By Paula A. Michaels

The question of the contraceptive mandate has garnered the lion’s share of attention regarding the impact of the Affordable Care Act (ACA) on women’s health services, most notably in the recent Hobby Lobby and Wheaton College decisions. As unquestionably important and pressing as these issues are, what has earned virtually no discussion is the opportunity that the ACA offers to improve the quality of care for women who choose to become pregnant. The potential for doulas—trained, experienced labor companions—to significantly improve health outcomes, raise patient satisfaction, and lower costs has not received the consideration it deserves.

By Paula A. Michaels

When All in the Family’s Gloria and Michael Stivic attended childbirth preparation classes in 1975, the Lamaze method seemed as American as apple pie. Each week Mike and Gloria brought into our living rooms the values of the counterculture and second-wave feminism that were redefining middle-class American society. Reflecting these trends in the realm of childbirth, the Lamaze method enjoyed tremendous popularity. Though natural living and feminist empowerment are not so much at the forefront of our collective cultural conversation, four decades later what childbirth scene in an American television show or movie would be complete without the hee-hee-hee-hoo of Lamaze breathing? More surprising than the durability of this iconic image in our cultural landscape is the fact that, the Lamaze method was denounced in the 1950s by the founder of the natural childbirth movement as nothing less than a communist plot.