Once a luxury for moms, doula care is going mainstream

Doulas provide physical and emotional support before, during and after birth. Such care used to be seen as a luxury and was available only to those who could afford it. But now, doulas are becoming mainstream. Insurance coverage is growing fast, making their services more available to parents from across the economic spectrum. More than 30 states reimburse doulas through Medicaid or are in the process of implementing such coverage. And private insurers are starting to do the same. Without insurance, costs vary widely but can exceed $2,000. One big reason for the change is that mounting research shows doulas improve health outcomes for moms and babies, including the most vulnerable ones.