This form is to be completed at the time of intake for each patient whom is assigned to a doula for the HMHBGA Medicaid Doula Pilot Project. The form must be completed accurately and entirely for evaluation purposes.
What is a doula and why should I consider one?
A doula is a birthing professional who provides a mother with emotional, physical, and informational support during birth and delivery. A doula is not a medical professional and should never give medical advice or contradict the advice or instructions of your medical provider. Instead, the doula’s priority is helping you achieve a positive birth experience. Your doula will help you research your birth options and decide on one that’s right for you.
Studies show that doulas:
• improve birthing outcomes;
• reduce the need for pharmaceutical pain relief;
• provide emotional, physical, and informational support and constant presence throughout the birth; and
• empower a woman in all her decisions from the birthing room to breastfeeding.
Women who use doulas report more positive birth experiences, less pain, and fewer medical interventions. Doulas aren’t just for natural births either. They support mothers in all their birthing decisions.
Healthy Mothers, Healthy Babies Coalition of Georgia (HMHBGA) wants to connect Georgia to free doula services through Medicaid reimbursement. We match you with a doula from our Medicaid Doula Pilot based on location and your preferred level of engagement. HMHBGA does not offer doula services but only provides adequate referrals to doulas. Once you have accepted the referral, you will be in a direct relationship with your professional doula and release HMHBGA from any liability associated with this relationship.
-Participant MUST be a Georgia Medicaid Recipient
-Participant MUST reside in the state of Georgia
-Participant MUST NOT be past 33 weeks gestation (33 weeks pregnant) at the time this application is submitted