Doula highlights how postpartum care is failing new mothers

In an interview with Contemporary OB/GYN, Joy Windley, CLC, postpartum doula at Boram Care, discussed the shortcomings in public health systems when it comes to supporting pregnant and postpartum women.

Windley highlighted a critical gap in postpartum care preparation. While much attention is given to prenatal care and birth, there is insufficient focus on what happens to the mother after delivery. Many women are left unprepared for the physical and emotional realities of the postpartum period, which can be shocking and overwhelming, especially given that maternal health follow-ups often don’t occur until 4 to 6 weeks after birth. This is particularly concerning because many maternal complications and deaths occur in the early weeks following hospital discharge.

To address this gap, Windley emphasized the need for better assessment of postpartum needs and more accessible, clear resources for mothers. Simply telling women that help exists isn't enough. Information must be shared in practical, direct ways, such as handouts, emails, or texts that explain what to watch for and when to seek help. She advocated for earlier postpartum visits, ideally within 1 to 2 weeks, and suggested these check-ups happen at home. The physical and logistical challenges of getting to a clinic so soon after birth can be overwhelming for new mothers, especially those recovering from surgery or without support.

Emotionally, the lack of adequate care can lead to serious consequences, including perinatal mood disorders such as postpartum depression, anxiety, and even psychosis in extreme cases. Windley noted that unaddressed emotional and physical needs, such as sleep deprivation or lack of nutrition, can severely impact mental health. She referenced public figures to illustrate how untreated issues can escalate, especially for women already managing mental health challenges before giving birth.

To improve outcomes, Windley recommended strong postpartum support systems that include doulas, proper rest, nutrition, hydration, and emotional care. Regular follow-ups and a responsive healthcare system are also crucial. She called for a cultural shift in how postpartum care is viewed in the United States, where getting help is often seen as a luxury. Instead, she believes it should be normalized. By prioritizing postpartum support and normalizing assistance, public health can significantly improve the well-being of mothers and their families.

Disclosures: No relevant disclosures.

Reference

One-third of maternal deaths occur long after delivery, study finds. New York Times. April 09, 2025. Accessed May 01, 2025. https://www.nytimes.com/2025/04/09/health/maternal-death-pandemic.html.