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Writer's pictureGiovanni Leach

Exploring the History of Midwives and Doulas in African American Communities


Mary Francis Hill Coley with mom and baby after delivery
Mary Francis Hill Coley : Collection of the Smithsonian Museum of African American History and Culture, Gift of Robert Galbraith, © 1987 Robert Galbraith

A Glimpse into History

In the early 20th century, before the prevalence of hospital births, childbirth was a community affair. Midwives and doulas played vital roles in assisting women through labor, offering emotional support, and ensuring safe deliveries. Let's journey back in time to understand the profound impact of these birth workers, particularly within African American communities.


The Role of Midwives: Guardians of Maternal Health

Enslaved African women often turned to experienced midwives, known as "Granny Midwives," for childbirth assistance. Despite the harsh conditions of slavery, these women served as pillars of strength, providing care to both black and white women. With limited access to medical facilities, midwives were indispensable, guiding expectant mothers through the birthing process and postpartum care.


The Evolution of Midwifery: From Tradition to Regulation

As medicine advanced, midwifery transitioned from a familial tradition to a regulated profession. State health regulations aimed to standardize practices and ensure maternal safety. Pioneering midwives like Amanda Carey Carter embraced formal training, obtaining permits and adhering to health protocols. Their dedication to maternal health laid the groundwork for modern midwifery practices.


The Rise of Doulas: Advocates for Empowered Births

In response to medicalization of childbirth, the role of doulas emerged, providing continuous support to expectant mothers. Unlike midwives, doulas focus on emotional and physical comfort during labor, advocating for the mother's preferences. With growing awareness of maternal disparities, doulas became allies in promoting equitable birthing experiences for women of color.


Challenges and Triumphs: Navigating Modern Maternity Care

Despite advancements, racial disparities persist in maternal health outcomes. Black women face higher rates of pregnancy-related complications and mortality, highlighting systemic inequities in healthcare. Stories like Serena Williams' harrowing childbirth experience underscore the urgent need for culturally competent care and support.


Honoring the Legacy, Inspiring Change

As we commemorate Black History Month, let's honor the invaluable contributions of midwives and doulas to maternal health. Their legacy reminds us of the resilience and strength within African American communities. By amplifying their stories and advocating for inclusive healthcare, we can strive towards a future where every mother receives the care and support she deserves.

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