Abstract：
Evidence suggests that perinatal doula care can support maternal health and reduce racial inequities among low-income pregnant and postpartum people, prompting growing interest by state Medicaid agencies to reimburse for doula services. Emerging peer-reviewed and gray literature document factors facilitating or impeding that reimbursement. We conducted a scoping review of that literature (2012-2022) to distill key policy considerations for policymakers and advocates in the inclusion of doula care as a Medicaid-covered benefit. Fifty-three reports met the inclusion criteria. Most (53%) were published in 2021 or 2022. Their stated objectives were advocating for expanded access to doula care (17%), describing barriers to policy implementation, and/or offering recommendations to overcome the barriers (17%). A primary policy consideration among states was prioritizing partnership with doulas and doula advocates to inform robust and equitable policymaking to sustain the doula profession.
摘要：
有证据表明，围产期导乐护理可以支持孕产妇健康，减少低收入孕妇和产后人群的种族不平等，促使州医疗补助机构越来越有兴趣偿还导乐服务。新兴的同行评审和灰色文献文献因素促进或阻碍了报销。我们对该文献（2012-2022年）进行了范围审查，以提炼出政策制定者和倡导者的关键政策考虑因素，将导乐护理作为医疗补助覆盖的福利。53份报告符合纳入标准。大多数（53％）是在2021年或2022年发布的。他们的既定目标是倡导扩大获得导拉护理的机会(17%)，描述政策实施的障碍，和/或提供克服障碍的建议(17%)。各州之间的主要政策考虑因素是优先考虑与doulas和doula倡导者的伙伴关系，以为强有力和公平的决策提供信息，以维持doula职业。
