Black women in the U.S. are more likely to die in childbirth than other races.

Naomi, a 37-year-old Black woman from Portland, Oregon, will have a doula by her side when she gives birth to her seventh child, a daughter, later this month.

By using a doula — a trained professional who provides support to moms before, during and after childbirth — Naomi is part of a growing trend of Black women who see having a doula, particularly a Black doula, as a potentially lifesaving advocate during birth.

“I know the intensity of what’s happening can lead to a lot of complications,” Naomi, who asked that only her first name be used, told “Good Morning America.” “When you’re tapped out because you’re having contractions that take your breath away, you want someone who can step in and knows what to do and knows what you want.”

As a Black woman in the U.S. — which continues to have the highest rate of maternal mortality among developed nations — Naomi is more than twice as likely to die during childbirth or in the months after than white, Asian or Latina women, according to the U.S. Centers for Disease Control and Prevention (CDC).

Black women like Naomi are also more likely than white, Asian or Latina women to die from pregnancy-related complications regardless of their education level or their income, data shows.

Naomi said she only learned about doulas eight years ago, when she was pregnant with her sixth child and needed someone to be a support person in the delivery room. She was able to access a doula free of cost thanks to a local nonprofit organization, Black Parent Initiative (BPI), that matches Black women with Black doulas in hopes of improving their odds during pregnancy and delivery.

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I want to bring awareness to the injustices women and girls face around the world.


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