To often we are seeing the concerns of the black woman fall on deaf ears. The doctor isn’t listening, the nursing staff could care less and the hospital wants to continue to follow their policies and regulations. So where does that leave the concerned mother who is getting ready to give birth or the mother who knows something is not right after birth? Having a birth Doula or postpartum Doula has become such a great benefit to expecting moms and moms who have already given the gift of life. Studies have shown that having a Doula has brought down there maternal mortality rate significantly. The state of Virginia is now taking action to reverse this public health crisis. Earlier this year, the General Assembly expanded Medicaid to cover the services of doulas who provide advice and support to families during pregnancy. This making Virginia one of the few states to implement this policy which officials are hoping to see implemented as early as spring of 2022. In Virginia, rates rose from roughly 7.5 per 100,000 live births in1982 to 16 per 100,000 in 2018, according to data from the state Department of Health and the March of Dimes. With rates being noticibly higher in black woman than in white. With Virginia Medicaid now covering the cost for Doula‘s it is the hope that many women get the advocacy that is needed during such a precious and delicate time. Too often we here I can’t afford it, it cost too much, it’s way too expensive and much more. In addition to doulas being reimbursed despite the financial status of the client With this expansion i hope to see more families utilizing doulas and the maternal mortality numbers dropping.