Get CPT codes and allow Doula's to be included in insurance
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Many years, in America women make the conscious decision to use a midwife and prefer to labor at home.
The decision to birth at home, a birthing center, or at a hospital is their choice and right, as well as the providers they elect to assist with the birth of her baby. It has been studied and well documented that a Doula can be a valuable asset to a mom during labor, birth, and postpartum.
Doula's provide lactation support, postpartum classes and training for new moms, and also increase the mortality rate of a home birth. While Doula's are NOT healcare providers in the sense of being a RN, or a DR. We are advocates for mom, we help relieve pressure and pain from the birthing process and many of us are certified to provide this service. We are even allowed to have a NPI number, which is a step in the right direction, but if we bill an insurance company then it's considered "insurance fraud" which confuses many doula's because we are under the impression that if we have the NPI we can bill insurance and we feel we should be able to provide quality care for mom!
Here are some statistics on how DOULAS help during birth:
Twenty-two trials involving 15,288 women met inclusion criteria and provided usable outcome data. Results are of random-effects analyses, unless otherwise noted. Women allocated to continuous support were more likely to have a spontaneous vaginal birth (RR 1.08, 95% confidence interval (CI) 1.04 to 1.12) and less likely to have intrapartum analgesia (RR 0.90, 95% CI 0.84 to 0.96) or to report dissatisfaction (RR 0.69, 95% CI 0.59 to 0.79). In addition, their labours were shorter (MD -0.58 hours, 95% CI -0.85 to -0.31), they were less likely to have a caesarean (RR 0.78, 95% CI 0.67 to 0.91) or instrumental vaginal birth (fixed-effect, RR 0.90, 95% CI 0.85 to 0.96), regional analgesia (RR 0.93, 95% CI 0.88 to 0.99), or a baby with a low five-minute Apgar score (fixed-effect, RR 0.69, 95% CI 0.50 to 0.95). There was no apparent impact on other intrapartum interventions, maternal or neonatal complications, or breastfeeding. Subgroup analyses suggested that continuous support was most effective when the provider was neither part of the hospital staff nor the woman's social network, and in settings in which epidural analgesia was not routinely available. No conclusions could be drawn about the timing of onset of continuous support.
Continuous support during labour has clinically meaningful benefits for women and infants and no known harm. All women should have support throughout labour and birth. cited from https://www.ncbi.nlm.nih.gov/pubmed/23076901
A second study :
When continuous labor support was provided by a doula, women experienced a:
31% decrease in the use of Pitocin*
28% decrease in the risk of Cesarean*
12% increase in the likelihood of a spontaneous vaginal birth*
9% decrease in the use of any medications for pain relief
14% decrease in the risk of newborns being admitted to a special care nursery
34% decrease in the risk of being dissatisfied with the birth experience*
For four of these outcomes,* results with a doula were better than all the other types of continuous support that were studied.
Our petition to you is to allow us to continue use of certified doulas, and help us reduce the over all cost of births, you can accomplish this by allowing doulas bill insurance providers and having insurance providers cover our services to moms.
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