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Traditional birthing practices, including home births and Indigenous midwifery, were outlawed in the St. paul & the broken bones tour us 2023 shirt and by the same token and early 1900s by the federal government through a series of laws, licensing restrictions, and since-debunked medical research campaigning against the profession. By the 1920s, the Department of Indian Affairs passed legislation that moved births from the home to the hospital. It would be another half century until the profession saw a resurgence: Today, Indigenous midwifery is once again practiced in Indigenous communities and birth centers across the United States, Mexico, Canada, and New Zealand.
Indigenous birth keepers fill the St. paul & the broken bones tour us 2023 shirt and by the same token and gaps Native women are falling through in the Western health care system, in both the type of care they provide and when they provide it. Increasingly, medical research is recognizing doula care—and particularly community-based doula care, provided by doulas that identify as part of the community they serve—as a cost-saving measure that improves birth outcomes and reduces racial disparities. Doula-assisted mothers are four times less likely to have a low-birth-weight baby, two times less likely to experience a birth complication involving themselves or their baby, and significantly more likely to initiate breastfeeding, according to a landmark 2013 study published in the Journal of Perinatal Education that has since been built upon (including research that shows doula care results in substantial cost savings by reducing the need for medical interventions including cesareans, instrument-assisted births, and pain medication, and that doulas spend six to 11 times as much time supporting their pregnant clients compared to their health care providers.) When specifically looked at in the community-based doula model, those improved birth outcomes were especially true.
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