirth can reduce the chances of a Cesarean section delivery by nearly 53%.
Katie Nyberg, owner of The Iowa Baby Lady, a Des Moines-based doula agency, said having someone personally invested in a woman's pregnancy helps moms and birthing partners feel less stressed. It can mean a healthier baby, especially in rural parts of the state.
"If they have concerning symptoms, especially if they're in rural Iowa, having them call their doula first and us saying, 'Yeah, actually, you know, this is a great time to call your doctor or head in to be seen right away,' helps prevent some of those delays in care," Nyberg explained.
Nyberg noted while she is slightly concerned doulas will have to learn to navigate the maze of insurance billing, she is encouraged more expecting moms will have access to the range of services doulas offer, which will mean safer baby deliveries and more peace and confidence for families in the postpartum period.
Dr. Lisa Saul, national medical director of women’s health for UnitedHealthcare, said beyond emotional support, doulas provide mothers and babies with a more intimate and personal birthing experience, which provides medical advantages.
"Having a person that has gotten to know you throughout your pregnancy and can identify when certain things might seem to be a little bit off can often help us to detect when someone is struggling prior to the usual time frame," Saul pointed out.
Medicaid does not currently cover doula services in Iowa but the state Department of Health and Human Services is currently addressing the disparities faced by low-income women giving birth through its doula program.