HJR275INTRODUCED Page 0 HJR275 EJZ8RCC-1 By Representatives Lands, McClammy, Drummond, Warren, Fidler, DuBose, Hall RFD: Rules First Read: 22-Apr-25 1 2 3 4 5 6 EJZ8RCC-1 04/17/2025 NG (L)NG 2025-1678 Page 1 First Read: 22-Apr-25 HJR___ RECOGNIZING DOULAS AS VITAL MEMBERS OF THE CHILDBIRTH TEAM. WHEREAS, a doula is a trained, nonclinical professional who provides physical, emotional, and educational support and patient advocacy before, during, and after childbirth, often independently or as part of community-based collectives or agencies; and WHEREAS, according to the Maternal Mortality Review and Prevention Committee's 2018 and 2019 reports, 93 women, of whom 37 were Black, died while pregnant or within one year of pregnancy in Alabama, and over 60 percent of pregnancy-related deaths were preventable; and WHEREAS, according to that same report, Black women in Alabama are two times more likely to die from pregnancy-related and pregnancy-associated complications than white women; and WHEREAS, the most recent Fetal and Infant Mortality Review states that from 2009-2018, infants born to women of color were twice as likely to die relative to those born to white women; and WHEREAS, a doula can be a powerful liaison, connecting the mother to appropriate care providers and remaining a constant presence of support, even when the mother may have inconsistent providers; and 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 HJR275 INTRODUCED Page 2 mother may have inconsistent providers; and WHEREAS, a doula can help advocate for a woman's emotional and physical needs to medical staff; and WHEREAS, increased access to doula care, especially in under-resourced communities, can improve a range of health outcomes for mothers and babies, lower health care costs, reduce cesarean sections, decrease maternal anxiety and depression, and help improve communication between pregnant women and their health care providers; and WHEREAS, the benefits of doula care can also have a financial impact in helping families and the state avoid the cost associated with low birth weight babies, cesarean births, and other pregnancy-related complications; now therefore, BE IT RESOLVED BY THE LEGISLATURE OF ALABAMA, BOTH HOUSES THEREOF CONCURRING, That we recognize that doulas are vital childbirth team members and acknowledge their contribution in improving maternal and infant health. 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45