Health Justice

State Abortion Bans Threaten 6.5 Million Latinas

The decision to overturn Roe v. Wade has harmed millions of people across the nation, impeding their access to abortion, disrupting their economic futures, and putting their health and even their lives at risk. The impact of this decision is particularly harmful for women of color, who are less likely to have insurance and face greater economic barriers to accessing abortion. The Dobbs decision has unique impacts on Latina communities.

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Discrimination While Pregnant

Any pregnant person may experience pregnancy discrimination. But because of the ways that racism, sexism and ableism have structured the United States economy, pregnant workers’ need for accommodations — and the harms they may face if unable to access accommodations — can differ significantly. Women and people of color are especially likely to be in jobs that are higher risk and lack adequate health and safety protections.

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Our Communities Hold the Solutions

A robust body of research has shown that this type of doula support is associated with better childbirth experiences and healthier outcomes for both parents and babies. Today, doula support is available across a variety of reproductive health experiences, including abortion, miscarriage, stillbirth, and fertility treatment, as well as in other life course settings such as pediatric care, preventive health care, critical care, and palliative or end-of-life care

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Improving Our Maternity Care Now Through Doula Support

This report outlines the evidence that supports the unique value of doula support across different communities, the safety and effectiveness of doula support in improving maternal and infant outcomes, the interest of birthing women and people in use of doula support, and the current availability of, and access to, doula services in the United States.

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Spotlight on Success: Tewa Women United

The community-centered Yiya Vi Kagingdi Doula Project was created in response to a survey of women in the six Tewa-speaking pueblos and as one approach to mitigate violence against women, children, and Mother Earth. The program supports birthing people and their families with about three prenatal home visits, continuous support while giving birth, about three postpartum home visits, and lactation support, as well as remote support, all within a birth equity framework.

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Improving Our Maternity Care Now Through Community Birth Settings

Research shows that care provided in community birth settings can make a concrete difference in improving maternity care quality and producing better outcomes, including for People of Color. Care in these settings that is led by Black, Indigenous, People of Color is a crucial approach for meeting the needs of communities affected by structural racism and other forms of discrimination. This report outlines the evidence that supports the unique value of community birth settings across different communities.

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