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Health Costs & Insurance

Extending health insurance coverage to include doula support is a sound financial investment for insurance companies

Consider the long list of interventions the medical literature has documented that are reduced when a doula supports a woman in labor. Doulas reduce the incidence of:

  • cesarean section

  • assisted delivery (forceps and vacuum/ventouse)

  • epidural analgesia

  • any analgesia

  • oxytocin use

  • prolonged infant hospitalization

  • maternal fever

  • prolonged labor

  • formula or mixed feeding

Reduction in the rate of cesarean section reduces expenditures on the complications related to cesareans. As a result, cesarean related risks are reduced with doula supported births. All of the following can be found resulting from the support of a doula:

  • shorter hospital stays

  • lower rates of readmission to hospital

  • reduced bladder and ureteric injuries

  • less emergency hysterectomies

  • reduced requirements for neonatal intensive care

  • reduced incidence of thromboembolic disease

  • less antepartum stillbirth in future pregnancies

  • less placenta previa in future pregnancies

  • reduced risk of uterine rupture in future pregnancies

  • reduced incidence of neonatal respiratory morbidity

Documented reductions in other interventions would also subsequently lead to reductions in:

  • anal incontinence due to forceps deliveries

  • drug reactions to analgesics, oxytocics, anti-emetics, narcotics, etc.

  • cost of materials and professional fees for routine procedures such as cervical examinations and fetal monitoring due to shortened length of labor

  • work-ups for infants whose mothers developed fever in labor

  • cost of materials and professional fees for support of epidural anesthesia such as catheterization, intravenous fluids, and use of oxytocin to counteract effect of epidural

Increased breastfeeding rates helps lead to lower rates of infant and childhood illnesses. The health benefits of breastfeeding have been well documented and include:

  • diarrhea

  • gastroenteritis

  • pneumonia

  • lower respiratory infection

  • otitis media

  • allergies

  • eczema

  • asthma

  • Type 1 diabetes mellitus

  • Sudden Infant Death Syndrome (SIDS)

  • acute lymphoblastic leukemia

  • acute myeloid leukemia

  • lymphoma

  • Crohn's disease

  • celiac sprue

  • juvenile rheumatoid arthritis

Increased breastfeeding rates can help protect mothers from:

  • postpartum hemorrhage

  • osteoporosis

  • breast cancer

  • ovarian cancer

  • Type 2 diabetes mellitus

Compare all of these potential savings to the cost to insurers of covering a doula's fees, which usually range from $200-800 per family. Doulas are a cost-effective preventative health measure, making a significant difference to the longer term health of women and their families, and ultimately, your bottom line!.

 

Doulas are a cost-effective preventative health measure, making a significant difference to the longer term health of women and their families, and ultimately, your bottom line!.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 

 

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