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Social workers have an obligation to withhold certain values including the dignity, worth and integrity of their clients. Social workers are part advocate, protector and implementer. Social workers can help establish the rules for new perinatal health policies and usher clients through a preventative care system which would include childbirth education, antenatal care and be part of the supportive and collaborative team which offers full spectrum care through the first year postpartum. By engaging birthworkers, medical practitioners and social workers together, an advisory board of care providers can help to establish new rules for maternal care in America. Mother’s are a vulnerable population, and the statistics prove this. This is both a political issue and a social issue which affects all every person regardless of political leanings. Every person has a mother. Evidence suggests that, in addition to regular nursing care: Continuous one-to-one emotional support provided by support personnel, such asa doula, is associated with improved outcomes for women in labor. Benefitsfound in randomized trials include shortened labor, decreased need for analgesia,fewer operative deliveries, and fewer reports of dissatisfaction with the
MATERNAL MORTALITY AND MORBIDITY 7experience of labor (ACOG, 2017). How do we change the narrative? We do this by putting educated and certified doulas on
MATERNAL MORTALITY AND MORBIDITY 8education, midwifery/collaborative care, as well as the human support needed for continuous care prenatal through postpartum. We also need to look at expanding medicaid benefits beyond six weeks postpartum for women in their childbearing years. We also need to disentangle